Frequency of Antisocial and Borderline Personality traits in Patients of Substance use Disorder in Psychiatry Units of Tertiary Care Hospitals in Peshawar

Abstract

Objective: To measure the frequency Antisocial and borderline personality traits in individuals with Substance Abuse Disorder. Background: Making an accurate diagnosis of personality traits or disorders (PDs) is crucial during the planning stage of a patient's treatment for substance use disorders (SUDs). Methodology: Descriptive cross-sectional was used for collecting data from n=205 patients with SAD at psychiatric hospital in Peshawar, Pakistan. Non-probability convenience sampling was used. The IPDE tool was used to assessed Personality Disorders (PDs). Data was analyzed with the SPSS version 22. The mean and standard deviation were calculated for numerical variables and frequency and percentages for categorical variables like gender of patient, their socioeconomic status and proportion of patients with personality disorders and Substance Abuse Disorder. Chi-Square Test and Pearson’s correlation were used for correlation among substance abuse disorders, Antisocial and Borderline PD. Result: Among substance use disorders, nicotine use disorder (31.2%) was the most common, followed by sedative/hypnotic use disorder (15.1%) and methamphetamine use disorder (13.2%). Borderline and antisocial personality disorders were highly prevalent, with 72.2% and 74.6% respectively. The Pearson Chi-Square test yielded a statistically significant result (χ² = 20.475, p = .039), indicating a potential association between substance abuse and borderline traits. Antisocial personality Disorder also showed significant association with SAD (χ² = 17.756, p = 0.041). Additionally, borderline and antisocial personality disorders had a strong positive correlation (r = 0.464, p < 0.01). Borderline personality disorder showed a weak positive correlation with substance abuse (r = 0.024, p = 0.051), while antisocial personality disorder had a slightly stronger positive correlation with substance abuse (r = 0.048, p = 0.264). Conclusion: Substance abuse disorder is correlated with antisocial and borderline personality traits. To improve the specific treatment options for patients with substance use disorder and personality disorder the therapeutic approaches for these disorders should comprise combined treatment methods. 

Keywords: Substance Abuse Disorder, Borderline, Histrionic Personality Disorder, IPDE, Antisocial Personality Disorder, Conversion Disorder