Sansone Randy A, Sansone Lori A
Departments of Psychiatry and Internal Medicine, Wright State University School of Medicine, Dayton, Ohio, USA.
Innov Clin Neurosci. 2011 Sep;8(9):10-3.
According to the empirical literature, substance use disorders are commonly comorbid with a number of psychiatric disorders, including the personality disorders and especially borderline personality disorder. With regard to borderline personality disorder, eight studies of varying sample types (e.g., inpatient, outpatient, community) indicate prevalence rates of substance use disorders from 14 percent (current rate) to 72 percent (lifetime rate). As expected, lifetime prevalence rates of substance use disorders in borderline personality disorder exceed current and 12-month rates. In addition, in clinical samples, men with borderline personality disorder outnumber women with borderline personality disorder with regard to the presence of comorbid substance use disorders. According to the meager available literature, there is also a relationship between prescription substance abuse and borderline personality disorder. However, this relationship deviates from traditional findings with general substance abuse in that rates for women with borderline personality disorder equal rates for men with borderline personality disorder.
根据实证文献，物质使用障碍通常与多种精神障碍共病，包括人格障碍，尤其是边缘型人格障碍。关于边缘型人格障碍，八项不同样本类型（如住院患者、门诊患者、社区人群）的研究表明，物质使用障碍的患病率从14%（当前患病率）到72%（终生患病率）不等。正如预期的那样，边缘型人格障碍中物质使用障碍的终生患病率超过当前患病率和12个月患病率。此外，在临床样本中，就共病物质使用障碍的情况而言，患有边缘型人格障碍的男性多于患有边缘型人格障碍的女性。根据现有的少量文献，处方药物滥用与边缘型人格障碍之间也存在关联。然而，这种关联与一般物质滥用的传统研究结果不同，因为患有边缘型人格障碍的女性患病率与患有边缘型人格障碍的男性患病率相当。
