الفهرس 
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Abstract
Substance abuse refers to the harmful or hazardous use of psychoactive substances, including alcohol and illicit drugs. Psychoactive substance use can lead to dependent syndrome, a cluster of behavioral, cognitive, and psychological phenomena that develop after repeated substance use and that typically include a strong desire to take the drug, difficulties in controlling its use, persisting in its use despite harmful consequences, a higher priority given to drug use that to other activities and obligations, increase tolerance, and sometimes a physical withdrawal state.
Personality disorders are a class of mental disorders characterized by enduring maladaptive patterns of behavior, cognitive and inner experience, exhibited across many contexts and deviating markedly from those accepted by the individual’s culture.
Personality disorders have been identified as one of the most important predictors of treatment outcome in patients having substance use disorders especially, the cluster B personality disorders are the most prevalent (Antisocial, Borderline, and less often Narcissistic and Histrionic).
Aim of the study:
This study was aimed to assess Personality Disorders among substance abuse patients.
Research Questions:
1. What are the types of personality disorders among substance abuse patients?
2. What are the relation between types of personality disorder and substance abuse?
Subjects and methods:
The technical design includes research design, setting, subjects and tools of data collection.
Research design:
Descriptive exploratory design was utilized to achieve the aim of the study.
A. Setting:
This study was conducted at Al Abassia Mental Health Hospital in Cairo. The study was conducted in the male and female addiction units.
B. Subjects:
Convenience sample of all available patients who were treating from substance abuse in the previous settings.
Total sample= (80).
Inclusion criteria:
1. Both sexes (male and female).
2. Age from 18:50 years
Tools of data collection:
Tools for collecting data of the present study will include the following:
II. An Interviewing Questionnaire: Diagnostic tool had constructed by (Steven Hyler, 2000) to assess the personality disorders. It is divided into two parts:
1. Part one: Demographic data (age, gender, marital status, education, job and type of substance).
2. Part two: Consist of 99 questions. To assess the types of personality disorders. The patient answered the question by (YES=1 or No=0).
Ethical considerations
Prior study conduction and ethical approval were obtained from the scientific research ethical Committee of faculty of nursing – Ain Shams University. An informed consent was obtained from each study subject. All participants in the study were secured by confidential and they were assured that the right to withdraw from the study at any time was guaranteed.
Results:
The results of the study revealed the following:
• The findings show that the majority of the studied patients are males 81.3%. 56.3% of the patients are in the age group 25-35 years of age followed by patients in less than 25 years of age 30%. The majority of the studied patient 88.8 % are lives in urban. 96.3% of the studied patients are working while 3.8% are not working.
• The highest personality disorder among patients with substance abuse is borderline personality disorder 82.5% followed by antisocial PD 70%, Narcissistic PD 55.0%, Histrionic PD 41.3% and Dependent PD 32.5%.
• The findings show that 40% of the studied patients are tramadol addicts, 33.8% are heroin addicts and 26.3% are cannabis addicts.
Conclusion:
The findings of the present study reached to the following conclusion:
There was significant relationship between the personality disorder and substance abuse, patient who has personality disorder high risk for substance abuse. Cluster B personality disorders are the most prevalent (Antisocial, Borderline, and less often Narcissistic and Histrionic). Antisocial and Borderline personality disorders were found to be the strongest predictor of substance abuse more than narcissistic personality disorder and histrionic personality disorder.
Recommendations:
Based on the findings of the present study, the following recommendations are suggested:
1. Motivational interviewing
2. Educational sessions
3. Family counselling
4. Support groups
5. Individual therapy
6. group therapy