Understanding the metacognition and impulsivity issues with clinical and cognitive insight in borderline personality disorder – A cross sectional study
Background: Borderline personality disorder (BLPD) is one of the most common personalities disorders frequently encountered in the outpatient setup. Aim: Understanding the role of impulsivity and metacognition in clinical and cognitive insight among BLPD patients. Materials and Methods: A cross-sect...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Industrial Psychiatry Journal |
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| Online Access: | https://journals.lww.com/10.4103/ipj.ipj_348_24 |
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| author | Rajnish Raj Aaliya Khanam Zaid A. Wani Afifa Afreen Simranjeet Kour Ajaz A. Khan Inaamul Haq |
| author_facet | Rajnish Raj Aaliya Khanam Zaid A. Wani Afifa Afreen Simranjeet Kour Ajaz A. Khan Inaamul Haq |
| author_sort | Rajnish Raj |
| collection | DOAJ |
| description | Background:
Borderline personality disorder (BLPD) is one of the most common personalities disorders frequently encountered in the outpatient setup.
Aim:
Understanding the role of impulsivity and metacognition in clinical and cognitive insight among BLPD patients.
Materials and Methods:
A cross-sectional study was performed among 81 patients diagnosed with BLPD. Sociodemographic details were collected, and the Borderline Personality Questionnaire (BPQ), Beck Cognitive Insight Scale (BCIS), Metacognitive Questionnaire (MCQ-30), Urgency premeditation perseverance sensation seeking – impulsive behavior scale – short version (UPPS-S), and Scale to assess unawareness of mental disorder (SUMD) were applied to assess severity symptomatology, cognitive insight, metacognition, impulsivity and clinical insight, respectively.
Results:
The mean age ± SD of subject was 22.19 ± 3.79, with a female preponderance (N = 61, 75.3%). The mean ± SD of BCIS, MCQ-30, UPPS-S, SUMD, and BPQ was 7.78 ± 4.11, 66.96 ± 14.95, 50.98 ± 11.72, 5.53 ± 2.36, and 57.56 ± 9.00, respectively. The cognitive (BCIS) and clinical insight (SUMD) were significantly correlated (r = −0.26, P = 0.01). The impulsivity (UPPS) was also positively correlated with BPQ, (r = 0.26, P = 0.01). In regression analysis, a significant negative relation was observed with MCQ-30 (Cognitive self-consciousness) (β = −0.341, 95% CI = −1.022 to − 0.186, P = 0.005) when predicting BPQ. A significant negative relation of Negative urgency with BCIS (β = −0.339, 95% CI = −0.703 to − 0.054, P = 0.023) and a positive relation with SUMD (β =0.331, 95% CI = 0.032 to 0.392, P = 0.022) were obtained.
Conclusion:
The results of this study can be used in clinical practice by strengthening existing therapies aiming at these areas and thereby enhancing therapeutic alliance, adherence, and prognosis. |
| format | Article |
| id | doaj-art-da00fec9b08c4894a3dc7f8592de9968 |
| institution | Kabale University |
| issn | 0972-6748 0976-2795 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Industrial Psychiatry Journal |
| spelling | doaj-art-da00fec9b08c4894a3dc7f8592de99682025-08-20T03:52:16ZengWolters Kluwer Medknow PublicationsIndustrial Psychiatry Journal0972-67480976-27952025-01-01341899610.4103/ipj.ipj_348_24Understanding the metacognition and impulsivity issues with clinical and cognitive insight in borderline personality disorder – A cross sectional studyRajnish RajAaliya KhanamZaid A. WaniAfifa AfreenSimranjeet KourAjaz A. KhanInaamul HaqBackground: Borderline personality disorder (BLPD) is one of the most common personalities disorders frequently encountered in the outpatient setup. Aim: Understanding the role of impulsivity and metacognition in clinical and cognitive insight among BLPD patients. Materials and Methods: A cross-sectional study was performed among 81 patients diagnosed with BLPD. Sociodemographic details were collected, and the Borderline Personality Questionnaire (BPQ), Beck Cognitive Insight Scale (BCIS), Metacognitive Questionnaire (MCQ-30), Urgency premeditation perseverance sensation seeking – impulsive behavior scale – short version (UPPS-S), and Scale to assess unawareness of mental disorder (SUMD) were applied to assess severity symptomatology, cognitive insight, metacognition, impulsivity and clinical insight, respectively. Results: The mean age ± SD of subject was 22.19 ± 3.79, with a female preponderance (N = 61, 75.3%). The mean ± SD of BCIS, MCQ-30, UPPS-S, SUMD, and BPQ was 7.78 ± 4.11, 66.96 ± 14.95, 50.98 ± 11.72, 5.53 ± 2.36, and 57.56 ± 9.00, respectively. The cognitive (BCIS) and clinical insight (SUMD) were significantly correlated (r = −0.26, P = 0.01). The impulsivity (UPPS) was also positively correlated with BPQ, (r = 0.26, P = 0.01). In regression analysis, a significant negative relation was observed with MCQ-30 (Cognitive self-consciousness) (β = −0.341, 95% CI = −1.022 to − 0.186, P = 0.005) when predicting BPQ. A significant negative relation of Negative urgency with BCIS (β = −0.339, 95% CI = −0.703 to − 0.054, P = 0.023) and a positive relation with SUMD (β =0.331, 95% CI = 0.032 to 0.392, P = 0.022) were obtained. Conclusion: The results of this study can be used in clinical practice by strengthening existing therapies aiming at these areas and thereby enhancing therapeutic alliance, adherence, and prognosis.https://journals.lww.com/10.4103/ipj.ipj_348_24borderline patientsimpulsivity in borderlinemale borderline |
| spellingShingle | Rajnish Raj Aaliya Khanam Zaid A. Wani Afifa Afreen Simranjeet Kour Ajaz A. Khan Inaamul Haq Understanding the metacognition and impulsivity issues with clinical and cognitive insight in borderline personality disorder – A cross sectional study Industrial Psychiatry Journal borderline patients impulsivity in borderline male borderline |
| title | Understanding the metacognition and impulsivity issues with clinical and cognitive insight in borderline personality disorder – A cross sectional study |
| title_full | Understanding the metacognition and impulsivity issues with clinical and cognitive insight in borderline personality disorder – A cross sectional study |
| title_fullStr | Understanding the metacognition and impulsivity issues with clinical and cognitive insight in borderline personality disorder – A cross sectional study |
| title_full_unstemmed | Understanding the metacognition and impulsivity issues with clinical and cognitive insight in borderline personality disorder – A cross sectional study |
| title_short | Understanding the metacognition and impulsivity issues with clinical and cognitive insight in borderline personality disorder – A cross sectional study |
| title_sort | understanding the metacognition and impulsivity issues with clinical and cognitive insight in borderline personality disorder a cross sectional study |
| topic | borderline patients impulsivity in borderline male borderline |
| url | https://journals.lww.com/10.4103/ipj.ipj_348_24 |
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