Designing and Testing a Model of Some Precedents and Outcomes of Borderline Personality Disorder in High School Students of Shiraz

Sajadi, Seyede Fateme; Zargar, Yadollah; Honarmand, Mahnaz Mehrabizade; Arshadi, Nasrin

doi:10.17795/intjsh-26742

Cited by 6 publications

(7 citation statements)

References 53 publications

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“…The BPFS-C has shown good internal consistency across 12 months study by Crick et al ( 18 ), done on a sample of 400 students aged 10-12, (α > 0.76) as well as criterion validity ( 20 ) and construct validity ( 18 ). Prior research in Iran examining the 22-item instruments with a large community sample (n = 400) of boys and girls in high school showed high consistency (α > 0.84) ( 21 ). In the current study, Cronbach’s α was 0.83.…”

Section: Methodsmentioning

confidence: 99%

Borderline Personality Features in Students: the Predicting Role of Schema, Emotion Regulation, Dissociative Experience and Suicidal Ideation

Sajadi

Arshadi

Zargar

et al. 2015

Int J High Risk Behav Addict

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Background:Numerous studies have demonstrated that early maladaptive schemas, emotional dysregulation are supposed to be the defining core of borderline personality disorder. Many studies have also found a strong association between the diagnosis of borderline personality and the occurrence of suicide ideation and dissociative symptoms.Objectives:The present study was designed to investigate the relationship between borderline personality features and schema, emotion regulation, dissociative experiences and suicidal ideation among high school students in Shiraz City, Iran.Patients and Methods:In this descriptive correlational study, 300 students (150 boys and 150 girls) were selected from the high schools in Shiraz, Iran, using the multi-stage random sampling. Data were collected using some instruments including borderline personality feature scale for children, young schema questionnaire-short form, difficulties in emotion-regulation scale (DERS), dissociative experience scale and beck suicide ideation scale. Data were analyzed using the Pearson correlation coefficient and multivariate regression analysis.Results:The results showed a significant positive correlation between schema, emotion regulation, dissociative experiences and suicide ideation with borderline personality features. Moreover, the results of multivariate regression analysis suggested that among the studied variables, schema was the most effective predicting variable of borderline features (P < 0.001).Conclusions:The findings of this study are in accordance with findings from previous studies, and generally show a meaningful association between schema, emotion regulation, dissociative experiences, and suicide ideation with borderline personality features.

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Section: Methodsmentioning

confidence: 99%

Borderline Personality Features in Students: the Predicting Role of Schema, Emotion Regulation, Dissociative Experience and Suicidal Ideation

Sajadi

Arshadi

Zargar

et al. 2015

Int J High Risk Behav Addict

Self Cite

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“…After obtaining the consent from the participants, the patients with schizophrenia or other psychotic disorders were divided into first-episode psychotic patients and chronic psychotic patients based on the fact that they experienced the first episode of psychosis or had been experiencing it for more than 2 years, respectively [30]. Next, all participants of the three groups were assessed using DES [31] and Childhood Trauma Questionnaire-Short Form (CTQ-SF) [32] with the help of researchers. In contrast, Positive and Negative Syndrome Scale (PANSS) [33] was only performed to evaluate patients with schizophrenia and other psychotic disorders by an expert psychiatrist.…”

Section: Methodsmentioning

confidence: 99%

“…The Persian version of DES was employed to assess dissociative symptoms. In this 28-item questionnaire, participants are asked to score their experiences for each element based on a 10-point scale from never (0%) to always (100%) [31]. Sajadi et al [31] reported the Cronbach's alpha coefficient of this scale to be 0.92 for Persian cases.…”

Section: Desmentioning

confidence: 99%

Dissociation as a causal pathway from sexual abuse to positive symptoms in the spectrum of psychotic disorders

