The Prevalence and Correlates of Sexual Risk Behaviors and Sexually Transmitted Infections in Outpatients With Borderline Personality Disorder

Department of Psychology, University of Washington, Seattle, WA 98195-5915, USA.
The Journal of nervous and mental disease (Impact Factor: 1.69). 11/2011; 199(11):832-8. DOI: 10.1097/NMD.0b013e318234c02c
Source: PubMed


This study examined the prevalence and correlates of sexual risk behaviors and sexually transmitted infections (STIs) in two samples of outpatients with borderline personality disorder (BPD), including suicidal BPD women (n = 99) and opiate-dependent BPD men and women (n = 125). High rates of sexual risk behaviors and STIs were found, particularly in the opiate-dependent BPD sample. Compared with suicidal BPD outpatients, opiate-dependent BPD outpatients reported higher rates of past-year sexual activity, commercial sex work, and lifetime hepatitis, as well as a greater number of lifetime sex partners. Substance use and demographic characteristics (age, sex, and marital status) were associated with higher rates of sexual risk behaviors and/or STIs, whereas cognitive-behavioral factors and indicators of psychiatric impairment were not. These findings point to a clear need for interventions aimed at decreasing sexual risk behaviors among individuals with BPD.

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Available from: Marsha M Linehan, Jun 10, 2014
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    • "We hypothesized that pathogen disgust sensitivity would again predict heightened BPD features. We hypothesized that moral disgust sensitivity would be associated with lessened BPD total scores as previous research has shown BPD to be associated with behavior such as shoplifting and theft (Selby et al. 2010). 1 We hypothesized that sexual disgust sensitivity would be negatively associated with BPD features as many individuals with BPD also engage in unsafe sexual behaviors (Harned et al. 2011). In addition, a different sampling frame of adults was utilized in order to expand the results beyond the previously used college student sample. "
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    ABSTRACT: Background In recent years, research has shown disgust to be an emotion that contributes to many behaviors and interpersonal relationships. Individuals with borderline personality disorder (BPD) have difficulty with interpersonal relationships and tend to have intense emotions. This article reports findings of two studies investigating the relationship between characteristics of BPD and disgust sensitivity. Method In study 1, racially diverse undergraduates completed measures assessing their levels of borderline features, disgust sensitivity, and their Big Five personality traits. In study 2, a sample of adults completed measures assessing their levels of borderline features, disgust sensitivity across multiple domains, and their Big Five personality traits. Results Multiple regression analyses indicated higher BPD characteristics were associated with heightened pathogen disgust in both studies. Results of study 2 showed BPD features to be also associated with lowered moral disgust sensitivity.
    Full-text · Article · Dec 2014 · The Psychological record
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    ABSTRACT: The present study examined the unique contribution of emotion regulation difficulties to past-year risky sexual behavior (RSB) among substance use disorder (SUD) patients (above and beyond other known RSB risk factors). A sample of 177 SUD patients completed a series of questionnaires. At the zero-order level, emotion regulation difficulties, were significantly positively associated with the number of commercial sexual (i.e., the exchange of sex for drugs or money) partners with which penetrative sex occurred and significantly negatively associated with the likelihood of using a condom when having sex with a commercial partner under the influence of drugs. Emotion regulation difficulties also significantly predicted these RSB indices above and beyond other RSB risk factors, including demographics, depression, sensation seeking, traumatic exposure, and substance use severity. The specific emotion regulation difficulty of lack of emotional clarity emerged as a unique predictor of RSB. The implications of these findings for understanding motivations for RSB and developing targeted interventions for RSB among SUD patients are discussed.
    Full-text · Article · May 2012 · Addictive behaviors
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    ABSTRACT: Introduction. Stable individual differences in personality traits have well-documented associations with various aspects of health. One of the health outcomes that directly depends on people's behavioral choices, and may therefore be linked to personality traits, is having a sexually transmitted disease (STD). Aim. The study examines the associations between a comprehensive set of basic personality traits and past STD history in a demographically diverse sample. Methods. Participants were 2,110 Estonians (1,175 women) between the ages of 19 and 89 (mean age 45.8 years, SD = 17.0). The five-factor model personality traits (Neuroticism, Extraversion, Openness to Experience, Agreeableness, and Conscientiousness) and their specific facets were rated by participants themselves and knowledgeable informants. Sex, age, and educational level were controlled for. Main Outcome Measure. History of STD diagnosis based on medical records and/or self-report. Results. History of STD diagnosis was associated with higher Neuroticism and lower Agreeableness in both self- and informant-ratings. Among the specific personality facets, the strongest correlates of STD were high hostility and impulsiveness and low deliberation. Conclusions. Individual differences in several personality traits are associated with a history of STD diagnosis. Assuming that certain personality traits may predispose people to behaviors that entail a higher risk for STD, these findings can be used for the early identification of people at greater STD risk and for developing personality-tailored intervention programs. Mõttus R, Realo A, Allik J, Esko T, and Metspalu A. History of the diagnosis of a sexually transmitted disease is linked to normal variation in personality traits. J Sex Med 2012;9:2861–2867.
    Full-text · Article · Aug 2012 · Journal of Sexual Medicine
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