The aim of this study is to detect differences between female borderline personality disorder with and without substance dependence as regarding Phenomenology. It aimed to measure impulsivity, emotional dysregulation, child abuse and dissociation in both groups. It is aimed to assess substance dependence severity in addictive group.
40 female borderline personality disorder patients (SCID II) were compared to 40 female borderline personality disorder with substance dependence (SCID II ; SCID I) attending to outpatients clinic in Kasr Al Ainy hospital using borderline personality disorder severity index, difficulties in emotional regulation scale, childhood traumatic questionnaire, dissociative experience scale and addiction severity index.
The addictive group patients were more impulsive and less paranoid than non-addictive group. Non addictive group patients have more difficulties in emotional regulation. Non addictive group is more severely affected in physical abuse scale, emotional abuse scale, sexual abuse scale and total scale. There was statistically significant directly proportional correlation between child abuse and dissociative experiences in non-addictive female borderline personality group. The most primary substance of dependence was heroin (52.5%), followed by tramadol (42.5%).
Conclusions: Addictive patients have more emotional regulation than non-addictive group as they use substance as self-medication. Non addictive group is more severely affected in child abuse than addictive group. There is significant direct proportional correlation between child abuse and dissociation in non-addictive group but not found in addictive group. Heroin is the most prevalent primary substance dependence in female borderline personality disorder. This will help in treatment plan in both groups.