2021

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Background Although numerous studies have supported the role of childhood maltreatment in the etiology of psychosis, underlying mechanisms have not been well understood yet. The present study aimed to investigate the mediating role of particular forms of dissociation in the relationship between five major types of childhood abuse and psychotic symptoms among patients with schizophrenia spectrum and other psychotic disorders. Methods In this cross-sectional correlation study, 70 first-episode psychotic patients and 70 chronic psychotic patients were selected by systematic random sampling (with the sampling interval of 3) from among inpatients and outpatients referring to Baharan Psychiatric hospital, Zahedan, Iran, and were matched based on age, gender, and education level. Moreover, 70 age-, gender-, and education level-matched community controls were recruited from hospital staff and their relatives and friends. All of the participants completed a research interview and questionnaires. Data on experiences of childhood maltreatment, psychosis, dissociation, and demographics were collected and analyzed by SPSS V25 software. Results The obtained results revealed that the mean scores of sexual abuse, emotional abuse, and physical abuse were higher in psychotic patients than community controls (without any significant difference between first-episode psychotic patients and chronic psychotic patients). Furthermore, the highest mean scores of dissociative experiences belonged to chronic psychotic patients. Multiple-mediation also indicated that absorption and dissociative amnesia played a mediating role in the relationship between sexual abuse and positive symptoms. Moreover, this study demonstrated the role of physical abuse in predicting psychotic symptoms even in the absence of sexual abuse. Conclusions This study illustrated specific associations among childhood maltreatment, dissociative experiences, and psychotic symptoms in the clinical population. Thus, to provide appropriate interventions, patients with schizophrenia spectrum and other psychotic disorders were asked about a wide range of possible adverse childhood experiences and dissociative experiences. Nevertheless, further studies using prospective or longitudinal designs need to be carried out to realize the differential contribution of various forms of childhood maltreatment and their potential interactions, more precisely.

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“…In this 28-item questionnaire, participants are asked to evaluate their experiences for each element based on a 10-point scale from never (0%) to always (100%). Sajadi et al [38] reported the Cronbach's alpha coe cient of this scale to be 0.92 for Persian cases. Using factor analysis, they also showed three factor structures, i.e., dissociative amnesia, depersonalization/derealization, and absorption, and scored each of them separately.…”

Section: Desmentioning

confidence: 99%

Dissociation as a Causal Pathway from Sexual Abuse to Positive Symptoms in the Spectrum of Psychotic Disorders

Khosravi

Bakhshani

Kasaeiyan

2021

Preprint

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Background: Although numerous studies have supported the role of childhood maltreatment in the etiology of psychosis, underlying mechanisms have not been well understood yet. The present study aimed to investigate the mediating role of particular forms of dissociation in the relationship between five major types of childhood abuse and psychotic symptoms among patients with schizophrenia spectrum and other psychotic disorders.Methods: In this cross-sectional correlation study, a total of 210 participants, including 140 patients with schizophrenia spectrum and other psychotic disorders (70 first-episode psychotic patients and 70 chronic psychotic patients) and 70 community controls, were selected by systematic random sampling (with the sampling interval of 3) and one-to-one matching, respectively, from among inpatients and outpatients referring to Baharan Psychiatric hospital, Zahedan, Iran, and people living in this region. In this study, the evaluation criteria included Dissociative Experiences Scale, Childhood Trauma Questionnaire-Short Form, and Positive and Negative Syndrome Scale.Results: The obtained results revealed that the mean scores of sexual abuse, emotional abuse, and physical abuse were higher in psychotic patients than community controls (without any significant difference among first-episode psychotic patients and chronic psychotic patients). Furthermore, the highest mean scores of dissociative experiences belonged to chronic psychotic patients. Regarding the three study groups, there was no significant gender-based difference between mean scores of dissociative experiences and various types of childhood maltreatment. Multiple-mediation also indicated that absorption and dissociative amnesia played a mediating role in the relationship between sexual abuse and positive symptoms. Moreover, this study implied the role of physical abuse in predicting psychotic symptoms even in the absence of sexual abuse. Conclusions: This study illustrated specific associations among childhood maltreatment, dissociative experiences, and psychotic symptoms in the clinical population. Thus, to provide appropriate interventions, patients with schizophrenia spectrum and other psychotic disorders needed to be asked about a wide range of possible adverse childhood experiences and dissociative experiences. Nevertheless, further studies using prospective or longitudinal designs need to be carried out to realize the differential contribution of various forms of childhood maltreatment and their potential interactions, more precisely.

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Designing and Testing a Model of Some Precedents and Outcomes of Borderline Personality Disorder in High School Students of Shiraz

Cited by 6 publications

References 53 publications

Borderline Personality Features in Students: the Predicting Role of Schema, Emotion Regulation, Dissociative Experience and Suicidal Ideation

Borderline Personality Features in Students: the Predicting Role of Schema, Emotion Regulation, Dissociative Experience and Suicidal Ideation

Dissociation as a causal pathway from sexual abuse to positive symptoms in the spectrum of psychotic disorders

Dissociation as a Causal Pathway from Sexual Abuse to Positive Symptoms in the Spectrum of Psychotic Disorders

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