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Identity Disturbance and Substance-Dependence in Patients with Borderline Personality Disorder

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 aime...

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Autores principales: Ghaffari Nejad, Alireza, Kheradmand, Ali, Toofani, Khatereh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kerman University of Medical Sciences 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3905504/
https://www.ncbi.nlm.nih.gov/pubmed/24494099
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author Ghaffari Nejad, Alireza
Kheradmand, Ali
Toofani, Khatereh
author_facet Ghaffari Nejad, Alireza
Kheradmand, Ali
Toofani, Khatereh
author_sort Ghaffari Nejad, Alireza
collection PubMed
description 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 40 patients with borderline personality disorder who were referred to Shahid Beheshti Hospital in Kerman from 2004 to 2005 and 40 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 35 items) and a questionnaire related to substance-dependence and its related factors. Statistical analysis was performed using SPSS 11 for Windows, t test and ANOVA. FINDINGS: The mean score of 33 items of the identity disturbance questionnaire were greater with significant difference in the case group (P<0.05). The means differences in the two groups in all subsets were statistically significant, except for role absorption (P<0.05). 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.
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spelling pubmed-39055042014-02-03 Identity Disturbance and Substance-Dependence in Patients with Borderline Personality Disorder Ghaffari Nejad, Alireza Kheradmand, Ali Toofani, Khatereh Addict Health Original Article 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 40 patients with borderline personality disorder who were referred to Shahid Beheshti Hospital in Kerman from 2004 to 2005 and 40 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 35 items) and a questionnaire related to substance-dependence and its related factors. Statistical analysis was performed using SPSS 11 for Windows, t test and ANOVA. FINDINGS: The mean score of 33 items of the identity disturbance questionnaire were greater with significant difference in the case group (P<0.05). The means differences in the two groups in all subsets were statistically significant, except for role absorption (P<0.05). 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. Kerman University of Medical Sciences 2010 /pmc/articles/PMC3905504/ /pubmed/24494099 Text en © 2010 Kerman University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Ghaffari Nejad, Alireza
Kheradmand, Ali
Toofani, Khatereh
Identity Disturbance and Substance-Dependence in Patients with Borderline Personality Disorder
title Identity Disturbance and Substance-Dependence in Patients with Borderline Personality Disorder
title_full Identity Disturbance and Substance-Dependence in Patients with Borderline Personality Disorder
title_fullStr Identity Disturbance and Substance-Dependence in Patients with Borderline Personality Disorder
title_full_unstemmed Identity Disturbance and Substance-Dependence in Patients with Borderline Personality Disorder
title_short Identity Disturbance and Substance-Dependence in Patients with Borderline Personality Disorder
title_sort identity disturbance and substance-dependence in patients with borderline personality disorder
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3905504/
https://www.ncbi.nlm.nih.gov/pubmed/24494099
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