Substance misuse is associated with increased psychiatric severity among treatment-seeking individuals with borderline personality disorder
Abstract
Despite high prevalence rates of concurrent borderline personality disorder (BPD) and substance use disorders (SUDs), little is known about the impact of substance misuse on the presentation of BPD. Sixty-five individuals with BPD were assessed at intake and at 3- and 6-month follow-up. Assessment included validated instruments such as the Addiction Severity Index and the Revised Symptom Checklist (SCL-90-R). Over half (58.5%) of individuals entering treatment were currently misusing substances. Substance misuse was associated with more legal and employment problems, greater mood disturbance, impulsivity, and psychiatric severity, including almost all SCL-90-R subscales. For the majority of patients (58%), there was little change in substance misuse post-treatment. The high prevalence of substance misuse and its association with psychiatric severity among individuals with BPD suggest that substance misuse should be a targeted behavior during treatment, and further specialized interventions are needed for individuals with comorbid BPD and SUD.
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Individuals with group B personalities show more impulsive behavior, greater mood swings, and more depressive symptoms.
“Individuals with group B personalities are known to show more impulsive behavior, greater mood swings, and more depressive symptoms (22).”
From Mobile intervention for individuals with psychosis, dual disorders, and their common comorbidities: A literature review (2019) · cites this paper as [22]
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References 45 · Cited by 30
- Authors
- Heath, L. M., Laporte, L., Paris, J., Hamdullahpur, K., & Gill, K. J.
- Affiliations
- McGill University Health Centre (CA)
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2018-10
- Volume
- 32
- Issue
- 5
- Pages
- 694-708
- ISSN
- 0885-579X (ISSN-L)
- OpenAlex
- W2755930302
- Cited by
- 30
- References
- 45
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 10 · 2021: 2 · 2020: 4 · 2019: 4
- FWCI
- 2.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (119465)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- borderline personality disorder, substance use disorders, comorbidities, psychiatric symptom severity, treatment-seeking patients, mood disturbance, impulsivity, Addiction Severity Index, SCL-90-R
- MeSH terms
- Adolescent, Adult, Borderline Personality Disorder, Female, Humans, Male, Middle Aged, Prevalence, Substance-Related Disorders, Young Adult
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