ReviewIndian journal of psychological medicine
Comorbidity of Personality Disorder among Substance Use Disorder Patients: A Narrative Review.
Review in Indian journal of psychological medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 84 citations in OpenAlex.
- Self-stigma and suicide cognitions in substance use disorder: the mediating role of psychological distress and the moderating role of social support.BMC psychiatry · 2026Article
- Article
- Affective Factors in the Co-Occurrence of Personality Disorders and Substance Use Disorders.Current addiction reports · 2026Review
- The relationship between personality dimensions and addiction type in women addicted to alcohol and opioids.Scientific reports · 2025Article
- Prevalence of substance use disorder in individuals with attention deficit/hyperactivity disorder: associations with sex and psychiatric comorbidity.BMC psychiatry · 2025Article
- Evaluating health-related quality of life and health resource utilization among Gabapentinoid users with substance use disorder in the US: Trends, co-prescriptions, and cost analysis.Exploratory research in clinical and social pharmacy · 2025Article
- Clinical Personality Patterns in Alcohol Use Disorder: A Study Focused on Sex Differences.Journal of clinical medicine · 2025Article
- The Mental Suffering of Cocaine-Addicted Patients: A Retrospective Analysis of Personality Disorders' Prevalence and Their Association with Psychopathological Symptoms.European journal of investigation in health, psychology and education · 2024Article
- The Tendency to Use Substances/Drugs and its Association with Interpersonal Dependence in Iranian Medical Students.Addiction & health · 2024Article
- Characterizing clinical heterogeneity in an inpatient service treating mental, substance use and concurrent disorders.PLOS mental health · 2024Article
- The Co-occurrence of Personality Disorders and Substance Use Disorders.Current psychiatry reports · 2023Review
- Validation of the UPPS-P Impulsive Behavior Scale and Clinical Correlates of its Scores in French-Speaking Patients Starting a Residential Detoxification Program.Indian journal of psychological medicine · 2023Article
- Substance and Behavioral Addictions among American Indian and Alaska Native Populations.International journal of environmental research and public health · 2022Article
- Association of Wender Utah Rating Scale (WURS)-61 items with clinical psychiatric diagnosis in adulthood.Irish journal of medical science · 2022Article
- Standard set of patient-reported outcomes for personality disorder.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Relationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study.Indian journal of psychological medicine · 2021Article
- Discovery of Association Rules Patterns and Prevalence of Comorbidities in Adult Patients Hospitalized with Mental and Behavioral Disorders.Healthcare (Basel, Switzerland) · 2021Article
- The Long-Term Changes in Dynamic Risk and Protective Factors Over Time in a Nationwide Sample of Dutch Forensic Psychiatric Patients.Frontiers in psychiatry · 2021Article
- Relationship between the Level of Motivation and Personality Disorder in Patients with Opioid Dependence Syndrome.Indian journal of psychological medicineArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Comorbidity of personality disorders (PDs) and substance use disorders (SUDs) is common in clinical practice. Borderline PD and antisocial PD are particularly found to be associated with SUDs. Our review suggests that the overall prevalence of PD ranges from 10% to 14.8% in the normal population and from 34.8% to 73.0% in patients treated for addictions. Even though the types of PD seen in patients with drug and alcohol use disorder are similar, the prevalence of any PD is higher among patients with drug use disorder than alcohol use disorder. The higher comorbidity between these two conditions has been explained by a primary personality pathology followed by a secondary development of a SUD. The comorbidity with PD positively correlates with the severity of the SUD. Comorbid PD among patients with SUDs is a predictor of poor prognosis in terms of poorer treatment response and outcome. Psychotherapy is the mainstay of treatment in comorbid condition with dialectical behavioral therapy, dynamic deconstructive psychotherapy, and dual-focused schema therapy having the most evidence base. Pharmacotherapy is primarily indicated for the acute crisis management or for the treatment of other comorbid conditions such as psychosis and depression. However, the evidence is insufficient as of now to suggest one treatment over the other. Further research is required to identify more efficacious treatment approaches for this comorbidity.
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