An aspect of personality disorder in substance use disorder


  • Dwi Ayu Anggaraeni Sukma Department of Psychiatry, Specialist Study Program of Mental Medicine, Udayana University, Denpasar, Bali, Indonesia
  • I. Gusti Ayu Indah Ardani Department of Psychiatry, Udayana University/Udayana University Hospital, Badung, Bali, Indonesia
  • Anak Ayu Sri Wahyuni Departement of Psychiatry, Udayana University/Sanglah General Hospital, Denpasar, Bali, Indonesia



Substance addiction, Substance use disorder, Personality disorder


Substance use disorder (SUD) remains a health problem for a long time and the number of substance abuse was relatively the same every year. The prevalence of substance abuse in Indonesia in 2011 is about 2.23%, it was slightly decreased in 2014 become 2.18% and 1.77% in 2017. However, the prevalence was increased again in 2019 become 1.80%. Previous studies had shown a strong association between personality disorder (PD) and SUD. The result of the national comorbidity survey replication by Glantz et al in the United States (US) found that patients with PD tend to experience SUD (odd ratio=4.9). All types of PD had been reported in the patients with SUD, but antisocial and borderline personality disorder was the most commonly found. Antisocial, borderline, and paranoid personalities had a positive association with SUD, meanwhile, obsessive-compulsive personalities had a negative association with SUD.


Sholihah Q. Efektivitas Program P4Gn Terhadap Pencegahan Penyalahgunaan Napza. J Kesehat Masy. 2015;10(2):153.

Badan Narkotika Nasional Republik Indonesia (BNN). Daftar Tempat Rehabilitasi Narkoba di Indonesia. 2019.

National Institute on Drug Abuse. Drugs, Brains, and Behaviour : The Science of Addiction. USA: NIH Publication; 2014. 9–14 p.

Glantz M.D., Anthony J.C., Berglund P.A., Degenhardt L., Dierker L., Kalaydjian A., et al. Mental disorders as risk factors for later substance dependence: estimates of optimal prevention and treatment benefits. Psychol Med. 2009;39(8):1365–77.

Sansone R.A., Sansone L.A. Substance use disorders and borderline personality: Common bedfellows. Innov Clin Neurosci. 2011;8(9):10–3.

Sadock B., Sadock V., Ruiz P. Kaplan & Sadock’s Synopsis of Psychiatry Behavioral Sciences/Clinical Eleventh Edition. 11th ed. Pataki C, Sussman N, editors. Philadelphia: Wolters Kluwer; 2015. 3230 p.

Carvalho L. de F., Reis A.M., Pianowski G. Investigating Correlations Between Defence Mechanisms and Pathological Personality Characteristics. Rev Colomb Psiquiatr. 2019;48(4):232–43.

American Psychiatric Association (APA). Diagnostic and statistical Manual of Mental Disorders. 5th ed. Arlington (VA): American Psychiatric Association; 2013.

Sadock B., Sadock V., Ruiz P. Kaplan & Sadock’s Comprehensive Textbook of Psychiatry Tenth Edition. 10th ed. Akiskal H, Jeste D, Krystal J, LEwis-Fernandez R, Merikangas K, Nemeroff C, et al., editors. Philadelphia: Wolters Kluwer; 2017.

Singh J., Gupta P.. Drug addiction : Current Trends and Management. Int J Indian Psychol. 2017;5(1):187–92.

Badan Narkotika Nasional RI. Survei Nasional Penyalahgunaan Narkoba di 34 Provinsi Tahun 2017. BNN RI. 2017;

Pusat Data dan Informasi Kemenkes RI. Buletin Jendela Data dan Informasi. Vol. 2, Kesehatan Penyakit Tidak Menular. Jakarta; 2012.

Psychologymania. Pengertian Rehabilitasi Narkoba. Psychologymania. 2012.

Humas BNN. Daftar Tempat Rehabilitasi Narkoba di Indonesia. Badan Narkotika Nasional Republik Indonesia. 2019.

Hasin D., Fenton M.C., Skodol A., Krueger R., Keyes K., Geier T., et al. Personality disorders and the 3-year course of alcohol, drug, and nicotine use disorders. Arch Gen Psychiatry. 2011;68(11):1158–67.

Lev-Ran S., Imtiaz S., Rehm J., Le Foll B. Exploring the association between lifetime prevalence of mental illness and transition from substance use to substance use disorders: results from the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC). Am J Addict. 2013;22(2):93–8.

González E., Arias F., Szerman N., Vega P., Mesias B., Basurte I. Coexistence between personality disorders and substance use disorder. Madrid study about prevalence of dual pathology. Actas Esp Psiquiatr. 2019;47(5):218–28.

Teixidó-Compañó E., Espelt A., Sordo L., Bravo M.J., Sarasa-Renedo A., Indave B.I., et al. Diferencias entre hombres y mujeres en el consumo de sustancias: el rol del nivel educativo y la situación laboral. Gac Sanit. 2018;32(1):41–7.

Nakar O., Brunner R., Schilling O., Chanen A., Fischer G., Parzer P., et al. Developmental trajectories of self-injurious behavior, suicidal behavior and substance misuse and their association with adolescent borderline personality pathology. J Affect Disord. 2016;197:231–8.

Szerman N., Peris L. Personality Disorders and Addiction Disorders. In: el-Guebaly N, Carrà G, Galanter M, editors. Textbook of Addiction Treatment: International Perspectives. Milano: Springer Milan; 2015. p. 2063–83.

Habersaat S., Ramain J., Mantzouranis G., Palix J., Boonmann C., Fegert J.M., et al. Substance-use disorders, personality traits, and sex differences in institutionalized adolescents. Am J Drug Alcohol Abuse. 2018;44(6):686–94.

Hasin D.S., Saha T.D., Kerridge B.T., Goldstein R.B., Chou S.P., Zhang H., et al. Prevalence of Marijuana Use Disorders in the United States Between 2001-2002 and 2012-2013. JAMA psychiatry. 2015;72(12):1235–42.




How to Cite

Sukma, D. A. A., Ardani, I. G. A. I., & Wahyuni, A. A. S. (2022). An aspect of personality disorder in substance use disorder. International Journal of Research in Medical Sciences, 10(3), 789–795.



Review Articles