Which of the following may be a consequence of personality disorders in the context of substance use treatment?

The consequence of greater challenges in treatment adherence in the context of substance use treatment for individuals with personality disorders is well supported by clinical evidence. Personality disorders can significantly impact an individual's interpersonal relationships, emotional regulation, and self-perception, which often complicates their ability to engage consistently in treatment.

Individuals with certain personality disorders may exhibit traits such as instability in relationships, difficulty managing emotions, and maladaptive coping strategies. These traits can lead to erratic behavior, resistance to treatment protocols, and a reluctance to participate in therapy sessions or comply with medication regimens. This makes it more difficult for them to adhere to treatment plans, as their psychological makeup can create barriers to establishing trust with healthcare providers and commitment to the therapeutic process.

In contrast to this, other options like stronger therapeutic alliances, lower risk of co-occurring disorders, and better coping strategies are less likely outcomes associated with personality disorders in the realm of substance use treatment. It is important for healthcare providers to recognize these challenges and tailor their approaches to better support individuals with personality disorders in achieving and maintaining treatment adherence.