Volume 4, Issue 3 (August 2017)                   Avicenna J Neuro Psycho Physiology 2017, 4(3): 113-120 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Lotfi-Hajilo N, Zarabian M, Ghodsi P, Shamsaei M M. Comparing of Symptoms, Defense Mechanisms and Coping Styles in Women and Men With Borderline Personality Disorder. Avicenna J Neuro Psycho Physiology 2017; 4 (3) :113-120
URL: http://ajnpp.umsha.ac.ir/article-1-97-en.html
1- Department of Psychology, Faculty of Humanities, Electronic Tehran Branch, Islamic Azad University, Tehran, Iran.
2- Behavioral Disorder and Substance Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran. , h93zarabian@gmail.com
3- Department of Psychology, Faculty of Psychology and Social Sciences, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
4- Spiritual Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (3124 Views)
Background: Borderline Personality Disorder (BPD) is the most common personality disorder in psychiatric settings but it still presents with some ambiguities in its symptoms, etiology, individual, and social consequences.
Objectives: The purpose of this study was to compare the severity of BPD symptoms, defense mechanisms, and coping styles among men and women with this disorder.
Materials and Methods: This is a cross-sectional study with two study groups conducted in Hamadan Province from March 2018 to June 2018. The simple random sampling method was used to select the study subjects. The sample included 27 men and 27 women with BPD who were referred to the offices of 3 psychiatrists during the study time. The study variables included the severity of Borderline Personality Disorder symptoms assessed based on Borderline Personality Disorder Severity Index (BPDSI) and mature, immature and neurotic defense mechanisms assessed based on the Defense Style Questionnaire (DSQ-40) and coping styles of emotional, problem and avoidance-focused assessed based on the Coping Inventory for Stressful Situations (CISS) questionnaire among women and men with this disorder. The obtained data were analyzed by descriptive statistics and t-test for independent groups and Mann-Whitney U test in SPSS V. 24. 
Results: The results indicate that the severity of BPD in male patients is significantly more than women (U=199, P<0.05) and men significantly use the immature (t=4.88, P<0.05) and neurotic defense mechanisms more than female patients (U=58, P<0.05), but the mature defense mechanisms less than women (t=-5.54, P<0.05). Male patients also significantly use more the emotional-focused (t=6.73, P<0.05) and the avoidance-focused coping styles (U=125, P<0.05), but less the problem-focused coping style compared to female patients (t=-3.47, P<0.05).
Conclusion: While, the prevalence of this disorder is more reported in women, the severity of symptoms, and use of immature and neurotic defense mechanisms and emotional and avoidant-focused coping style in men is more than those in women suffering from this disorder. The reason for this finding should be investigated in future research.
Full-Text [PDF 649 kb]   (1103 Downloads) |   |   Full-Text (HTML)  (1474 Views)  
Article Type: Research Article | Subject: Personality disorders
Received: 2016/12/27 | Accepted: 2017/05/10 | Published: 2017/08/1

References
1. Oldham J. Borderline Personality Disorder and suicidality. American Journal of Psychiatry. 2006; 163(1):20-6. [DOI:10.1176/appi.ajp.163.1.20] [PMID] [DOI:10.1176/appi.ajp.163.1.20]
2. Khosravi Z, Rahmatinejad P. [The relationship between Borderline Personality Disorder and bipolar disorder type II based on Borderline Personality Organization (Persian)]. Journal of Clinical Psychology. 2014; 8(32):37-46.
3. Barlow DH, Durand VM. Abnormal psychology: An integrative approach. Canada: Wadsworth Group; 2002.
4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Washington D.C.: American Psychiatric Association; 2013.
5. Lieb K, Vollm B, Rucker G, Timmer A, Stoffers J. Pharmacotherapy for Borderline Personality Disorder: Cochrane systematic rerview of randomised trials. The British Journal of Psychiatry. 2005; 196(1):4-12. [DOI:10.1192/bjp.bp.108.062984] [PMID] [DOI:10.1192/bjp.bp.108.062984]
6. Mahmoudalilou M, Sharifi MA. [Borderline Personality Disorder theoretical topics and therapies (Persian)]. Tehran: Arjmand; 2014.
7. Dziegielewski S. DSM-IV-TR in action. Hoboken: John Wily & Sons; 2010. [PMCID]
8. Ghahari SH. Dialectical behavior therapy skills. Tehran: Ghatreh; 2015.
9. Ghasemzade Nassaji S, Peyvastegar M, Hosseinian S, Mutabi F, Banihashemi S. [Effectiveness of cognitive-behavioral intervention on coping responses and cognitive emotion regulation strategies (Persian)]. Journal of Behavioral Sciences. 2010; 4(1):35-43.
