Substance use in borderline personality disorder.
Substance use in borderline personality disorder.
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边缘性人格障碍中的药物使用。
DOI：
10.1176/ajp.147.8.1002
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
Allen J. Frances
中科院分区：
文献类型：
--
作者：
R. Dulit;M. Fyer;G. Haas;T. Sullivan;Allen J. Frances
作者调查了137名患有DSM-III边缘型人格障碍的住院患者药物滥用的患病率。92例（67%）患者被诊断为DSM-III物质使用障碍。最常用的药物是酒精和镇静催眠药。当药物滥用不作为边缘型人格障碍的诊断标准时，137例患者中有32例（23%）不再符合边缘型人格障碍的诊断标准。这些患者在病情严重程度和病程上与其他患者有显著差异。这些数据表明，可能有一个亚组的边缘患者，物质使用在边缘精神病理的发展中起主要作用。
The authors investigated the prevalence of substance abuse in 137 inpatients with DSM-III borderline personality disorder. Ninety-two (67%) of these patients were given DSM-III substance use disorder diagnosis. The most frequently used substances were alcohol and sedative-hypnotics. When substance abuse was not used as a diagnostic criterion for borderline personality disorder, 32 (23%) of the 137 patients no longer met borderline criteria. These patients differed significantly from the rest of the patients in severity and course of illness. These data suggest that there might be a subgroup of borderline patients for whom substance use plays a primary role in the development of borderline psychopathology.