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Prevalence of alcohol use disorders in individuals with borderline personality disorder: a meta-analysis and
Stefani Gonzalez Silva1, Maria Olivia Pozzolo Pedro2, Joao Mauricio Castaldelli-Maia3
1Physician, Departamento de Neurociência, Faculdade de Medicina, Centro Universitário FMABC, Santo André (SP), Brazil.
Background:
This review examined the prevalence rate of alcohol use disorders (AUDs)-including heavy episodic drinking, heavy drinking, alcohol abuse, and alcohol dependence-among individuals with borderline personality disorder (BPD).
Objectives:
The primary objective of this meta-analysis and meta-regression study was to investigate the prevalence AUDs associated with BPD.
Design And Setting:
We searched PubMed, Google Scholar, Virtual Health Library (VHL/BVS), SciELO, LILACS, EMBASE, and PsycINFO for studies, reports, or abstracts published without language restrictions.
Methods:
We searched for reports published from database inception through March 2024. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analysis Of Observational Studies in Epidemiology guidelines (MOOSE). Based on the extracted data, we performed meta-analyses and meta-regressions.
Results:
The final sample included 15 articles with 15,603 individuals aged 18 years or older with BPD. The prevalence of AUDs with BPD was 55.28%, while the prevalence of alcohol dependence (AD) was 44.59%, and alcohol abuse (AA) was 18.84%.
Conclusion:
Our findings indicate a high prevalence of AUDs among individuals with BPD, underscoring the need for targeted prevention and treatment strategies. Integrated dual-diagnosis approaches addressing both disorders simultaneously are crucial for improving outcomes. This high prevalence has important implications for public health.
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