Marital adjustment in patients with emotionally unstable personality disorder

Anithakumari Ayirolimeethal, Abhaya S Prasad, Harish M. Tharayil, Biju George, Varsha Vidyadharan
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Abstract

ABSTRACT  Back Ground: Personality disorders especially Emotionally Unstable Personality Disorder (EUPD) may lead to significant marital discord. Though the incidence of separation and divorce are on the rise the problem of underlying personality factors are not given much significance and inadequately studied. Among the personality disorders  EUPD  is the one that is more likely to be associated with marital discord and separation. Objective To study the marital adjustments of patients with emotionally unstable personality disorder   Methodology This cross-sectional study was done in individuals between 18 to 45 years and diagnosed as having EUPD as per ICD 10 DCR criteria, currently staying with their spouse, attending psychiatry department during the study period. Details were collected, Locke Wallace marital adjustment scale was administered, and Chi-square test was used to compare the relevant variables. Results 35 % of the the Sample (n= 34) EUPD subjects reported significant marital dissatisfaction. Co morbid psychiatric disorders were obtained in 23.5% of sample. Association between type of marriage and marital adjustment was found to be significant .41.2% received some kind of psychosocial intervention. 70.6% of the spouses had history of substance use and 23.5 % had history of psychiatric illness. No significant difference in MAT severity was found between EUPD subtypes. Conclusion  Study found high level of marital maladjustment among subjects with EUPD.
情绪不稳定型人格障碍患者的婚姻调整
摘要背景:人格障碍尤其是情绪不稳定型人格障碍(EUPD)可能导致严重的婚姻不和谐。虽然分居和离婚的发生率在上升,但潜在的人格因素问题没有得到重视,研究也不充分。在人格障碍中,EUPD更容易与婚姻不和和分居联系在一起。目的探讨情绪不稳定型人格障碍患者的婚姻调整情况。本研究选取年龄在18 ~ 45岁,根据ICD 10 DCR诊断为EUPD的患者,在研究期间与配偶生活在一起,在精神科就诊。收集资料,采用Locke Wallace婚姻调整量表,采用卡方检验比较相关变量。结果35%的EUPD受试者(n= 34)报告了显著的婚姻不满。23.5%的样本出现共病性精神障碍。婚姻类型与婚姻调整之间存在显著的相关性。41.2%的人接受了某种心理社会干预。70.6%的夫妻有药物使用史,23.5%的夫妻有精神病史。EUPD亚型间MAT严重程度无显著差异。结论研究发现EUPD患者存在较高的婚姻不适应水平。
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