Substance use disorder and personality disorder |
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Authors: | Kenneth J Sher PhD Timothy J Trull PhD |
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Institution: | (1) Department of Psychological Sciences, University of Missouri-Columbia and the Missouri Alcoholism Research Center at the University of Missouri-Columbia, 200 South Seventh Street, 65211 Columbia, MO, USA |
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Abstract: | Personality disorders (PDs) and substance use disorders (SUDs) frequently co-occur in both the general population and in clinical
settings. Literature is reviewed documenting high comorbidity between these two classes of disorders, possible mechanisms
of comorbidity, and the clinical implications of this comorbidity. Special emphasis is given to antisocial personality disorder
(ASPD) and borderline personality disorder (BPD) as these disorders not only co-occur frequently with SUDs in the clinical
populations and present clinical challenges, but also because recent research points to etiologic processes that are common
to these specific PDs and SUDs. Although most attention on comorbidity between PDs and SUDs has focused on ASPD and BPD, it
is also clear that other PDs (in particular, avoidant PD and paranoid PD) are prevalent among those suffering from SUDs. |
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Keywords: | |
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