A systematic review of interventions for co-occurring substance use disorder and borderline personality disorder

Amy Pennay*, Jacqui Cameron, Tiffany Reichert, Heidi Strickland, Nicole K. Lee, Kate Hall, Dan I. Lubman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

44 Citations (Scopus)

Abstract

Rates of borderline personality disorder (BPD) among individuals with substance use disorder (SUD) are estimated to be as high as 65%. Such elevated rates present considerable challenges for drug treatment services given that individuals with co-occurring SUD and BPD have higher rates of relapse, treatment noncompliance, and poorer outcomes than those with either diagnosis alone. A systematic review investigating current treatment options for co-occurring SUD and BPD was conducted using Medline and PsycINFO. Randomized controlled trials were the focus. Six studies were included that examined the use of three psychosocial therapies: dialectical behavior therapy, dual focused schema therapy and dynamic deconstructive psychotherapy. Despite all studies demonstrating some treatment gains over time, there is currently insufficient evidence to recommend one treatment over another. Further research is needed to examine effective treatment options for co-occurring SUD and BPD, especially those that are likely to be applicable in mainstream drug treatment settings.

Original languageEnglish
Pages (from-to)363-373
Number of pages11
JournalJournal of Substance Abuse Treatment
Volume41
Issue number4
DOIs
Publication statusPublished - Dec 2011
Externally publishedYes

Keywords

  • Borderline personality disorder
  • Substance use disorder
  • Systematic review
  • Treatment

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