الفهرس | Only 14 pages are availabe for public view |
Abstract Borderline Personality Disorder or BPD is a complex mental disorder with persistent patterns of affective instability, unstable relationships, and self-image along with suicidal and self-mutilating behavior Cognitive distortions are erroneous ways of thinking or negative biases hypothesized to be the root cause of depressive symptomatology. Cognitive distortions were first listed and described by Beck, Rush, Shaw, and Emery in 1979. Burns in 1980 subsequently expanded on their list and identified 10 common thinking errors. They include examples such as overgeneralization, all or none thinking and labeling. Few studies have been conducted to assess the prevalence of cognitive distortions in patients diagnosed with BPD. This study aimed to assess the prevalence of different cognitive distortions in female patients with BPD in Egypt. Methods: This is a comparative observational cross sectional study, conducted between April 2022 and February 2023, in Okasha Institute of Psychiatry, specifically the outpatient clinics. Scientific and ethical approval were obtained from both ethical committees of institute of Psychiatry and Faculty of Medicine, Ain Shams University, and the cases who accepted to Summary 77 participate signed a written informed consent that was provided within the study. The study involved 30 female patients diagnosed with BPD and compared to 30 age and gender matched healthy controls. Each participant answered a list of closed ended questions about the demographic data (age, gender, and education) and then was subjected to the Arabic version of SCID I to rule out axis 1 disorders and SCID II to confirm the diagnosis of BPD. Participants were subsequently asked to answer the Arabic version of the Cognitive Distortions scale by Haroun et al., 2016. Each participant was then given a total cognitive distortions score with 30 being the lowest, 90 being the average and 150 being the highest. Participants were also asked to answer a constructed questionnaire based on the Cognitive distortions scale otherwise known as types of thinking scale by Covin, et al., 2011. Mean score was calculated for the patient group and compared with the control group. The collected data was revised, coded, tabulated and introduced to a PC using Statistical package for Social Science (SPSS 20). Data was presented and suitable analysis was done according to the type of data obtained for each parameter. Results were displayed to answer questions raised in the hypothesis of this study. Our study revealed the following: 1. Mean cognitive distortions score in cognitive distortions scale by Covin, et al., in the patient group was 95.067 Summary 78 indicating that most patients enrolled in these studies have a high prevalence of the above mentioned cognitive distortions 2. Mean cognitive distortions score in the cognitive distortions scale by Haroun, et al., in the patient group was 111.267 an above average score indicating that most patients enrolled in these studies have a high prevalence of the above mentioned cognitive distortions 3. There was a statistical significance between the prevalence of cognitive distortions in both patient and control groups with the patient group having a greater prevalence of cognitive distortions 4. There was no correlation between mean age and education level and the prevalence of cognitive distortions 5. The domain of cognitive distortions in BPD has very limited research, and the findings of this study highlight that there are distortions other than dichotomous thinking that are present among the individuals with BPD, which need to be focused on therapeutically This study is the first to be conducted in Egypt and possibly the Middle East paving the way for further research on patterns if thinking present in individuals with BPD. Our study has also proven the constructed questionnaire based on the Cognitive Distortions scale by Covin, et al., 2011 effective in assessing cognitive distortions and can be used further in future studies. |