Uncertainty Mentalizing and Emotion Dysregulation With Substance Use Severity in Iranian Young Adults; Mediating Role of Borderline Personality Traits

IF 2.1 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-05-08 DOI:10.1111/eip.70040

Mehdi Azad, Farhad Taremian, Shima Shakiba

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引用次数: 0

Abstract

Objective

The rising prevalence of substance use amongst young people (ages 18–25) is a critical global health issue, especially in non-Western contexts where cultural factors impact mental health. This study explores the role of uncertainty mentalizing—understanding ambiguous social situations—in individuals with borderline personality traits and its link to substance use, a relationship that remains underexplored amongst young Iranian people. It further examines the mediating role of borderline personality traits in the relationship between uncertainty mentalizing, emotion dysregulation and substance use severity.

Method

The study included 185 people who use substances aged 18–25 years who completed questionnaires related to the research variables.

Results

Analysis Revealed Significant Positive Associations Amongst all Variables (p < 0.001). Borderline Personality Traits (β = 0.19, p < 0.05) and Uncertainty Mentalizing (β = 0.45, p < 0.001) Directly Influenced Substance Use Severity. Uncertainty Mentalizing Also Indirectly Affected Substance Use Severity Through Borderline Personality Traits (Indirect Effect = 0.093, p < 0.05) and Notably Impacted Borderline Personality Traits (β = 0.49, p < 0.001). However, Emotion Dysregulation Did Not Show Significant Direct or Indirect Effects.

Discussion

These results highlight the critical role of uncertainty mentalizing in substance use severity, both directly and through its influence on borderline personality traits, suggesting that interventions aimed at enhancing uncertainty mentalizing may effectively address co-occurring issues related to substance use and borderline personality traits.

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伊朗青少年物质使用严重程度的不确定性心理和情绪失调边缘型人格特质的中介作用

年轻人（18-25岁）药物使用率的上升是一个重要的全球健康问题，特别是在文化因素影响心理健康的非西方环境中。这项研究探讨了不确定性心理化——理解模棱两可的社会情境——在具有边缘性人格特征的个体中的作用，以及它与物质使用的联系，这种关系在伊朗年轻人中仍未得到充分研究。本研究进一步探讨了边缘型人格特质在不确定性心理化、情绪失调和物质使用严重程度之间的中介作用。方法对185名18-25岁的药物使用者进行问卷调查。结果分析显示所有变量之间存在显著的正相关（p < 0.001）。边缘型人格特质（β = 0.19, p < 0.05）和不确定性心理化（β = 0.45, p < 0.001）直接影响药物使用严重程度。不确定性心理化还通过边缘型人格特质间接影响药物使用严重程度（间接效应= 0.093,p < 0.05），并显著影响边缘型人格特质（β = 0.49, p < 0.001）。然而，情绪失调并没有表现出显著的直接或间接影响。这些结果强调了不确定性心理在物质使用严重程度中的关键作用，无论是直接的还是通过它对边缘型人格特质的影响，表明旨在增强不确定性心理的干预措施可以有效地解决与物质使用和边缘型人格特质相关的共同发生的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.