Collins Madison, Grant Jon E
Department of Psychiatry & Behavioral Neuroscience, University of Chicago, Pritzker School of Medicine, Chicago, IL, United States.
Front Psychiatry. 2025 Jan 8;15:1459827. doi: 10.3389/fpsyt.2024.1459827. eCollection 2024.
Borderline personality disorder (BPD) is a serious and difficult to treat psychiatric condition characterized by affective and interpersonal instability, impulsivity, and self-image disturbances. Although the relationship between BPD and substance use disorders has been well-established, there has been considerably less research regarding behavioral addictions in this population. The purpose of this study is to determine the prevalence of social media addiction (SMA) among individuals with BPD and to explore whether it is related to aspects of disorder symptomology.
300 adults completed an online survey via Prolific. Individuals completed the McLean Screening Instrument for BPD (MSI-BPD), along with the Bergen Social Media Addiction Scale (BSMAS). Additionally, all participants reported how often they use social media for the following reasons: distraction from interpersonal problems, reassurance seeking, self-confidence issues, and anger/revenge.
Of the 289 subjects that completed all measures, 38 (13.1%) screened positive for BPD. Individuals screening positive for BPD were more likely to meet criteria for SMA than controls, and they were more likely to report using social media for interpersonal distraction, reassurance seeking, self-confidence issues, and anger/revenge seeking than controls. Among individuals with BPD, SMA was positively associated with the frequency of each of these behaviors, except for anger/revenge seeking.
The results of this study demonstrate that SMA is common among the BPD population and may be related to aspects of disorder symptomology. Whether SMA worsens BPD symptoms or whether addressing SMA could lead to improvements in the BPD remains to be seen and is an important area for future research.
边缘型人格障碍（BPD）是一种严重且难以治疗的精神疾病，其特征为情感和人际不稳定、冲动以及自我形象紊乱。尽管BPD与物质使用障碍之间的关系已得到充分证实，但关于该人群行为成瘾的研究却少得多。本研究的目的是确定BPD个体中社交媒体成瘾（SMA）的患病率，并探讨其是否与障碍症状学的各个方面相关。
300名成年人通过Prolific完成了一项在线调查。参与者完成了BPD的麦克莱恩筛查工具（MSI-BPD）以及卑尔根社交媒体成瘾量表（BSMAS）。此外，所有参与者报告了他们因以下原因使用社交媒体的频率：分散人际问题注意力、寻求安慰、自信问题以及愤怒/报复。
在完成所有测量的289名受试者中，38名（13.1%）BPD筛查呈阳性。BPD筛查呈阳性的个体比对照组更有可能符合SMA标准，并且他们比对照组更有可能报告因人际分心、寻求安慰、自信问题以及寻求愤怒/报复而使用社交媒体。在BPD个体中，除了寻求愤怒/报复外，SMA与这些行为的频率均呈正相关。
本研究结果表明，SMA在BPD人群中很常见，并且可能与障碍症状学的各个方面相关。SMA是否会加重BPD症状，或者解决SMA是否会导致BPD改善，仍有待观察，这是未来研究的一个重要领域。
