Identity Disturbance and Substance-Dependence in Patients with Borderline Personality Disorder
Publish place: Addiction and Health، Vol: 2، Issue: 1
Publish Year: 1389
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_AHJK-2-1_006
تاریخ نمایه سازی: 12 مرداد 1403
Abstract:
Abstract Background: Identity disturbance is one of the DSM-IV criteria for borderline personality disorder, but there has been little attention to its nature. Four subsets of identity disturbance (role absorption, painful incoherence, inconsistency and lack of commitment) have been assessed. This study aimed to assess the role of these subsets in patients with borderline personality disorder and to examine the relationship between identity disturbances and substance-dependence. Methods: This case-control study was conducted on ۴۰ patients with borderline personality disorder who were referred to Shahid Beheshti Hospital in Kerman from ۱۳۸۳ to ۱۳۸۴ and ۴۰ healthy people who were matched with the case group in term of gender and educational level. Data gathering was carried out with three questionnaires including a demographic-related questionnaire, disturbance questionnaire (including ۳۵ items) and a questionnaire related to substance-dependence and its related factors. Statistical analysis was performed using SPSS ۱۱ for Windows, t test and ANOVA. Findings: The mean score of ۳۳ items of the identity disturbance questionnaire were greater with significant difference in the case group (p < ۰.۰۵). The means differences in the two groups in all subsets were statistically significant, except for role absorption (p < ۰.۰۵). The means differences in all subsets in substance-dependent and substance-independent subjects in both groups were not significant statistically. The most common substance-dependence in both groups was related to cigarette smoking and cannabis. Opium and cannabis dependence was significantly greater in patients with borderline personality disorder. Conclusion: Identity disturbance is one of the major criteria for borderline personality disorder, but in different societies the role of its subsets are different. On the other hand, assessing subsets of identity disturbance has no value in assessing substance-dependence in patients with borderline personality disorder. Keyword: Borderline personality disorder, Identity disturbance, Substance- dependency
Authors
Alireza Ghaffari Nejad
Associate Professor of Psychiatry, School of Medicine, Kerman University of Medical Sciences
Ali Kheradmand
Psychiatrist, Kerman Neuroscience Research Center and School of Medicine, Kerman University of Medical Sciences
Khatereh Toofani
Psychiatrist, School of Medicine, Khorasan University of Medical Sciences