Borderline and Other Mental Disorders in Alcoholic Female Psychiatric Patients: A Case Control Study

Abstract

A random sample of female, nonalcoholic psychiatric outpatients, day and inpatients from one catchment area (n = 65; C group), was compared with female psychiatric patients with a DSM-III alcohol disorder (n = 64; A group). On DSM-III, axis, I, the frequency of additional symptom diagnoses, including depressions, was nearly equal. On axis II, the A group had an additional personality disorder significantly more often (81 vs. 46 %), borderline personality disorder being the most frequent (66 vs. 11 %). Among patients with depressive disorders, the differences between the A and the C group on axis II were the same. But alcoholic patients suffering from a major depressive disorder more frequently had a borderline personality disorder than other subgroups. The alcohol problems seem to be more related to ongoing personality problems than to episodic, symptomatic disorders. Female psychiatric patients with alcohol problems are diagnostically a heterogenous group and should not be offered a uniform therapy.

Prevalence of Personality Disorders among Alcoholics and Drug Addicts: An Overview

“…Table 4 shows a wide variation in preva lence rates of BPD (range 2-66%; median 18%). The low est prevalence rate (2%) was found in male VA inpatients (with cocaine addiction) using the MCMI [36], whereas the highest prevalence rate (66%) was found among a sample of female psychiatric patients (with alcohol disor der) using a structured interview that is not further speci fied [42], Substance Effect. The median prevalence rates across the different substances are rather similar, with exception of the prevalence of BPD among opiate addicts: alcohol (range 4-66%; median 21%), cocaine (range 2-34%; me dian 18%), opiates (range 3-65%; median 7%) and mis cellaneous substances (range 7-48%; median 22%).…”

Endringer i sykepleieres arbeid etter rusreformen

“…Å tilby integrert behandling er én måte å ivareta pasientgruppen i psykiatriske avdelinger på. Dette forutsetter kjennskap til prinsippene for en slik organisering av behandlingen, samt kunnskap om ulike tilnaerminger som kan passe den enkelte (13). Skal man lykkes med dette må også ledere ha et ønske om å integrere rusbehandling i tilbudet på psykiatriske avdelinger, og man må gi tilbud om opplaering (4,35).…”

Screening and Assessment of Personality Disorders in Addiction Treatment Settings

“…High rates of PDs have been found across diverse groups of substance abusers, including alcoholics (DeJong et al 1993;Nace et al 1983;Vaglum and Vaglum 1985), heroin users (Darke et al 2003;Kosten et al 1989), and cocaine users (Weiss et al 1993b).…”

“…Compared to substance abusers without personality pathology, those with PDs exhibit greater dysfunction, which can complicate their treatment prognosis. They have been found to have poorer school performance, lower levels of education, higher rates of unemployment, and more legal problems (Brooner et al 1997;Cacciola et al 1996;Links et al 1995a, c;Thomas et al 1999), as well as higher levels of psychopathology, increased psychiatric risk, and a higher need for psychiatric services (van den Bosch et al 2001;Kosten et al 1989;Nace et al 1991). Additionally, individuals with comorbid PDs and SUDs have been found to have a more severe substance abuse profile and a range of increased risks associated with their substance abuse.…”

“…With respect to BPD, substance abusers with comorbid BPD have been found to have higher rates of suicidal behaviours, including suicide attempts, and non-suicidal self-injurious behaviours (Inman et al 1985;Links et al 1995a, b, c;Nace et al 1991;van den Bosch et al 2001;Verheul et al 1995), and higher rates of completed suicides (Stone 1990), compared to non-BPD substance abusers. In a study of heroin users, Darke et al (2003) found that the presence of BPD was associated with a history of polydrug use, increased risk of overdosing, and increased risk-taking behaviours with respect to needle use.…”