TY  - JOUR
PY  - 2008//
TI  - The relationship between medically self-sabotaging behaviors and borderline personality disorder among psychiatric inpatients
JO  - Primary care companion to the journal of clinical psychiatry
A1  - Sansone, Randy A.
A1  - McLean, Jamie S.
A1  - Wiederman, Michael W.
SP  - 448
EP  - 452
VL  - 10
IS  - 6
N2  - OBJECTIVE: In this study, we hypothesized and explored a relationship between medically self-sabotaging behaviors and borderline personality disorder.  METHOD: Using a cross-sectional self-report survey methodology, we examined 120 psychiatric inpatients, who were not psychotic, demented, medically ill, or cognitively impaired, being treated in an urban community hospital located in a midsized, midwestern city (sample of convenience) for medically self-sabotaging behaviors (author-developed survey) and borderline personality disorder. Borderline personality disorder was assessed with the following 3 measures: the borderline personality scale of the Personality Diagnostic Questionnaire-4 (PDQ-4), the Self-Harm Inventory (SHI), and the McLean Screening Inventory for Borderline Personality Disorder (MSI-BPD). Data were collected from May 2006 to November 2007.  RESULTS: For the 76 respondents (63.3%) who reported having engaged in at least 1 medically self-sabotaging behavior, the mean number of different medically self-sabotaging behaviors was 4.11 (SD = 3.93). With regard to the most commonly endorsed behaviors, approximately one quarter of participants acknowledged damaging self on purpose and seeking medical treatment; not going for medical treatment, despite needing it, to purposefully hurt self; not taking a prescribed medication to hurt self; and gravitating toward a dangerous situation hoping to be physically hurt. As hypothesized, greater numbers of self-reported medically self-sabotaging behaviors were related to higher scores on the PDQ-4 (r = 0.28, p <.01), the SHI (r = 0.55, p <.001), and the MSI-BPD (r = 0.41, p <.001).  CONCLUSIONS: Medically self-sabotaging behaviors are commonly encountered in psychiatric inpatients with borderline personality disorder.<p /> <p>Language: en</p>
LA  - en
SN  - 1523-5998
UR  - http://dx.doi.org/10.4088/pcc.v10n0604
ID  - ref1
ER  -