10. Jana Abadi H, Zamani N. [Defense mechanisms in substance abusers' families (Persian)]. Journal of Research on Addiction. 2015; 9(35):55-67.
11. Yoselyani GH, Habibi M, Soleymani S. [The relationship between disciplines desired behavior and family functioning, locus of control and self-esteem of students (Persian)]. Journal of School Psychology. 2012; 1(2):114-34.
12. Sarno I, Madeddu F, Gratz K. Self-injury, psychiatric symptoms, and defense mechanisms: Findings in an Italian non-clinical sample. Journal of European Psychiatry. 2010; 25(3):136-45. [DOI:10.1016/j.eurpsy.2009.05.007] [PMID] [DOI:10.1016/j.eurpsy.2009.05.007]
13. Stern B, Yeomans F. The psychodynamic treatment of Borderline Personality Disorder. Journal of Psychiatric Clinic. 2018; 41(2):207-23. [DOI:10.1016/j.psc.2018.01.012] [DOI:10.1016/j.psc.2018.01.012]
14. Bond M. Empirical studies of defense style: Relationships with psychopathology and change. Journal of Harvard Review of Psychiatry. 2004; 12(5):263-78. [DOI:10.1080/10673220490886167] [PMID] [DOI:10.1080/10673220490886167]
15. Bond M, Perry J. Long-term changes in defense styles with psychodynamic psychotherapy for depressive, anxiety and personality disorders. American Journal of Psychiatry. 2004; 161(9):1665-71. [DOI:10.1176/appi.ajp.161.9.1665] [PMID] [DOI:10.1176/appi.ajp.161.9.1665]
16. Paris J, Zweig Frank H. A 27-year follow-up of patients with Borderline Personality Disorder. Journal of Comprehensive Psychiatry. 2001; 42(6):482-7. [DOI:10.1053/comp.2001.26271] [PMID] [DOI:10.1053/comp.2001.26271]
17. Ferguson E. Personality and coping traits: A joint factor analysis. Journal of Health Psychology. 2001; 6(4):311-25. [DOI:10.1348/135910701169232] [PMID] [DOI:10.1348/135910701169232]
18. Penley J, Tomaka J. Associations among the Big Five, emotional responses, and coping with acute stress. Journal of Personality and Individual Differences. 2002; 32(17):1215-28. [DOI:10.1016/S0191-8869(01)00087-3] [DOI:10.1016/S0191-8869(01)00087-3]
19. Twamley E, Hami S, Stein M. Neuropsychological function in college students with and without posttraumatic stress disorder. Journal of Psychiatry Research. 2004; 126(3):265-74. [DOI:10.1016/j.psychres.2004.01.008] [PMID] [DOI:10.1016/j.psychres.2004.01.008]
20. Mahmoudalilou M. Esmali A. Vahedi H. Rezaee R. [Investigate the relationship between personality characteristics (personality disorders) and problem solving styles in the offender prisoners (Persian)]. Journal of Daneshvar. 2009; 16(34):61-9.
21. Ireland J, Brown S, Ballarini S. Maladaptive personality traits, coping styles and psychological distress: A study of adult male prisoners. Journal of Personality and Individual Differences. 2006; 41(3):561-73. [DOI:10.1016/j.paid.2006.03.002] [DOI:10.1016/j.paid.2006.03.002]
22. Knafo A, Guilé JM, Breton JJ, Labelle R, Belloncle V, Bodeau N, et al. Coping strategies associated with suicidal behaviour in adolescent inpatients with Borderline Personality Disorder. Canadian Journal of Psychiatry. 2015; 60(2 Suppl 1):S46-54. [PMCID] [PMID] [PMID] [PMCID]
23. Nower L, Derevensky J, Gupta R. The relationship of impulsivity, sensation seeking, coping, and substance use in youth gamblers. Journal of Psychology of Addictive Behaviors. 2004; 18(1):49-55. [DOI:10.1037/0893-164X.18.1.49] [PMID] [DOI:10.1037/0893-164X.18.1.49]
24. Yen S, Gagnon K, Spirito A. Borderline Personality Disorder in suicidal adolescents. Journal of Personality and Mental Health. 2013; 7(2):89-101. [DOI:10.1002/pmh.1216] [PMID] [PMCID] [DOI:10.1002/pmh.1216]
25. Lieb K, Zanarini MC, Schmahl C, Linehan MM, Bohus M. Borderline Personality Disorder. The Lancet. 2004; 364(9432):453-61. [DOI:10.1016/S0140-6736(04)16770-6] [DOI:10.1016/S0140-6736(04)16770-6]
26. Rahmani F, Kiani M, Rezaie F, Nasuri M, Arasteh M. [Personality, intellectual and emotional state of patients with Borderline Personality Disorder (Persian)]. Scientific Journal of Kurdistan University of Medical Sciences. 2013; 18(3):1-12.
