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). The research analysis occurred through SPSS version 22. SPSS version 22 was used to calculate mean values and standard deviations from numerical variables and display categorical data through frequencies and percentages for the gender of the patient and their socioeconomic status and Substance Abuse Disorder and personality disorder proportions. 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. Results from the Pearson Chi-Square test indicated a link between substance abuse behavior and borderline traits since the value reached statistical significance with χ² = 20.475 and p = .039. A statistical connection between Antisocial Personality Disorder and SAD was established through the χ² analysis, which produced a result of χ² = 17.756 and p = 0.041. Both borderline and antisocial personality disorders demonstrated a strong positive relationship with a statistical significance (r = 0.464, p < 0.01). Statistics revealed borderline personality disorder presented a minimal positive relationship to substance abuse at r = 0.024 with p = 0.051, and antisocial personality disorder demonstrated a slightly higher positive link at r = 0.048 with p = 0.264. Conclusion: Substance abuse disorder exists as a strong connection to borderline and antisocial personality traits. A combination of treatment approaches should become part of therapeutic interventions to enhance specific treatment methods for patients who have substance use disorder and personality disorder.

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