Borderline Personality Disorder in People living with Chronic pain

Key things to know What the evidence shows
How common is it? Older literature: ~30% average across chronic-pain samples†
Is it more common among people living with chronic pain? BPD appears substantially overrepresented in several chronic-pain samples
Are people living with chronic pain at higher risk? Yes — clinically meaningful association
How much higher is the risk? ~30% average in an older 8-study review; range 9.4–58%
How often can it be missed? High
Does it show up differently among people living with chronic pain? Yes contextually
How might it look different? Pain, invalidation, healthcare relationships and emotional dysregulation may interact; self-harm/substance coping may complicate care
What commonly occurs alongside it? Depression; anxiety; substance-use disorders
What can it be confused with? Somatic symptom disorder; PTSD; substance-use disorder; depression
Common screening tool MSI-BPD
Separate screening tool for people living with chronic pain None
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