Impulsivity, suicidality, and emotional dysregulation in women having borderline personality disorder with and without substance dependence

Magd, Samir A; Rakhawy, M.T.; Mamdouh, Rania; Shaheen, Somaya H.

doi:10.4103/ejpsy.ejpsy_16_18

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…We found 36 papers that were eligible for full‐text review. Of these, 14 failed to meet inclusion criteria [ 16 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ]; reasons for study exclusion can be found in Supporting information, Table S1.1 . We were left with 22 studies to be included for the primary analysis [ 17 , 27 , 33 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 ].…”

Section: Resultsmentioning

confidence: 99%

“…A summary of the secondary review process is shown in Supporting information, Figure S1 . We excluded 34 studies that failed to meet the inclusion criteria [ 16 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 ]; reasons for study exclusion can be found in Supporting information, Table S1.2 .…”

Section: Resultsmentioning

confidence: 99%

“…Studies were also excluded if the entire SUD group was diagnosed with a comorbid psychiatric disorder. For example, one study’s sample consisted entirely of individuals with borderline personality disorder with or without a comorbid SUD [ 16 ]. In another study, we excluded one of the SUD groups in which all individuals were experiencing methamphetamine‐induced psychosis [ 17 ].…”

Section: Methodsmentioning

confidence: 99%

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Emotion regulation in substance use disorders: a systematic review and meta‐analysis

et al. 2022

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Background and aims: The ability to regulate emotions effectively has been associated with resilience to psychopathology. Individuals with substance use disorders (SUDs) have been shown to have higher levels of negative emotionality, with some evidence suggesting impairment in emotion regulation compared with individuals without SUDs. However, no previous attempt has been made to systematically review the literature to assess the magnitude of this difference. We aimed to assess the association between SUD diagnosis and emotion regulation as measured by the Difficulties in Emotion Regulation Scale (DERS) and Emotion Regulation Questionnaire (ERQ) through a systematic review and meta-analysis of existing findings. Methods:The systematic review was conducted using PubMed, PsycINFO and Embase. We examined cross-sectional studies that compared a SUD group with a control group and measured emotion regulation using the DERS or the ERQ. The primary analysis focused on papers using the DERS, as this was the predominant instrument in the literature.Results: Twenty-two studies met our primary analysis criteria, representing 1936 individuals with a SUD and 1567 controls. Individuals with SUDs relative to controls had significantly greater DERS scores, with a mean difference of 21.44 [95% confidence interval (CI) = 16.49-26.40, P < 0.001] and Hedges' g = 1.05 (95% CI = 0.86-1.24, P < 0.001). The difference was robust, remaining significant after removing outliers and studies with high risk of bias. Individuals with SUDs demonstrated poorer emotion regulation on each subscale of the DERS, with the largest deficits in the Strategies and Impulse subscales. The ERQ analysis revealed greater use of expressive suppression in those with SUDs relative to controls (Hedges' g = 0.76, 95% CI = 0.25-1.28, P = 0.004).Conclusions: People with substance use disorders appear to have greater difficulties in emotion regulation than people without substance use disorders.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Emotion regulation in substance use disorders: a systematic review and meta‐analysis

et al. 2022

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Borderline Personality Disorder Among Justice-Involved Populations

Smith

Kromash

Siebert

et al. 2022

Clinical Forensic Psychology

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Mood regulation, alexithymia, and personality disorders in female patients with opioid use disorders

Rasheed

Elserafy

Marey³

et al. 2022

Middle East Curr Psychiatry

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Background Opioid use disorders are rising among females. So, there is a need for more recognition of the various factors contributing to this trend in women, to help us to plan effective interventions to this group of patients. Hence, we conducted this research to identify risk factors associated with opioid use in females including mood regulation, alexithymia, and personality disorders. The study included 60 females ranging from 18 to 45 years [30 females diagnosed with opioid use disorder according DSM-IV (case group), and 30 females with no mental illness diagnosis according to general health questionnaire (control group)]. The subjects were recruited from inpatients and outpatient clinic of Al-Abbassia Hospital, Cairo, Egypt. Both groups were assessed by the Structured Clinical Interview for DSM-IV axis II disorders (SCID II) for personality, Trait Meta-Mood Scale (TMMS) for emotional regulation and Toronto Alexithymia Scale-20 (TAS-20) for alexithymia. Results Regarding sociodemographic data, cases were significantly different from controls as they are less educated (P < 0.001), more 73% (22) unemployed (P <0.001) and 56.7% (17) of cases had positive family history of first degree relatives with drug use (P = 0.001). SCID II showed more significant personality disorders diagnosis among cases as (borderline, antisocial, paranoid, schizotypal, and schizoid personality disorder) (P < 0.001, < 0.001, 0.01, 0.003, and 0.005, respectively) and also multiple personality disorders (P < 0.001) diagnosis. As regards alexithymia all cases were classified as having alexithymia 100% versus 56.7% among controls. Meanwhile, cases showed more difficulty in identifying (P < 0.001) and describing feelings (P = 0.001) and more externally oriented thinking (P = 0.010). Results of TMMS showed cases had lower total score on TMMS (p = 0.016). Signifying their inability to regulate their emotions in comparison to controls. There was no significant association between alexithymia, sociodemographic data, TMMS, and SCID II among cases group. Conclusions The present study found that females with opioid use disorders tend to be less educated, unemployed with positive family history of substance abuse, and diagnosed mainly with cluster A and B personality disorders. Moreover, had difficulty in identifying, describing, and regulating their emotions.

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Impulsivity, suicidality, and emotional dysregulation in women having borderline personality disorder with and without substance dependence

Cited by 4 publications

References 2 publications

Emotion regulation in substance use disorders: a systematic review and meta‐analysis

Emotion regulation in substance use disorders: a systematic review and meta‐analysis

Borderline Personality Disorder Among Justice-Involved Populations

Mood regulation, alexithymia, and personality disorders in female patients with opioid use disorders

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