Raj Rajnish, Khanam Aaliya, Wani Zaid A, Afreen Afifa, Kour Simranjeet, Khan Ajaz A, Haq Inaamul
Department of Psychiatry, Institute of Mental Health and Neurosciences Kashmir, Jammu and Kashmir, India.
Department of Clinical Psychology, Institute of Mental Health and Neurosciences Kashmir, Jammu and Kashmir, India.
Ind Psychiatry J. 2025 Jan-Apr;34(1):89-96. doi: 10.4103/ipj.ipj_348_24. Epub 2025 Apr 18.
Borderline personality disorder (BLPD) is one of the most common personalities disorders frequently encountered in the outpatient setup.
Understanding the role of impulsivity and metacognition in clinical and cognitive insight among BLPD patients.
A cross-sectional study was performed among 81 patients diagnosed with BLPD. Sociodemographic details were collected, and the Borderline Personality Questionnaire (BPQ), Beck Cognitive Insight Scale (BCIS), Metacognitive Questionnaire (MCQ-30), Urgency premeditation perseverance sensation seeking - impulsive behavior scale - short version (UPPS-S), and Scale to assess unawareness of mental disorder (SUMD) were applied to assess severity symptomatology, cognitive insight, metacognition, impulsivity and clinical insight, respectively.
The mean age ± SD of subject was 22.19 ± 3.79, with a female preponderance (N = 61, 75.3%). The mean ± SD of BCIS, MCQ-30, UPPS-S, SUMD, and BPQ was 7.78 ± 4.11, 66.96 ± 14.95, 50.98 ± 11.72, 5.53 ± 2.36, and 57.56 ± 9.00, respectively. The cognitive (BCIS) and clinical insight (SUMD) were significantly correlated (r = -0.26, P = 0.01). The impulsivity (UPPS) was also positively correlated with BPQ, (r = 0.26, = 0.01). In regression analysis, a significant negative relation was observed with MCQ-30 (Cognitive self-consciousness) (β = -0.341, 95% CI = -1.022 to - 0.186, = 0.005) when predicting BPQ. A significant negative relation of Negative urgency with BCIS (β = -0.339, 95% CI = -0.703 to - 0.054, = 0.023) and a positive relation with SUMD (β =0.331, 95% CI = 0.032 to 0.392, = 0.022) were obtained.
The results of this study can be used in clinical practice by strengthening existing therapies aiming at these areas and thereby enhancing therapeutic alliance, adherence, and prognosis.
边缘型人格障碍(BLPD)是门诊中最常见的人格障碍之一。
了解冲动性和元认知在BLPD患者临床及认知领悟中的作用。
对81例诊断为BLPD的患者进行横断面研究。收集社会人口学详细信息,并应用边缘型人格问卷(BPQ)、贝克认知领悟量表(BCIS)、元认知问卷(MCQ - 30)、冲动性、前摄性、坚持性、感觉寻求 - 冲动行为量表简版(UPPS - S)以及精神障碍无自知力评定量表(SUMD)分别评估症状严重程度、认知领悟、元认知、冲动性和临床领悟。
研究对象的平均年龄±标准差为22.19±3.79岁,女性占多数(N = 61,75.3%)。BCIS、MCQ - 30、UPPS - S、SUMD和BPQ的均值±标准差分别为7.78±4.11、66.96±14.95、50.98±11.72、5.53±2.36和57.56±9.00。认知领悟(BCIS)与临床领悟(SUMD)显著相关(r = - 0.26,P = 0.01)。冲动性(UPPS)与BPQ也呈正相关(r = 0.26,P = 0.01)。在回归分析中,预测BPQ时,观察到与MCQ - 30(认知自我意识)存在显著负相关(β = - 0.341,95%置信区间 = - 1.022至 - 0.186,P = 0.005)。消极冲动性与BCIS存在显著负相关(β = - 0.339,95%置信区间 = - 0.703至 - 0.054,P = 0.023),与SUMD存在正相关(β = 0.331,95%置信区间 = 0.032至0.392,P = 0.022)。
本研究结果可用于临床实践,通过加强针对这些方面的现有治疗方法,从而增强治疗联盟、依从性和预后。