This work may not be copied, distributed, displayed, published, reproduced, transmitted, modified, posted, sold, licensed, or used for commercial purposes. By downloading this file, you are agreeing to the publisher’s Terms & Conditions.

Original Research

The Relationship Between Medically Self-Sabotaging Behaviors and Borderline Personality Disorder Among Psychiatric Inpatients

Randy A. Sansone Jamie S. McLean Michael W. Wiederman

Published: December 15, 2008

Article Abstract

Objective: In this study, we hypothesized and explored a relationship between medically self-sabotaging behaviors and borderline personality disorder.

Method: Using a cross-sectional self-report survey methodology, we examined 120 psychiatric inpatients, who were not psychotic, demented, medically ill, or cognitively impaired, being treated in an urban community hospital located in a midsized, midwestern city (sample of convenience) for medically self-sabotaging behaviors (author-developed survey) and borderline personality disorder. Borderline personality disorder was assessed with the following 3 measures: the borderline personality scale of the Personality Diagnostic Questionnaire-4 (PDQ-4), the Self-Harm Inventory (SHI), and the McLean Screening Inventory for Borderline Personality Disorder (MSI-BPD). Data were collected from May 2006 to November 2007.

Results: For the 76 respondents (63.3%) who reported having engaged in at least 1 medically self-sabotaging behavior, the mean number of different medically self-sabotaging behaviors was 4.11 (SD=3.93). With regard to the most commonly endorsed behaviors, approximately one quarter of participants acknowledged damaging self on purpose and seeking medical treatment; not going for medical treatment, despite needing it, to purposefully hurt self; not taking a prescribed medication to hurt self; and gravitating toward a dangerous situation hoping to be physically hurt. As hypothesized, greater numbers of self-reported medically self-sabotaging behaviors were related to higher scores on the PDQ-4 (r=0.28, p

Conclusions: Medically self-sabotaging behaviors are commonly encountered in psychiatric inpatients with borderline personality disorder.

Some JCP and PCC articles are available in PDF format only. Please click the PDF link at the top of this page to access the full text.

Related Articles

Volume: 10

Quick Links: