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Chunk #6 — META-STRUCTURE OF MENTAL DISORDERS — New disorders considered in the meta-structure: borderline personality disorder and pathological gambling

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Comorbidity of psychiatric and substance use disorders in the United States: current issues and findings from the NESARC.
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Borderline personality disorder was shown to load on both the distress sub-factor of the internalizing dimension and the externalizing dimension [17▪▪]. Since borderline personality disorder was unidimensional in terms of its symptoms, different borderline symptoms loading on different dimensions do not explain the relationship of this personality disorder to both the internalizing and externalizing dimensions, suggesting a complex etiology. Pathological gambling loaded onto the externalizing dimension for men and women [18▪]. However, in women, the best model fit was obtained when pathological gambling was also allowed to load on an internalizing factor composed primarily of mood disorders.