27. Linehan M. Skills training manual for treating Borderline Personality Disorder. Tehran: Arjmand; 2015.
28. Porter C, Ireland C, Gardner C, Eslea M. Exploration of emotion regulation experiences associated with borderline personality features in a non-clinical sample. Journal of Borderline Personality Disorder and Emotion Dysregulation. 2016; 3(8):1-11. [DOI:10.1186/s40479-016-0040-6] [DOI:10.1186/s40479-016-0040-6]
29. Mesgarian F, Azad Fallah P, Farahani H, Ghorbani N. [Object relations and defense mechanisms in social anxiety. Journal of Developmental Psychology: Iranian Psychologists (Persian)]. 2017; 14(53):3-14.
30. Besharat MA. [Alexithymia and defense styles (Persian)]. Journal of Fundamentals of Mental Health. 2009; 10(3):181-90.
31. Besharat M. Relationship of alexithymia with coping styles and interpersonal problems. Journal of Procedia Social and Behavioral Sciences. 2010; 5:614-8. [DOI:10.1016/j.sbspro.2010.07.152] [DOI:10.1016/j.sbspro.2010.07.152]
32. Besharata M, Shahidi S. What is the relationship between alexithymia and ego defense styles? A correlational study with Iranian students. Asian Journal of Psychiatry. 2011; 4(2):145-9. [DOI:10.1016/j.ajp.2011.05.011] [PMID] [DOI:10.1016/j.ajp.2011.05.011]
33. Besharat A, Mohammadi Hoseininezhad E, Gholamali Lavasani M. [The mediating role of cognitive emotion regulation strategies on the relationship between alexithymia, anger and anger rumination with ego defense styles (Persian)]. Journal of Contemporary Psychology. 2015; 9(2):29-48.
34. Vaillant G. Adaptive mental mechanisms: Their role in a positive psychology. Journal of American Psychologist. 2000; 55(1):89-98. [DOI:10.1037/0003-066X.55.1.89] [DOI:10.1037/0003-066X.55.1.89]
35. Kadivar P, Zahedi F . [The coping styles and suicide attempted among the female undergraduate students (Persian)]. Journal of Social Welfare Quarterly. 2007; 6(25):111-32.
36. Bakhshipour Rodsari A, Mahmood Alilou M, Irani S. [The comparison of personality traits, personality disorders and problem-solving strategies in self-introduced addicts and normal population (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2008; 14(3):289-97.
37. Aghdasi AN, Eydi R. [A study of the relationship between mental health and confronting procedures among the spinal cord (Persian)]. Journal of Instruction and Evaluation. 2011; 4(16):51-67.
38. Mahmoudalilou M, Bakhshipour Roudsari A, Esmaeili M, Tofan Tabrizi M. [Personality traits and coping styles in subjects with major Hypotension (Persian)]. Medical Journal of Tabriz University of Medical Sciences. 2010; 32(2):61-6.
39. Soltaninejad A, Fathi Ashtiani A, Ahmadi KH, Yahaghi E, Nikmorad A, Karimi R, et al. [Structural equation model of borderline personality disorder, emotion-focused coping styles, impulsivity and suicide ideation in soldiers (Persian)]. Journal of Police Medicine. 2013; 1(3):176-82.
40. Kamali S, Hassani F. [Mental health and its relationship with stress coping strategies and emotional intelligence in female students at pre-university level (Persian)]. Journal of Behavioral Sciences. 2013; 7(1):49-56.
41. Vojoudi B, Hashemi T, Abdolpour G, Mashinchi Abbasi N. [Predicting suicide ideation based on identity styles and coping strategies (Persian)]. Journal of Contemporary Psychology. 2015; 10(19):47-56.
42. Mazaheri MA, Borjali A, Ahadi H, Golshani F. [Effectiveness of dialectical behavior therapy in treatment of Borderline Personality Disorder (Persian)]. Psychological Research. 2010; 2(5):1-25.
43. Levy K. The implications of attachment theory and research for understanding Borderline Personality Disorder. Journal of Development and Psychopathology. 2005; 17(4):959-86. [DOI:10.1017/S0954579405050455] [DOI:10.1017/S0954579405050455]
44. Andrews G, Singh M, Bond M. The Defense Style Questionnaire. Journal Nervous & Mental Disease. 1993; 181(4):246-56. [DOI:10.1097/00005053-199304000-00006] [DOI:10.1097/00005053-199304000-00006]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY 4.0 | Avicenna Journal of Neuro Psycho Physiology

Designed & Developed by : Yektaweb