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HEROIN ADDICTION AND
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Editor: Icro Maremmani, MD - Pisa, Italy, EU |
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Associate Editors: |
Thomas Clausen, MD - Oslo, Norway
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Statistical Editor: |
Mario Miccoli, PhD - Pisa, Italy, EU |
HARCP Archives
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Heroin Addiction and Related Clinical Problems: 2018, 20, N3 (pages: 25 - 32)
Relationship between Self-Mutilative Behaviour and Novelty Seeking, the Presence of Antisocial and Borderline Personality Disorders, and Severity of Psychopathology in a Sample of Male Patients with Heroin Use Disorder
Evren C., Karabulut V., Alniak I., Umut G., Cetin T., Evren B., and Agachanli R.
Summary: Background: Self-mutilative behaviour (SMB) is common among patients with heroin use disorder (HUD) and poses a severe threat to the safety and well-being of these patients. Aim: The main aim of the present study was to evaluate the relationship between SMB and novelty seeking (NS), while also carefully assessing the presence of antisocial (ASPD) and borderline (BPD) personality disorders and the severity of psychopathology in a sample of patients with HUD. Methods: Participants, in a group comprising 236 patients with HUD, were evaluated by applying the Symptom Checklist-Revised (SCL-90-R) and NS subscale of the Temperament and Character Inventory (TCI). In addition, BPD and ASPD were assessed with the Structured Clinical Interview for DSM-III-R-Personality Disorders (SCID-II). Results: Age, duration of education and marital status did not differ between those with a history of SMB (n=116, 49.1%) and those without (n=120, 50.9%). Age at first heroin use and percentage of those who were employed were lower among those with a history of SMB. Severity of psychopathology, ASPD, BPD and NS scores were higher among those with a history of SMB. In logistic regression analysis, high NS, together with the presence of both BPD and ASPD, together with severity of general psychopathology, in particular hostility, predicted patients' history of SMB. Conclusions: These findings suggest that the history of SMB is related to the severity of NS, while the severity of psychopathology, particularly the hostility dimension, and the presence of BPD and ASPD may have additional effects on SMB among male patients with HUD.
