The Co-occurrence of Personality Disorders and Substance Use Disorders.

IF 5.5 2区医学 Q1 PSYCHIATRY

Current Psychiatry Reports Pub Date : 2023-11-01 Epub Date: 2023-10-03 DOI:10.1007/s11920-023-01452-6

Khrystyna Stetsiv, Ian A McNamara, Melissa Nance, Ryan W Carpenter

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引用次数: 0

Abstract

Purpose of review: Despite significant negative outcomes, the co-occurrence of personality disorders (PDs) and substance use disorders (SUDs) continues to be underrecognized, and the mechanisms contributing to this co-occurrence remain unclear. This review summarizes recent work on PD-SUD co-occurrence, with a focus on borderline and antisocial PDs, general substance use patterns among those with PDs, and the association of personality traits with SUDs.

Recent findings: The prevalence of co-occurring PD-SUD is generally high, with estimates ranging depending on the type of PD and SUD, the population assessed, and the sampling methods and measures used. Current theoretical explanations for co-occurrence include shared etiology and predisposition models, with research highlighting the importance of transactional processes. Potential underlying mechanisms include personality traits and transdiagnostic characteristics. Recent research has increased focus on substances besides alcohol, dimensional models of personality pathology, and transactional explanations of co-occurrence, but more research is needed to disentangle the nuanced PD-SUD relationship.

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人格障碍和物质使用障碍的共同发生。

综述目的：尽管出现了显著的负面结果，但人格障碍（PD）和物质使用障碍（SUD）的共现仍被低估，导致这种共现的机制尚不清楚。这篇综述总结了最近关于PD-SUD共现的工作，重点是边缘型和反社会型PD，PD患者的一般物质使用模式，以及人格特征与SUD的关系。最近的发现：合并PD-SUD的患病率通常很高，估计值取决于PD和SUD的类型、评估的人群以及使用的采样方法和措施。目前对共现的理论解释包括共同的病因和易感性模型，研究强调了交易过程的重要性。潜在的潜在机制包括人格特征和跨诊断特征。最近的研究越来越关注酒精以外的物质、人格病理学的维度模型以及对共现的交易解释，但还需要更多的研究来解开微妙的PD-SUD关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.