اختلالات اختلال شخصیت مرزی و استفاده از مواد مخدر: بررسی و یکپارچه سازی

The empirical literature on the comorbidity between borderline personality disorder (BPD) and substance use disorders (SUDs) is reviewed. BPD–SUD comorbidity data obtained from studies published from 1987 to 1997 document the frequent co-occurrence of these diagnoses. Methodological issues and theoretical models for understanding this co-occurrence are discussed. Finally, we present our conceptualization of the relations and interactions of the major factors influencing the development of BPD and contributing to the comorbidity between BPD and SUDs.

BORDERLINE PERSONALITY DISORDER (BPD) and substance use disorders (SUDs) are two forms of psychological problems that are often diagnosed within the same person. Despite the general acknowledgment of this co-occurrence, to date, a systematic and comprehensive review of this comorbidity is lacking. Further, few have discussed the various methodological and theoretical explanations for the comorbidity. In order to better understand the nature of the observed comorbidity between BPD and SUDs, we describe the major features of BPD, discuss major etiological factors that have been associated with BPD, review the existing data on the rates of comorbidity between BPD and SUDs, and present methodological issues and theoretical models for understanding this co-occurrence.