Exploring Attachment Patterns in Patients With Comorbid Borderline Personality and Substance Use Disorders
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Exploring Attachment Patterns in Patients With Comorbid Borderline Personality and Substance Use Disorders. / Schindler, Andreas; Sack, Peter-Michael.
in: J NERV MENT DIS, Jahrgang 203, Nr. 11, 02.11.2015, S. 820-6.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Exploring Attachment Patterns in Patients With Comorbid Borderline Personality and Substance Use Disorders
AU - Schindler, Andreas
AU - Sack, Peter-Michael
PY - 2015/11/2
Y1 - 2015/11/2
N2 - Studies exploring attachment patterns in samples of patients with borderline personality disorder (BPD) report a combination of preoccupied and fearful-avoidant patterns. This has been interpreted as reflecting the approach-avoidance dilemma of BPD. Comorbid substance use disorders (SUD) have not been considered in these studies, despite the high proportions of SUD among BPD patients and despite the more avoidant attachment in SUD samples. This cross-sectional, naturalistic study explores attachment patterns in a sample of comorbid (BPD and SUD) patients, comparing them to two samples of patients with either SUD or BPD only. Within-group comparisons replicated findings of both preoccupied and fearful-avoidant attachment in BPD and comorbid groups. But between-group comparisons showed that comorbid patients were significantly less preoccupied (p = 0.018) and more dismissing-avoidant (p = 0.030). Although both groups were similar in several psychiatric measures, attachment patterns of the comorbid group were more similar to substance abusers than to borderline patients.
AB - Studies exploring attachment patterns in samples of patients with borderline personality disorder (BPD) report a combination of preoccupied and fearful-avoidant patterns. This has been interpreted as reflecting the approach-avoidance dilemma of BPD. Comorbid substance use disorders (SUD) have not been considered in these studies, despite the high proportions of SUD among BPD patients and despite the more avoidant attachment in SUD samples. This cross-sectional, naturalistic study explores attachment patterns in a sample of comorbid (BPD and SUD) patients, comparing them to two samples of patients with either SUD or BPD only. Within-group comparisons replicated findings of both preoccupied and fearful-avoidant attachment in BPD and comorbid groups. But between-group comparisons showed that comorbid patients were significantly less preoccupied (p = 0.018) and more dismissing-avoidant (p = 0.030). Although both groups were similar in several psychiatric measures, attachment patterns of the comorbid group were more similar to substance abusers than to borderline patients.
U2 - 10.1097/NMD.0000000000000377
DO - 10.1097/NMD.0000000000000377
M3 - SCORING: Journal article
C2 - 26488917
VL - 203
SP - 820
EP - 826
JO - J NERV MENT DIS
JF - J NERV MENT DIS
SN - 0022-3018
IS - 11
ER -