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Substance abuse in borderline personality disorder

F T Miller1, T Abrams, R Dulit

  • 1Cornell University Medical College, New York, New York.

The American Journal of Drug and Alcohol Abuse
|January 1, 1993
PubMed
Summary

Substance abuse is common in borderline personality disorder (BPD) patients, often leading to poor life outcomes. Stimulant use in BPD patients was linked to fewer depersonalization-derealization symptoms.

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Area of Science:

  • Psychiatry
  • Addiction Medicine
  • Personality Disorders

Background:

  • Borderline personality disorder (BPD) is a complex mental health condition.
  • Co-occurring substance abuse is a significant clinical challenge in BPD.
  • Understanding the interplay between BPD and substance use is crucial for effective treatment.

Purpose of the Study:

  • To investigate the prevalence and patterns of substance abuse among patients with BPD.
  • To explore the association between substance abuse and demographic/clinical factors in BPD.
  • To examine the relationship between substance use and specific symptoms like depersonalization-derealization.

Main Methods:

  • Retrospective analysis of patient data.
  • Categorization of substance abuse types (alcohol/sedatives vs. stimulants).

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  • Comparison of clinical characteristics and symptom presentation across substance use groups.

    • Main Results:

    • Substance abuse was highly prevalent in the studied BPD population.
    • Gender differences in substance preference were observed: females favored alcohol/sedatives, males favored stimulants.
    • Substance abuse correlated with adverse outcomes including poor school performance, unemployment, and promiscuity.
    • Depersonalization-derealization symptoms were less frequent in stimulant users compared to non-users and alcohol/sedative users.

    Conclusions:

    • Substance abuse represents a severe complication for individuals with borderline personality disorder.
    • Specific substance use patterns may be associated with distinct symptom profiles in BPD.
    • Targeted interventions addressing substance abuse are essential for improving outcomes in BPD patients.