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Co-occurring Personality and Substance Use Disorders
Published in Tricia L. Chandler, Fredrick Dombrowski, Tara G. Matthews, Co-occurring Mental Illness and Substance Use Disorders, 2022
Cluster B personality disorders comprise borderline personality disorder, histrionic personality disorder, antisocial personality disorder, and narcissistic personality disorder (APA, 2013). Those living with these disorders experience intense emotional mood swings and struggle to have empathy for others. In many instances, the lawless behaviors associated specifically with this group of personality disorders can include illegal substance use, stalking or harassment, and even inflicting cruelty or harm on self and others (Trull et al., 2010).
Personality
Published in Mohamed Ahmed Abd El-Hay, Understanding Psychology for Medicine and Nursing, 2019
DSM-5 divides personality into three clusters based on descriptive similarities: Cluster A personality disorders (odd, eccentric cluster) that includes paranoid, schizoid, and schizotypal personality disorders. Cluster B personality disorders (erratic or dramatic personalities) that includes borderline, antisocial, histrionic, and narcissistic personality disorders. Cluster C personality disorders (the anxious/fearful group) that includes avoidant, dependent, and obsessive-compulsive disorder.
Psychiatric Emergencies in Personality Disorders
Published in R. Thara, Lakshmi Vijayakumar, Emergencies in Psychiatry in Low- and Middle-Income Countries, 2017
The answers to a few specific key questions may indicate the presence of cluster B personality disorders. These are: Are you a person whose mood goes up and down?Do you lose your temper easily?Do you like being in the center of things?Do you often act on impulse?
Impairments in Executive Functioning in Patients with Comorbid Substance Use and Personality Disorders: A Systematic Review
Published in Journal of Dual Diagnosis, 2021
Enrique Moraleda-Barreno, María del Pilar Cáceres Pachón, Óscar M. Lozano, Pedro J. Pérez Moreno, José Andrés Lorca Marín, Fermín Fernández-Calderón, Carmen Díaz Batanero, Jesús Gómez-Bujedo
Table 2 describes the characteristics of the 16 selected studies. Most of these (n = 10) were conducted in Europe (Spain, Belgium, Hungary, and Denmark), while the remaining six were conducted in the United States. The period of publication of these studies is from 1989 to 2017. With respect to the substance for which treatment was needed, six of the studies included patients with cocaine-related problems, and five studies included patients with alcohol-related problems. However, almost one third of the studies (n = 5) do not specify the particular substances for which the participants were being treated, instead using the category “substance use disorder.” Most studies (n = 11) assessed patients with Cluster B personality disorders, while the remaining studies included patients diagnosed with personality disorders from Clusters C and A.
Antisocial and borderline personality disorders in the offspring of antenatally depressed mothers – a follow-up until mid-adulthood in the Northern Finland 1966 birth cohort
Published in Nordic Journal of Psychiatry, 2020
Tiina Taka-Eilola (Nèe Riekki), Juha Veijola, Jouko Miettunen, Jari Koskela, Liisa Kantojärvi, Pirjo Mäki
The origins of cluster B personality disorders probably lie in gene-environment interactions and early psychosocial environment. The development of a personality disorder is thought to start in childhood, and childhood conduct disorders are found to predict adulthood personality disorders [44,52], especially ASPD [53]. Being born to a single-parent family has been previously shown to predict cluster B personality disorders in the adult offspring in the sub-study of the NFBC 1966 [38]. Early separation has been associated with antisocial and violent criminal behaviour in young men [54]. Parental mental disorders are found to increase the risk for offspring personality disorders [10,36], although not in the sub-study of the NFBC 1966 [38]. The adolescent sons of antenatally depressed mothers had an elevated risk for antisocial and violent behaviour in a British community sample [20], as also in adulthood for criminal behaviour, especially violent recidivism in the NFBC 1966 [11]. In the present study, the prevalence of ASPD was found to be elevated in the adult sons of antenatally depressed mothers, and the prevalence of BPD was elevated in offspring whose parent had been affected with a severe mental disorder.
Interviewing people given a diagnosis of personality disorder in forensic settings
Published in International Journal of Forensic Mental Health, 2018
Another common feature of this population is a pattern of frequent conflict with, and disengagement from, services. Cluster B personality disorder traits are associated with various indicators of interpersonal dysfunction, including distress and conflicts in relationships, few close friends, and limited social support; they are also associated with increased rates of workplace conflict and disciplinary problems leading to dismissal or demotion (Hengartner, Müller, Rodgers, Rössler, & Ajdacic-Gross, 2014a, 2014b). A history of conduct disorder and delinquent behavior is associated with increased risk of dropping out of therapy in children (Lyon & Budd, 2010), while antisocial personality traits are associated with increased risk of dropout for adult males in correctional programs (Olver, Stockdale, & Wormith, 2011). While interpersonal dysfunction may be common among people given a diagnosis of personality disorder, the anti-authority attitudes of forensic clients often make relationships with people in authority particularly problematic. A history of treatment failure, drop-out and exclusion in the education, social care, criminal justice, and mental health systems may often perpetuate and reinforce dysfunctional behavior patterns and underlying core beliefs about self, others, and the world (Jones, 2007).