Background: Borderline Personality Disorder (BPD) and Substance Use Disorders (SUD) are frequently co-morbid and their co-occurrence exacerbates the symptomatology and associated harms for both disorders. However, few intervention studies have examined the delivery of an integrated intervention for BPD and SUD within alcohol and other drug (AOD) treatment settings. This single arm pilot study examined the clinical utility and outcomes of a 12-session emotion regulation intervention for clients with co-occurring SUD and BPD symptoms delivered in an outpatient AOD treatment setting. Method: Forty-five adult treatment-seekers (64.4% women, mean age 35.8 years [SD=10.4]) attending an outpatient AOD service, who exhibited three or more symptoms of BPD, engaged in a 12-session emotion regulation intervention. Clinical measures assessing alcohol and drug use, BPD symptoms, emotion dysregulation and acceptance, non-avoidance of thoughts and emotions, and psychological flexibility were collected at baseline, session six and session 12. Treatment engagement, satisfaction and rapport were also measured. Results: Fifty-one percent of participants completed the 12-session intervention. The results demonstrated that the number of drug using occasions in the past 28 days significantly reduced from baseline compared to session 12. Furthermore, a significant reduction was identified in BPD symptom severity, emotion dysregulation, and non-acceptance, experiential avoidance and psychological inflexibility from baseline to session 12. Conclusions: For those individuals who completed the 12-session emotion regulation intervention, there were significant reductions across a number of clinical outcomes. However, retention in treatment for this vulnerable client group remains a significant challenge in the AOD setting.

中文翻译：

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情绪失调作为治疗共存物质使用和边缘性人格障碍的目标：一项初步研究

背景：边缘型人格障碍 (BPD) 和物质使用障碍 (SUD) 经常是共病的，它们的共同发生会加剧这两种障碍的症状和相关危害。然而，很少有干预研究检查了酒精和其他药物 (AOD) 治疗环境中 BPD 和 SUD 综合干预的实施。这项单臂试点研究检查了在门诊 AOD 治疗环境中对同时发生 SUD 和 BPD 症状的客户进行的 12 次情绪调节干预的临床效用和结果。方法：45 名成年寻求治疗者（64.4% 女性，平均年龄 35.8 岁 [SD = 10.4]）参加 AOD 门诊服务，表现出三种或更多 BPD 症状，参与了 12 次情绪调节干预。在基线、第 6 节和第 12 节收集评估酒精和药物使用、BPD 症状、情绪失调和接受、不回避思想和情绪以及心理灵活性的临床措施。还测量了治疗参与度、满意度和融洽度。结果：51% 的参与者完成了 12 次干预。结果表明，与第 12 天相比，过去 28 天的药物使用次数比基线显着减少。 此外，BPD 症状严重程度、情绪失调、不接受、体验回避和心理僵化显着减少。第 12 节的基线。 结论：对于完成 12 节情绪调节干预的个体，许多临床结果都有显着降低。然而，在 AOD 环境中，保留对这一弱势客户群体的治疗仍然是一个重大挑战。