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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, Vol. 203, No. 11, 02.11.2015, p. 820-6.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Schindler, A & Sack, P-M 2015, 'Exploring Attachment Patterns in Patients With Comorbid Borderline Personality and Substance Use Disorders', J NERV MENT DIS, vol. 203, no. 11, pp. 820-6. https://doi.org/10.1097/NMD.0000000000000377

APA

Schindler, A., & Sack, P-M. (2015). Exploring Attachment Patterns in Patients With Comorbid Borderline Personality and Substance Use Disorders. J NERV MENT DIS, 203(11), 820-6. https://doi.org/10.1097/NMD.0000000000000377

Vancouver

Schindler A, Sack P-M. Exploring Attachment Patterns in Patients With Comorbid Borderline Personality and Substance Use Disorders. J NERV MENT DIS. 2015 Nov 2;203(11):820-6. https://doi.org/10.1097/NMD.0000000000000377

Bibtex

@article{4db0d9a14ea74a70acd2918249e51cd6,
title = "Exploring Attachment Patterns in Patients With Comorbid Borderline Personality and Substance Use Disorders",
abstract = "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.",
author = "Andreas Schindler and Peter-Michael Sack",
year = "2015",
month = nov,
day = "2",
doi = "10.1097/NMD.0000000000000377",
language = "English",
volume = "203",
pages = "820--6",
journal = "J NERV MENT DIS",
issn = "0022-3018",
publisher = "LIPPINCOTT WILLIAMS & WILKINS",
number = "11",

}

RIS

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 -