In this study, we examined the prevalence of borderline personality disorder (BPD) in a sample of patients seeking outpatient treatment with buprenorphine for opioid addiction.
Method:
To assess for BPD, we used three self-report surveys in a consecutive study sample.
Results:
Of the 111 participants who completed all three measures of BPD, 49 (44.1%) exceeded the cut-off score indicative of BPD.
Conclusions:
Among individuals who are addicted to opioids and seeking treatment with buprenorphine, the prevalence of BPD, as mutually confirmed by three self-report measures, is quite high.
American Psychiatric Association.Diagnostic and statistical manual of mental disorders (4th Edition, text revision). Washington, DC: Author, 2000
2.
PrasadRBValERLahmeyerHWGaviriaMRodgersPWeilerMAssociated diagnoses (comorbidity) in patients with borderline personality disorder. Psychiatric Journal of the University of Ottawa1990; 15: 22–27
ZanariniMCFrankenburgFRDuboEDSickelAETrikhaALevinAAxis I comorbidity of borderline personality disorder. American Journal of Psychiatry1998; 155: 1733–1739
5.
MillerFTAbramsTDulitRFyerM. Substance abuse in borderline personality disorder. American Journal of Drug and Alcohol Abuse1993; 19: 491–497
6.
LinksPSHeslegraveRJMittonJEVan ReekumRPatrickJ. Borderline personality disorder and substance abuse: Consequences of comorbidity. Canadian Journal of Psychiatry1995; 40: 9–14
7.
SansoneRASongerDAMillerKA. Childhood abuse, mental healthcare utilization, self-harm behavior, and multiple psychiatric diagnoses among inpatients with and without a borderline diagnosis. Comprehensive Psychiatry2005; 46: 117–120
8.
GriloCMMartinoSWalkerMLBeckerDFEdellWSMcGlashanTH. Controlled study of psychiatric comorbidity in psychiatrically hospitalized young adults with substance use disorders. American Journal of Psychiatry1997; 154: 1305–1307
9.
SkinstadAHSwainA. Comorbidity in a clinical sample of substance abusers. American Journal of Drug and Alcohol Abuse2001; 27: 45–64
10.
DarkeSRossJWilliamsonATeessonM. The impact of borderline personality disorder on 12-month outcomes for the treatment of heroin dependence. Addiction2005; 100: 1121–1130
11.
DulitRAFyerMRHaasGLSullivanTFrancesAJ. Substance use in borderline personality disorder. American Journal of Psychiatry1990; 147: 1002–1007
12.
HatzitaskosPSoldatosCRKokkeviAStefanisCN. Substance abuse patterns and their association with psychopathology and type of hostility in male patients with borderline and antisocial personality disorder. Comprehensive Psychiatry1999; 40: 278–282
13.
ThomasVH. Personality disorders and substance abuse: Patterns of comorbidity in an inpatient treatment population. Dissertation Abstracts International1996; 56: 7081B.
14.
FrankenburgFRZanariniMC. The association between borderline personality disorder and chronic medical illnesses, poor health-related lifestyle choices, and costly forms of health care utilization. Journal of Clinical Psychiatry2004; 65: 1660–1665
15.
KaplanMAKorelitzBI. Narcotic dependence in inflammatory bowel disease. Journal of Clinical Gastroenterology1998; 10: 275–278
16.
ZeeckABirindelliESandholzAJoosAHerzogTHartmannA. Symptom severity and treatment course of bulimic patients with and without a borderline personality disorder. European Eating Disorders Review2007; 15: 430–438
17.
BellinoSPatriaLParadisoEDi LorenzoRZanonCZizzaMMajor depression in patients with borderline personality disorder: A clinical investigation. Canadian Journal of Psychiatry2005; 50: 234–238
18.
OzkanMAltindagA. Comorbid personality disorders in subjects with panic disorder: Do personality disorders increase clinical severity?Comprehensive Psychiatry2005; 46: 20–26
19.
SkodolAEGriloCMPaganoMEBenderDSGundersonJGEffects of personality disorders on functioning and well-being in major depressive disorder. Journal of Psychiatric Practice2005; 11: 363–368
20.
IlardiSSCraigheadWEEvansDD. Modeling relapse in unipolar depression: The effects of dysfunctional cognitions and personality disorders. Journal of Consulting and Clinical Psychology1997; 65: 381–391
21.
BaerLJanikeMABlackDWTreeceCRosenfeldRGreistJ. Effects of Axis II diagnoses on treatment outcome with clomipramine in 55 patients with obsessive-compulsive disorder. Archives of General Psychiatry1992; 49: 862–866
22.
Ames-FrankelJDevlinMJWalshBTStrasserTJSadikCOldhamJMPersonality disorder diagnoses in patients with bulimia nervosa: Clinical correlates and changes with treatment. Journal of Clinical Psychiatry1992; 53: 90–96
SansoneRASansoneLA. Borderline personality in the medical setting. New York: Nova Science Publishers, 2007
25.
FeskeUMulsantBHPilkonisPASoloffPDolataDSackeimHAClinical outcome of ECT in patients with major depression and comorbid borderline personality disorder. American Journal of Psychiatry2004; 161: 2073–2080
26.
SansoneRASongerDAMillerKA. Childhood abuse, mental healthcare utilization, self-harm behavior, and multiple psychiatric diagnoses among inpatients with and without a borderline diagnosis. Comprehensive Psychiatry2005; 46: 117–120
27.
BlackDWBlumNPfohlBHaleN. Suicidal behavior in borderline personality disorder: Prevalence, risk factors, prediction, and prevention. Journal of Personality Disorders2004; 18: 226–239
28.
HylerSE. Personality Diagnostic Questionnaire-4. New York State Psychiatric Institute: Author, 1994
29.
American Psychiatric Association.Diagnostic and statistical manual of mental disorders (4th Edition). Washington, DC: Author, 1994
30.
DubroAFWetzlerSKahnMW. A comparison of three self-report questionnaires for the diagnosis of DSM-III personality disorders. Journal of Personality Disorders1988; 2: 256–266
31.
HylerSELyonsMRiederROYoungLWilliamsJBWSpitzerRL. The factor structure of self-report DSM-III Axis II symptoms and their relationship to clinicians' ratings. American Journal of Psychiatry1990; 147: 751–757
32.
JohnsonJGBornsteinRF. Utility of the Personality Diagnostic Questionnaire-Revised in a nonclinical sample. Journal of Personality Disorders1992; 6: 450–457
33.
PatrickJLinksPVan ReekumRMittonMJE. Using the PDQ-R BPD scale as a brief screening measure in the differential diagnosis of personality disorder. Journal of Personality Disorders1995; 9: 266–274
34.
SansoneRAWiedermanMWSansoneLA. The Self-Harm Inventory (SHI): Development of a scale for identifying self-destructive behaviors and borderline personality disorder. Journal of Clinical Psychology1998; 54: 973–983
35.
KolbJEGundersonJG. Diagnosing borderline patients with a semi-structured interview. Archives of General Psychiatry1980; 37: 37–41
36.
ZanariniMCVujanovicAAParachiniEABoulangerJLFrankenburgFRHennenJ. A screening measure for BPD: The McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD). Journal of Personality Disorders2003; 17: 568–573
