Abstract
Background & Objectives: Addiction tendency represents a persistent psychological urge to use substances as a response to internal compulsion, which gradually deteriorates both physical and psychological functioning. Adolescence is a developmental stage characterized by emotional instability, identity formation, and heightened vulnerability to peer influence and risky behaviors. During this period, internal psychological structures play a crucial role in determining whether a young person adopts adaptive coping mechanisms or turns toward maladaptive ones, such as substance use. Given that the inclination toward addiction emerges from the interaction of biological, social, and intrapsychic factors, psychoanalytic constructs, such as Kernberg’s personality organization and object relations provide a rich theoretical framework to understand these mechanisms. Despite the theoretical relevance of these constructs, empirical studies integrating Kernberg’s model of personality organization with object relations in predicting addiction tendency—particularly among adolescents—remain scarce in the Iranian context. Thus, the present research was designed to investigate the relationship between Kernberg’s personality organization, object relations, and addiction tendency among male high school students in Urmia City, Iran.
Methods: The research method was a correlational analysis. The statistical population included all male students enrolled in the second level of secondary schools in District 1 of Urmia City during the 2023–2024 academic year. A multi–stage cluster random sampling method was applied, and a total of 215 students were selected. The inclusion criteria were as follows: willingness to cooperate and participate in the study voluntarily, being a student in the second year of high school, being at least 16 years old and no more than 19 years old, and obtaining a score of more than 38 on the Addiction Tendency Questionnaire (ATQ) (Zargar, 2006). The exclusion criteria were as follows: incomplete filling out the questionnaires and failure to cooperate in the research process. Data were gathered using standardized psychometric instruments: the Personality Organization Inventory (Kernberg, 2002), Bell Object Relations and Reality Testing Inventory (BORRTI) (Bell, 1995), and the Addiction Tendency Questionnaire (Zargar, 2006). Ethical considerations for the research included ensuring the confidentiality of information obtained from students, stating the research objectives, and the participants' right to withdraw. Research data were analyzed using descriptive (frequency, mean, and standard deviation) and inferential statistics (Pearson correlation coefficient and multiple regression analysis) in SPSS software version 21. A significance level of 0.05 was considered.
Results: A total of 215 male students participated in the study. The mean age of the male students was 16.19 years and the standard deviation was 0.54 years. In this study, 45 students were in the 10th grade, 130 students in the 11th grade, and 40 students in the 12th grade. The results of the Pearson correlation coefficient indicated a positive and significant relationship between the variables of object relations and adolescents’ addiction tendency (r=0.31) and between the Kernberg’s personality organization and adolescents’ addiction tendency (r=0.28) (p<0.001). The findings of the regression analysis showed that in total, the two variables of object relations and Kernberg’s personality organization explained 31% and 28% of the variance of adolescents’ addiction tendency, respectively (p<0.001).
Conclusion: According to the study results, two factors, Kernberg's personality organization and object relations, play an important role in the tendency towards addiction in adolescents, and early intervention in these factors can prevent addiction.
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