Substance Misuse Is Associated With Increased Psychiatric Severity Among Treatment-Seeking Individuals With Borderline Personality Disorder

Heath, Laura M.; Laporte, Lise; Paris, Joel; Hamdullahpur, Kevin; Gill, Kathryn

doi:10.1521/pedi_2017_31_307

Cited by 22 publications

(12 citation statements)

References 35 publications

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“…Despite this scale having been designed to measure phobic-related fears (e.g., travels away from home, public places, social interactions), individuals undergoing treatment for SUD may report fear of everyday situations that may represent potential risk of relapse. Thus, we do not find it surprising that phobic anxiety yielded the largest effect size when comparing SCL-90-R dimensions between clinical samples of substance users and nonusers (Heath et al, 2018).…”

Section: Discussioncontrasting

confidence: 60%

Clinical symptoms and personality traits predict subpopulations of treatment-seeking substance users

Martínez‐Loredo

Macipe

Errasti

et al. 2021

Journal of Substance Abuse Treatment

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Section: Discussioncontrasting

confidence: 60%

Clinical symptoms and personality traits predict subpopulations of treatment-seeking substance users

Martínez‐Loredo

Macipe

Errasti

et al. 2021

Journal of Substance Abuse Treatment

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“…An epidemiological study reports that 78% of individuals with borderline personality disorder met the criteria for substance use disorder at least once in their lifetime (21). Individuals with group B personalities are known to show more impulsive behavior, greater mood swings, and more depressive symptoms (22). In a study on psychotic disorders, a significant proportion of patients (close to 30%) diagnosed with SMI displayed problematic personality traits associated with group B without necessarily being diagnosed with a personality disorder.…”

Section: Dual Disorders and Common Comorbiditiesmentioning

confidence: 99%

Mobile Intervention for Individuals With Psychosis, Dual Disorders, and Their Common Comorbidities: A Literature Review

et al. 2019

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Over 50% of people diagnosed with a severe mental illness, such as schizophrenia or bipolar disorder, will meet criteria for a substance use disorder in their lifetime. This dual disorder often starts during youth and leads to significant societal costs, including lower employability rates, more hospitalizations, and higher risk of homelessness and of suicide attempts when compared to those with a serious mental illness without substance misuse. Moreover, many individuals presenting with comorbid disorders also present with other psychological difficulties as well, such as personality disorders or anxiety and depression, also known as complex comorbid disorders. Transdiagnostic treatments that focus on core difficulties found in people with complex dual disorders, such as emotional regulation, are direly needed. Emotional regulation skills can help reduce distress related to psychotic symptoms and maintain abstinence in substance use disorders. New technologies in the field of communications have developed considerably over the past decade and have the potential to improve access to such treatments, a major problem in many health care settings. As such, this paper aims at: presenting core difficulties present in many individuals with dual disorders, reviewing the scientific literature pertaining to the use of mobile applications in mental health and addictions, and presenting the development and potential of a new application for emotional regulation for people with dual disorders.

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“…The results of the national epi-demiologic survey on alcohol and related conditions (NE-SARC) showed that 78.2% of individuals with BPD had lifelong criteria for a substance use disorder (SUD) (31). Heath et al also confirmed that individuals with BPD had a history of substance and alcohol abuse and also the severity of psychiatric symptoms such as depression, tension, anger, fatigue, and mood disorders were higher in these individuals and also they had legal problems and it was found that at the time of use, they had a high prevalence of NSSI including cuts (81.4%), strikes (36.7%), scratches, (33.3%) and burns (22.9%); overall, 50.9% of them perform various forms of NSSI (32).…”

Section: Discussionmentioning

confidence: 94%

Individual Factors Underlying Suicidal Behaviors in Patients with Borderline Personality Disorder: A Qualitative Study

Hajfiroozabadi¹,

Mohtashami²,

Atashzadeh‐Shoorideh³

2022

Iran J Psychiatry Behav Sci

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Background: Borderline personality disorder (BPD) is associated with a high risk of suicide. Limited information is available on the individual factors underlying suicidal behaviors, especially suicide attempts (SAs), in Iranian patients with BPD. Objectives: This study aimed to analyze the individual factors underlying suicidal behaviors in patients with BPD. Methods: This was a qualitative descriptive study that was conducted from May 2020 to February 2021 in Tehran and Karaj, Iran, on 23 participants, including 14 patients with BPD and seven mental health professionals, as well as two members of their families. The research environment included psychiatric inpatient wards, psychiatric emergencies, and psychiatric clinics. Participants were selected through purposive sampling. Data were collected using semi-structured interviews and were analyzed using conventional content analysis. Results: Data analysis revealed five main themes and 15 sub-themes related to the individual factors underlying the identification and prediction of the risk for suicidal behaviors and SAs. The extracted themes included “psychological pain and loneliness”, “defects in the distinction and integration of emotions”, “unconventional behavior and emotion”, “pervasive incompatibility”, and “breakdown of the self-integrity”. Conclusions: The BPD is a complex and challenging disorder in which patients with BPD usually tend to engage in suicidal behaviors, and with the emergence of individual factors underlying the occurrence of such behaviors, appropriate preventive measures and interventions can be taken to reduce suicide-related behaviors such as suicidal thoughts and planning, as well as SAs.

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Substance Misuse Is Associated With Increased Psychiatric Severity Among Treatment-Seeking Individuals With Borderline Personality Disorder

Cited by 22 publications

References 35 publications

Clinical symptoms and personality traits predict subpopulations of treatment-seeking substance users

Clinical symptoms and personality traits predict subpopulations of treatment-seeking substance users

Mobile Intervention for Individuals With Psychosis, Dual Disorders, and Their Common Comorbidities: A Literature Review

Individual Factors Underlying Suicidal Behaviors in Patients with Borderline Personality Disorder: A Qualitative Study

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