Abnormal Personality Patterns and Their Clinical Symptoms in Psychiatric Patients and Those Diagnosed Both Psychiatric and Substance Use Disorders

Document Type : Research Paper

Authors

1 Master of Clinical Psychology, Department of Clinical Psychology and Counseling, University of Rehabilitation Sciences and Social Health. Tehran, Iran

2 Master of clinical psychology. Department of Clinical Psychology, University of Rehabilitation Sciences and Social Welfare. Tehran.Iran

3 PhD Student in Clinical Psychology, Department of Clinical Psychology, Shahid Beheshti University of Medical Sciences. Tehran, Iran

4 Assistant Professor of Clinical Psychology, Department of Clinical Psychology and Counseling, University of Rehabilitation Sciences and Social Health.Tehran, Iran

Abstract

The purpose of this research was to compare abnormal personality patterns and clinical symptoms of patients with psychiatric disorders and patients with a comorbid diagnosis of psychiatric disorders and substance use disorders. To do the research, a post-hoc-comparative approach was applied to 200 convenient samples, including 100 patients with psychiatric disorders and 100 ones with a comorbid diagnosis of psychiatric disorders and substance use disorder. The samples were chosen from patients admitted to psychiatric hospitals in Tehran, from April 2018 to March 2019. In order to collect the data, Demographic Information Questionnaire, Millon Clinical Multiaxial Inventory III. and Mental Status Examination based on DSM-V criteria were applied. The results which were analyzed by Multivariate Analysis of Variance showed a meaningful difference between the two groups in terms of abnormal personality patterns and Milon’s clinical symptoms. According to the findings, it is recommended that the difference in the abnormal personality patterns and clinical symptoms of the two groups be taken into consideration in the pharmacological and psychotherapy interventions of psychiatric disorders and comorbid disorders with substance use. Therefore, considering this dimension of disorders can lead to choosing a more comprehensive treatment approach.

Keywords

References

سرابی، پیام و صادقی، خیرالله (1399). ارزیابی مشخصات روان‌سنجی آزمون بالینی چند محوری میلون – 3. فصلنامه علمی پژوهشی روان‌سنجی. 33(9): 143-121.
سادوک، بنجامین جیمز؛ سادوک، ویرجینیا آلکوت و روئِیز، پدرو (2015). خلاصه روان‌پزشکی. ترجمه فرزین رضاعی(۱۳۹۶). تهران: ارجمند.
American Psychiatric Association. (2015). Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5 (5th ed.). American Psychiatric Publishing.
Brennan, G. M., Hyde, L. W., & Baskin-Sommers, A. R. (2017). Antisocial pathways associated with         substance use disorders: characterizing etiological underpinnings and implications for treatment. Current  Opinion in Behavioral Sciences, 13, 124–129. https://doi.org/10.1016/j.cobeha.2016.11.014
Helle, A. (2019). Alcohol Use Disorder and Antisocial and Borderline Personality Disorders. Alcohol Research: Current Reviews, 40(1). https://doi.org/10.35946/arcr.v40.1.05
Hunt, G. E., Large, M. M., Cleary, M., Lai, H. M. X., & Saunders, J. B. (2018). Prevalence of comorbid substance use in schizophrenia spectrum disorders in community and clinical settings, 1990–2017: Systematic review and meta-analysis. Drug and Alcohol Dependence, 191, 234–258. https://doi.org/10.1016/j.drugalcdep.2018.07.011
Hunt, G. E., Malhi, G. S., Lai, H. M. X., & Cleary, M. (2020). Prevalence of comorbid substance use in major depressive disorder in community and clinical settings, 1990–2019: Systematic review and meta-analysis. Journal of Affective Disorders, 266, 288–304. https://doi.org/10.1016/j.jad.2020.01.141
Jones, C. M., & McCance-Katz, E. F. (2019). Co-occurring substance use and mental disorders among adults with opioid use disorder. Drug and Alcohol Dependence, 197, 78–82. https://doi.org/10.1016/j.drugalcdep.2018.12.030
Köck, P., & Walter, M. (2018). Personality disorder and substance use disorder – An update. Mental Health & Prevention, 12, 82–89. https://doi.org/10.1016/j.mhp.2018.10.003
Liu, R. T., Bettis, A. H., & Burke, T. A. (2020). Characterizing the phenomenology of passive suicidal ideation: a systematic review and meta-analysis of its prevalence, psychiatric comorbidity, correlates, and comparisons with active suicidal ideation. Psychological Medicine, 1–17. https://doi.org/10.1017/s003329171900391x
Østergaard, M. L. D., Nordentoft, M., & Hjorthøj, C. (2017). Associations between substance use disorders and suicide or suicide attempts in people with mental illness: a Danish nation-wide, prospective, register-based study of patients diagnosed with schizophrenia, bipolar disorder, unipolar depression or personal. Addiction, 112(7), 1250–1259. https://doi.org/10.1111/add.13788
Parmar, A., & Kaloiya, G. (2018). Comorbidity of Personality Disorder among Substance Use Disorder Patients: A Narrative Review. Indian Journal of Psychological Medicine, 40(6), 517–527. https://doi.org/10.4103/IJPSYM.IJPSYM_164_18
Sarabi, P., Sadeghi, Kh. (2020). Assessment Characteristics Psychometric Millon Clinical Multiaxial Inventory – 3. Journal of Psychometrics, 9(33), 143-121.
Shiviari, F., Safaryani, A., & Rostamzadeh, M. (2017). The comparison of prevalence of personality disorders among individuals with substance abuse, regression to abuse and ordinary people. Journal of Fundamentals of Mental Health, 19(special issue), 128-135.
Sadock, B. J., Sadock, V. A., and Ruiz, P. (2015). Synopsis of psychiatry: Behavioral Sciences. Farzin Rezaei. (1396). Tehran. Arjmand Publications.
Trull, T. J., Freeman, L. K., Vebares, T. J., Choate, A. M., Helle, A. C., & Wycoff, A. M. (2018). Borderline personality disorder and substance use disorders: an updated review. Borderline personality disorder and emotion dysregulation, 5(1), 1-12.
Trowbridge, P., Weinstein, Z. M., Kerensky, T., Roy, P., Regan, D., Samet, J. H., & Walley, A. Y. (2017). Addiction consultation services – Linking hospitalized patients to outpatient addiction treatment. Journal of Substance Abuse Treatment, 79, 1–5. https://doi.org/10.1016/j.jsat.2017.05.007
Young, J. T., Heffernan, E., Borschmann, R., Ogloff, J. R. P., Spittal, M. J., Kouyoumdjian, F. G., Preen, D. B., Butler, A., Brophy, L., Crilly, J., & Kinner, S. A. (2018). Dual diagnosis of mental illness and substance use disorder and injury in adults recently released from prison: a prospective cohort study. The Lancet Public Health, 3(5), e237–e248. https://doi.org/10.1016/s2468-2667(18)30052-

Files

Share

How to cite

Statistics