Relationship between Big Five model parameters and indicators of psychological well-being in patients with borderline personality disorder
Authors
Kuftyak E.V.
Federal State Budgetary Educational Institution of Higher Education “Russian Academy of National Economy
and Public Administration under the President of the Russian Federation”, Moscow, Russian Federation
Kozlov M.Yu.
SBIH “Psychiatric Clinical Hospital No. 4 named after P.B. Gannushkin” of the Moscow Department of Health, Moscow, Russian Federation
Ivanitskaya E.D.
SBIH “Psychiatric Clinical Hospital No. 4 named after P.B. Gannushkin” of the Moscow Department of Health, Moscow, Russian Federation
Emelyanov R.V.
SBIH “Psychiatric Clinical Hospital No. 4 named after P.B. Gannushkin” of the Moscow Department of Health, Moscow, Russian Federation
https://doi.org/10.26617/1810-3111-2023-3(120)-87-94
Journal: Siberian Herald of Psychiatry and Addiction Psychiatry. 2023; 3 (120): 87-94.
Abstract
Background. In current psychiatric practice, there is an increase in the proportion of patients with borderline personality disorder (BPD) and its frequent comorbidity with depression, PTSD, and substance use; this determines the interest of clinicians and psychologists in the biological and psychosocial reasons for the formation of BPD, typological features of the course and prognosis of development and outcome of the disease. Objective: to study the relationship between the Big Five model parameters and indicators of psychological well-being in patients suffering from borderline personality disorder. Materials and Methods. The sample (n=44) consisted of patients diagnosed with BPD. Inclusion criteria: absence of pronounced current affective and psychotic symptoms, sufficient level of intellectual development and logical thinking, absence of other mental pathology. A semi-structured interview was used to collect socio-demographic data and pathopsychological testing (assessment of behavioral characteristics). Psychodiagnostic methods: Russian version of the TIPI questionnaire (TIPI-RU), psychological well-being questionnaire by K. Riff (1989). The results obtained were analyzed using the Jamovi Program. Results. Statistically significant linear relationships have been established between the Big Five factors and indicators of psychological well-being. A significant contribution of extraversion to all indicators of psychological well-being was revealed. The contribution of emotional stability and conscientiousness to most indicators of psychological well-being, with the exception of autonomy and personal growth, has been determined. Multiple regression models were built, the predictors of which were the “Big Five” factors (extroversion, friendliness, conscientiousness, emotional stability and openness to experience), the criteria were indicators of psychological well-being (autonomy, competence, personal growth, positive attitude, life goals and self-acceptance). In patients with BPD, a statistically significant relationship was found between extraversion, emotional stability and psychological well-being. The pronounced influence of extraversion (focus on the outside world, friendly attitude towards others, sociability, energy, activity, openness, adaptability) on the psychological well-being of patients with BPD is consistent with the emotional cascade model (the relationship between BPD symptoms and dysregulated behavior), postulating that that behavioral disorders are provoked by a dysfunctional way of perception and thinking, which is associated with a decrease in awareness of external social signals. It is advisable to use an increase in the parameters of emotional stability, extraversion, and partly conscientiousness as a criterion for improving the level of psychological well-being during individual psychological and psychotherapeutic support for patients with BPD. The main target is psychocorrection of emotional-behavioral response and cognitive rigidity, minimization of internal tension, stabilization of the image of Self.
Keywords: borderline personality disorder, psychological well-being, Big Five assessment model, emotional cascade theory, psychocorrection.
Contacts
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Materials
For citation: Kuftyak E.V., Kozlov M.Yu., Ivanitskaya E.D., Emelyanov R.V. Relationship between Big Five model parameters and indicators of psychological well-being in patients with borderline personality disorder. Siberian Herald of Psychiatry and Addiction Psychiatry.2023; 3 (120): 87-94. https://doi.org/10.26617/1810-3111-2023-3(120)-87-94
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