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Borderline personality disorder and regularly drinking alcohol before sex

机译：边界人格障碍和性别前定期饮酒

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Introduction and Aims. Drinking alcohol before sex increases the likelihood of engaging in unprotected intercourse, having multiple sexual partners and becoming infected with sexually transmitted infections. Borderline personality disorder (BPD), a complex psychiatric disorder characterised by pervasive instability in emotional regulation, self-image, interpersonal relationships and impulse control, is associated with substance use disorders and sexual risk behaviours. However, no study has examined the relationship between BPD and drinking alcohol before sex in the USA. This study examined the association between BPD and regularly drinking before sex in a nationally representative adult sample. Design and Methods. Participants were 17 491 sexually active drinkers from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Logistic regression models estimated effects of BPD diagnosis, specific borderline diagnostic criteria and BPD criterion count on the likelihood of regularly (mostly or always) drinking alcohol before sex, adjusted for controls. Results. Borderline personality disorder diagnosis doubled the odds of regularly drinking before sex [adjusted odds ratio (AOR)=2.26; confidence interval (CI)=1.63, 3.14]. Of nine diagnostic criteria, impulsivity in areas that are self-damaging remained a significant predictor of regularly drinking before sex (AOR=1.82; CI=1.42, 2.35). The odds of regularly drinking before sex increased by 20% for each endorsed criterion (AOR=1.20; CI=1.14, 1.27) Discussion and Conclusions. This is the first study to examine the relationship between BPD and regularly drinking alcohol before sex in the USA. Substance misuse treatment should assess regularly drinking before sex, particularly among patients with BPD, and BPD treatment should assess risk at the intersection of impulsivity, sexual behaviour and substance use.
机译：介绍和目标。在性生活之前饮酒增加了从事无保护性交的可能性，具有多种性伴侣，并成为感染性传播感染。边缘性人格障碍（BPD），一种复杂的精神疾病，其特征在于情绪调节，自我形象，人际关系和脉冲控制中的普遍不稳定，与物质使用障碍和性风险行为有关。然而，没有研究过，在美国发生性交前的BPD和饮酒之间的关系。本研究审查了BPD与国家代表成人样本中的性别前经常饮酒之间的关联。设计和方法。参与者是来自国家流行病学调查的波浪2的17 491个性活跃的饮酒者对酒精和相关条件的影响。 Logistic回归模型BPD诊断的估计效果，特定边界诊断标准和BPD标准计数在性交前定期（大多数或总是）饮酒的可能性，调整控制。结果。边缘人格障碍诊断翻了一番，经常在性行为前饮酒的几率[调整的赔率比（AOR）= 2.26;置信区间（CI）= 1.63,3.14]。在九个诊断标准中，自我损害的区域的冲动仍然是性别前饮酒的重要预测因子（AOR = 1.82; CI = 1.42,2.35）。每个认可标准（AOR = 1.20; CI = 1.14,11.27）讨论和结论，在性行为前定期饮酒的几率增加了20％。这是第一项研究，在美国审视BPD与定期饮酒之间的关系。物质滥用治疗应在性行为前定期饮酒，特别是BPD患者，BPD治疗应评估冲动，性行为和物质使用的交叉口。

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