Borderline personality disorder and substance use disorders A review and integration

Trull, T

doi:10.1016/s0272-7358(99)00028-8

Cited by 520Personality Disorders and PsychopathologySubstance Abuse Treatment and OutcomesPersonality Traits and Psychology

Borderline personality disorder and substance use disorders A review and integration

Trull, T·2000·Clinical Psychology Review

DOI 10.1016/s0272-7358(99)00028-8

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Abstract

The empirical literature on the comorbidity between borderline personality disorder (BPD) and substance use disorders (SUDs) is reviewed. BPD-SUD comorbidity data obtained from studies published from 1987 to 1997 document the frequent co-occurrence of these diagnoses. Methodological issues and theoretical models for understanding this co-occurrence are discussed. Finally, we present our conceptualization of the relations and interactions of the major factors influencing the development of BPD and contributing to the comorbidity between BPD and SUDs.

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Given the high co-occurrence of substance dependence and borderline personality disorder, excluding these individuals may have limited the external validity of the sample to patients with borderline personality disorder as a whole.
“Nonetheless, given the high co-occurrence of substance dependence and BPD,51 excluding these individuals may have limited the external validity of the sample to patients with BPD as a whole.”
From Emotion regulation group therapy for deliberate self-harm: A multi-site evaluation in routine care using an uncontrolled open trial design (2017) · cites this paper as [51]

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Authors: Trull, T.
Affiliations: University of Missouri (US)
Corresponding author: Trull, T
ORCID: Trull, T
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2000-03
Volume: 20
Issue: 2
Pages: 235-253
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/s0272-7358(99)00028-8
OpenAlex: W2163255494
Cited by: 520
References: 80
Citations by year: 2026: 5 · 2025: 10 · 2024: 10 · 2023: 11 · 2022: 17 · 2021: 21 · 2020: 39 · 2019: 24 · 2018: 31 · 2017: 31 · 2016: 31 · 2015: 32 · 2014: 38 · 2013: 28 · 2012: 25
FWCI: 8.95
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (R01 AA07231, R01AA007231)
National Institute of Mental Health (R01MH52695, R01MH052695)
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords: borderline personality disorder, substance use disorders, comorbidities
MeSH terms: Borderline Personality Disorder, Humans, Models, Psychological, Comorbidity, Diagnosis, Dual (Psychiatry), Substance-Related Disorders

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Borderline personality disorder and substance use disorders A review and integration

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