Mohammadsadeghi Homa, Rashedi Vahid, Shahesmaeili Atoosa, Mirhaj Mohammadabadi Motahareh Sadat, Hadi Fatemeh, Boroon Mahsa, Shalbafan Mohammadreza
Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Iranian Research Center on Aging, Department of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iran J Psychiatry. 2022 Oct;17(4):395-400. doi: 10.18502/ijps.v17i4.10688.
Clients with borderline personality disorder (BPD) often engage in high-risk sexual behaviors. Online sexual platforms convey abusive and harmful themes, especially for this group of sexually impulsive patients. We hypothesized a correlation between their online sexual activities and the severity of BPD symptoms. Fifty clients with BPD who were referred to Iran psychiatric hospital and Tehran Psychiatric Institute in 2020 participated in this research. The Borderline Evaluation of Severity over Time (BEST) questionnaire was used to assess the severity of BPD symptoms, and the Internet Sex Screening Test (ISST) was used to evaluate online sexual behaviors. A psychiatric interview considered substance abuse and other confounding factors. The mean ISST and BEST scores were 7.82 ± 5.74 and 41.7 ± 12.5, respectively. There was a positive and significant correlation between the severity of BPD symptoms and online sexual activities (P < 0.001, r = 0.480). There was also a significant relationship between online sexual activities and a history of substance abuse (P = 0.003, F = 25.06). Online sexual activity can harm clients with BPD who are more vulnerable to high-risk sexual behaviors. More severe borderline personality traits were associated with more online sexual activity, which underlines the importance of providing education about and managing such activities in clients with BPD.
边缘性人格障碍（BPD）患者常常会参与高风险性行为。在线性平台传递着辱骂性和有害主题，尤其是对于这群有性冲动的患者。我们推测他们的在线性活动与BPD症状的严重程度之间存在关联。2020年被转诊至伊朗精神病医院和德黑兰精神病学研究所的50名BPD患者参与了这项研究。使用《边缘性严重程度随时间评估》（BEST）问卷来评估BPD症状的严重程度，并使用互联网性筛查测试（ISST）来评估在线性活动。一次精神科访谈考虑了药物滥用及其他混杂因素。ISST和BEST的平均得分分别为7.82±5.74和41.7±12.5。BPD症状的严重程度与在线性活动之间存在正相关且具有显著相关性（P<0.001，r=0.480）。在线性活动与药物滥用史之间也存在显著关系（P=0.003，F=25.06）。在线性活动会对更易出现高风险性行为的BPD患者造成伤害。更严重的边缘性人格特质与更多的在线性活动相关，这凸显了对BPD患者开展此类活动的教育及管理的重要性。
