Khan Saira H, Pucker Hannah E, Temes Christina M, Zanarini Mary C
McLean Hospital, Belmont, MA, US.
Department of Medicine, Imperial College London, London, UK.
Ment Health Relig Cult. 2019;22(4):416-422. doi: 10.1080/13674676.2019.1625036. Epub 2019 Jun 20.
With addictive disorders frequently co-occurring among patients with borderline personality disorder (BPD), exploring factors that may influence health-related behaviours, like religious involvement, is important. This study assesses whether religious involvement is associated with smoking and alcohol use disorders (AUDs) in BPD subjects. This study used data from Wave 2 of the National Epidemiological Survey on Alcohol and Related Conditions (NESARC), which used the Alcohol Use Disorder and Associated Disabilities Interview Schedule--DSM-IV (AUDADIS-IV) as its assessment instrument. The AUDADIS-IV assessed personality disorders, tobacco usage, the presence of AUDs, and religious involvement. Attending a place of worship and weekly or more frequent worship attendance were significantly associated with reduced likelihood of current smoking and AUDs among BPD subjects. AUDs were also significantly less common in those reporting higher subjective religiousness. In conclusion, people with BPD who are religiously inclined are less likely to engage in addictive behaviours, specifically smoking and AUDs.
边缘性人格障碍（BPD）患者中经常同时存在成瘾性障碍，因此探索可能影响健康相关行为的因素，如宗教参与，非常重要。本研究评估宗教参与是否与BPD患者的吸烟和酒精使用障碍（AUDs）有关。本研究使用了全国酒精及相关疾病流行病学调查（NESARC）第二轮的数据，该调查使用酒精使用障碍及相关残疾访谈表——第四版精神疾病诊断与统计手册（AUDADIS-IV）作为评估工具。AUDADIS-IV评估了人格障碍、烟草使用、AUDs的存在情况以及宗教参与情况。参加宗教场所活动以及每周或更频繁地参加宗教活动与BPD患者当前吸烟和患AUDs的可能性降低显著相关。在报告主观宗教信仰较高的人群中，AUDs也明显较少见。总之，有宗教倾向的BPD患者从事成瘾行为的可能性较小，尤其是吸烟和患AUDs。
