تعطیلات نوروزی مجله- ضمن تبریک فرارسیدن بهار و شروع سال جدید به اطلاع میرساند این نشریه از تاریخ ۲۵ اسفندماه ۱۴۰۲ لغایت ۱۳ فروردین ۱۴۰۳ تعطیل می باشد.

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1- University of Science and Art, Yazd
Abstract:   (554 Views)
Background and Objective:
Borderline personality disorder is one of the most common personality disorders. According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), borderline personality is a pervasive pattern of instability in interpersonal relationships, self-concept, and emotions, as well as overt impulsivity that begins in early adulthood. One of the problems associated with borderline personality disorder is nightmare. About 50% of people with borderline personality disorder report nightmares. Also, the main feature of borderline personality disorder is emotional instability, which includes severe mood swings. Problems such as decreased age of the disorder, the growing trend of suicidal ideation and other problems that these people experience in their lives have made the treatment of this disorder a research priority. Due to the etiology of this disorder, several therapeutic measures have been used. Among the measures, we can mention schema therapy, dialectical behavior therapy, and mentalization-based therapy. Mentalization-based therapy is a special type of psychiatric psychotherapy developed by Batman and Funagi for the treatment of patients with borderline personality disorder. The main hypothesis of mentalization-based therapy is that lack of mentalization capacity leads to the development of borderline personality disorder, therefore, the aim of this study was to determine the effectiveness of mentalization-based therapy on nightmares and emotional instability in women with borderline personality disorder.
methodos:
The method of the present study was quasi-experimental pretest- posttest with experimental and control group. The statistical population of this study was all women with borderline personality disorder referred to the Neurology Clinic in Yazd in 1400, using the available sampling method, 30 eligible volunteers in two groups, experimental (15 people) and the control group (15 people) were included the study according to the inclusion criteria. Mentalization-based therapy performed on the experimental group in 20 sessions of 75 minutes. No intervention was performed on the control group. Pre-test and post-test were performed using the Disturbing Dream and Nightmare Index (DDNSI) questionnaire (Krakow, 2001) and the Difficulty in Emotional Regulation (DERS) questionnaire (Gratz & Roemer, 2004). In order to analyze the data, in the descriptive statistics section of the test, the mean and standard deviation and in the inferential statistics section investigated the normality of data distribution in the research variables through Kolmogorov-Smirnov test (K-S) and homogeneity of variance, homogeneity of regression slope. And due to the fact that in this study, pre-test and post-test design was used, univariate covariance analysis was used, which was analyzed using SPSS22 software.
Results:
 In the experimental group, the scores of nightmare variables and emotional instability in the post-test phase were significantly reduced compared to the pre-test. The findings in the analysis of covariance for nightmare showed that since the significance level (p<0/001) was less than 0.05, so there was a significant difference between estimated mean of nightmare scores of the experimental and control group’s subjects, and the amount of differences indicates that 52/5 of the covariance of post-test scores was due to menalization-based therapy. Therefore, the mentalization-based therapy was effective in reducing nightmares. Also the pre-test variable was significant with a significant level of 0.001 and ineffective rate of %71/1. The findings in the analysis of covariance for emotional instability also showed that since the significant level (p<0/001) was less than 0.05, so there was a significant difference between the estimated mean of emotional instability scores of the experimental and control groups, and the amount of differences indicated that 87/2% of the covariance of post-test scores was due to the mentalization-based therapy. Therefore, mentalization-based therapy was effective in reducing emotional instability. Also, the pre-test variable was significant with a significant level of 0/001 and an effect rate of 86/1%.
Conclusion:
Based on the research findings, it is concluded that mentalization-based therapy reduces nightmares and emotional instability in women with borderline personality disorder. Therefore, this treatment can be used as an effective intervention to improve nightmares and emotional instability in women with borderline personality disorder.
Keywords: mentalization-based therapy, nightmare, emotional instability, borderline personality disorder.


     
Type of Study: Original Research Article | Subject: Psychology

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