Impulsive clinical profile of Borderline Personality Disorder with comorbid Substance Use Disorder

Natalia Calvo, Sergi Valero, Marc Ferrer, Carmen Barral, Miguel Casas

Research output: Contribution to journalArticleResearchpeer-review

3 Citations (Scopus)

Abstract

Introduction. Borderline Personality Disorder (BPD) is one of the Personality Disorder most frequently associated with Substance Use Disorder (SUD). According to different models, the Behavioral dysregulation-BPD subgroup has a higher prevalence of SUD and certain impulsivity behaviors than the other two subgroups. Methods. Out of 156 BPD patients, 47 were in the Behavioral dysregulation-BPD subgroup, 55 in Affective dysregulation, and 54 in Disturbed relatedness. All patients completed the SCID-II for DSM-IV Axis II Disorders, SCID-I for DSM-IV Axis I Disorders, Barratt Impulsiveness Scale (BIS-11) and Revised Diagnostic Interview for Borderlines (DIB-R). Results. In the comparison of the BPD subgroups, Behavioral dysregulation showed significantly more prevalence of SUD (alcohol and cocaine), and tendency for anxiolytics, higher impulsivity (DIB-R, but none in BIS-11), and higher number of suicide attempts and psychiatric admissions, although these was not significant in comparison with the other subgroups. Conclusions. This should be especially useful in the discrimination of BPD patients for different therapeutic approaches and prognoses.
Original languageEnglish
Pages (from-to)145-152
JournalActas Espanolas de Psiquiatria
Volume44
Issue number4
Publication statusPublished - 1 Jul 2016

Keywords

  • Borderline personality disorder
  • Clinical profile
  • Comorbidity
  • Impulsivity
  • Substance use disorder

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