Borderline personality disorder and regularly drinking alcohol before sex.
Borderline personality disorder and regularly drinking alcohol before sex.
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DOI：
10.1111/dar.12476
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发表时间：
2017-07
影响因子：
3.8
通讯作者：
Hasin DS
中科院分区：
文献类型：
--
作者：
Thompson RG Jr;Eaton NR;Hu MC;Hasin DS
性行为前饮酒会增加发生无保护措施的性行为、有多个性伴侣以及感染性传播疾病的可能性。交界性人格障碍(BPD)是一种复杂的精神障碍，其特征是情绪调节、自我形象、人际关系和冲动控制普遍不稳定，与物质使用障碍和性危险行为有关。然而，在美国，还没有研究调查BPD与性行为前饮酒之间的关系。这项研究在一个具有全国代表性的成人样本中调查了BPD与性行为前经常饮酒之间的关系。参与者是来自全国酒精及相关疾病流行病学调查第二波的17,491名性行为活跃的饮酒者。Logistic回归模型估计了BPD诊断、特定的边界诊断标准和BPD标准对性行为前经常(主要或总是)饮酒的可能性的影响，并对对照进行了调整。BPD的诊断使性行为前经常饮酒的几率增加了一倍(调整后的优势比[AOR]=2.26；可信区间[CI]=1.63，3.14)。在9个诊断标准中，自我损害区域的冲动仍然是性行为前经常饮酒的显著预测因素(AOR=1.82；CI=1.42，2.35)。在每一项被认可的标准下，性行为前经常饮酒的几率增加了20%(AOR=1.20；CI=1.14，1.27)。这是在美国首次研究BPD与性行为前经常饮酒之间的关系。物质滥用治疗应评估在性行为前定期饮酒，特别是在患有BPD的患者中，而BPD治疗应评估冲动、性行为和物质使用的交叉点的风险。
Drinking alcohol before sex increases the likelihood of engaging in unprotected intercourse, having multiple sexual partners and becoming infected with sexually transmitted infections. Borderline personality disorder (BPD), a complex psychiatric disorder characterised by pervasive instability in emotional regulation, self-image, interpersonal relationships and impulse control, is associated with substance use disorders and sexual risk behaviours. However, no study has examined the relationship between BPD and drinking alcohol before sex in the USA. This study examined the association between BPD and regularly drinking before sex in a nationally representative adult sample. Participants were 17,491 sexually active drinkers from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Logistic regression models estimated effects of BPD diagnosis, specific borderline diagnostic criteria, and BPD criterion count on the likelihood of regularly (mostly or always) drinking alcohol before sex, adjusted for controls. BPD diagnosis doubled the odds of regularly drinking before sex (adjusted odds ratio [AOR]=2.26; confidence interval [CI]=1.63, 3.14). Of nine diagnostic criteria, impulsivity in areas that are self-damaging remained a significant predictor of regularly drinking before sex (AOR=1.82; CI=1.42, 2.35). The odds of regularly drinking before sex increased by 20% for each endorsed criterion (AOR=1.20; CI=1.14, 1.27). This is the first study to examine the relationship between BPD and regularly drinking alcohol before sex in the USA. Substance misuse treatment should assess regularly drinking before sex, particularly among patients with BPD, and BPD treatment should assess risk at the intersection of impulsivity, sexual behaviour and substance use.