{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T11:32:21Z","timestamp":1781782341611,"version":"3.54.5"},"reference-count":53,"publisher":"Guilford Publications","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Personality Disorders"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:p> Co-occurring substance misuse and borderline personality disorder (BPD) in adults is associated with more severe dysfunction and poorer prognosis than BPD alone. However, it is unknown to what extent substance use in youth with BPD is normative for this age group or pathological. This study compared substance use in 117 help-seeking youth (aged 15\u201325 years) with their first presentation for treatment of BPD, with an epidemiological general population sample and with healthy, age- and gender-matched controls. Established instruments were used to diagnose BPD and assess substance use. Alcohol dependence, daily tobacco use, and use of illicit substances in the past month were between four and nine times more prevalent in the BPD group than in the general population. Similarly, the prevalence of substance use was disproportionately higher in youth with BPD than in matched controls. The findings indicate a non-normative, alarmingly high rate of substance use among youth with BPD. <\/jats:p>","DOI":"10.1521\/pedi_2017_31_315","type":"journal-article","created":{"date-parts":[[2017,9,19]],"date-time":"2017-09-19T14:19:25Z","timestamp":1505830765000},"page":"603-617","source":"Crossref","is-referenced-by-count":13,"title":["Substance Use in Youth With Borderline Personality Disorder"],"prefix":"10.1521","volume":"32","author":[{"given":"Franco","family":"Scalzo","sequence":"first","affiliation":[{"name":"Melbourne School of Psychological Sciences, University of Melbourne, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol A.","family":"Hulbert","sequence":"additional","affiliation":[{"name":"Melbourne School of Psychological Sciences, University of Melbourne, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer K.","family":"Betts","sequence":"additional","affiliation":[{"name":"Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Australia."},{"name":"Centre for Youth Mental Health, University of Melbourne."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue M.","family":"Cotton","sequence":"additional","affiliation":[{"name":"Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Australia."},{"name":"Centre for Youth Mental Health, University of Melbourne."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M.","family":"Chanen","sequence":"additional","affiliation":[{"name":"Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Australia."},{"name":"Centre for Youth Mental Health, University of Melbourne."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.1997.tb03811.x"},{"key":"ref2","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2000","edition":"4"},{"key":"ref6","volume-title":"The alcohol use disorders identification test (AUDIT): Guidelines for use in primary care","author":"Babor T. 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