Marital adjustment in patients with Emotionally Unstable Personality disorder

Authors

  • Anithakumari Ayirolimeethal Associate Professor, Department of Psychiatry, Government Medical College, Kozhikode
  • Abha Prasad Consultant Psychiatrist, Ambika Nursing Home, Jain Street, Virajpet, Kodagu-571218
  • Harish M Tharayil Professor, Department of Psychiatry, Government Medical College, Kozhikode
  • Biju George Associate Professor, Department of Community Medicine, Government Medical College, Kozhikode
  • Varsha Vidyadharan Assistant Professor, Dept. of Psychiatry, Govt. Medical College, Kozhikode

Keywords:

marital dissatisfaction,EUPD,marital adjustment, borderline PD

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.

References

American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 5thEdition. Washington, DC: American Psychiatric Association; 2013

World Health Organization, the ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva, Switzerland: World Health Organization; 1993

South SC, Turkheimer E, Oltmanns TF: Personality disorder symptoms and marital functioning. J Consult Clin Psychol 2008;76(5):769-80

Luo S, Chen H, Yue G, Zhang G, Zhaoyang R, Xu D: Predicting marital satisfaction from self, partner and couple characteristics: is it me, you, or us? Journal of personality 2008; 76(5):1231-1262

Smith TW, Baron CE, Grove JL: Personality, emotional adjustment and cardiovascular risk: marriage as a mechanism. Journal of Personality 2014;82(6):502-14

Batra L, Goutam S: Psychiatric morbidity and personality in divorce seeking couples. Indian. J Psychiatry1995; 37(4):179-185

Zlotnic C, Johnson DM, Yen S, Battle CL, Sanislow CA, Skodol AE et al.: Clinical features and impairment in women with borderline personality disorder with post-traumatic stress disorder, BPD without PTSD, and other personality disorders with PTSD. J Nerv Ment Dis 2003; 191:706-14

Daley SE, Burge D, Hammen C: Borderline personality disorder symptoms as predictors of 4-year romantic relationship dysfunction in young women: addressing issues of specificity. J Abnorm Psychol 2000;109(3):451-60

Navarro- Gomez S, Friaz A, Palma C: Romantic relationship of people with borderline personality: A narrative review. Psychopathology 2017;50(3):175-87

Hill J, Stepp SD, Wan MW, Hope H, Morse JQ, Steele M et al.: attachment, borderline personality and romantic relationship dysfunction. J Pers Disrd 2011;25(6):789-805

Jeung H, Herpertz SC: Impairments of interpersonal functioning: empathy and intimacy in borderline personality disorder. Psychopathology 2014;47(4):220-34

de Montigny-Malanfant B, Santerre ME, Bouchard S, Sabourin S, Lazarides A, Balanger C: Couple`s negative interaction behaviours and personality disorders. Am. J Family therapy 2013;41(3):251-79

World Health Organization, the ICD-10 classification of mental and behavioural disorders: Diagnostic Criteria for Research. Geneva, Switzerland: World Health Organization;1993

Locke HJ, Wallace KM: Short marital adjustment and prediction tests: Their reliability and validity. Marriage and Family Living 1959; 21:251-55

Paris J: Borderline personality disorder. CMAJ 2005;172(12):1579-83. PMID 15939918.

Whisman MA, Schonbrun YC: Social consequences of borderline personality disorder symptoms in a population-based survey: Marital distress, marital violence and marital disruption. J personality Disorder 2009;23(4):410-15

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Published

2019-08-29

How to Cite

Ayirolimeethal, A., A. Prasad, H. M. Tharayil, B. George, and V. Vidyadharan. “Marital Adjustment in Patients With Emotionally Unstable Personality Disorder”. Kerala Journal of Psychiatry, vol. 31, no. 2, Aug. 2019, https://kjponline.com/index.php/kjp/article/view/164.

Issue

Section

Research Report