Borderline personality disorder and substance use disorders: A review and integration

The empirical literature on the comorbidity between borderline personality disorder (BPD) and substance use disorders (SUDs) is reviewed. BPD-SUD como rbidity data obtained from studies published from 1987 to 1997 document the frequent co-occurrence of these diagnoses. Methodological issues and theor etical models for understanding this co-occurrence are discussed. Finally, we present our conceptualization of the relations and interactions of the m ajor factors influencing the development of BPD and contributing to the com orbidity between BPD and SUDs. (C) 2000 Elsevier Science Ltd.