Document Type : Research Paper
Author
Assistant Professor of Psychology at Institute for Humanities and Cultural Studies email: e.naseri@ihcs.ac.ir
Abstract
The rate of personality disorders among drug users is estimated to be up to 50%. Co-occurrence of personality disorders among drug users can potentially lead to increased symptom severity, resistance to treatment, and increased risk of relapse. Using the systematic review method, the efficacy of the dual focus schema therapy (DFST) in the treatment of substance use disorders with personality disorders was investigated. Using two databases, ScienceDirect and noormags, five eligible articles were reviewed that evaluated the efficacy of dual focus schema therapy (DFST) using case study and randomized controlled trial (RCT). The results showed that despite the positive and promising therapeutic results in two case studies, three RCT studies showed the least useful results for the efficacy of dual focus schema therapy (DFST) and that of dual focus schema therapy (DFST) is not a more effective option compared to other forms of intervention, and more accurate evaluation requires further RCTs.
Keywords
Agha Yousefi, A. R., Oraki, M., Ghorbani, T., Mahdieh, M. (2016). Determining the extent of dialectical behavior therapy on increasing self-differentiation in women with comorbid borderline personality disorders and substance abuse. Journal of Clinical Psychology Studies, 6 (23), 80-61. (in Persian)
Agha Yousefi, A., Tarkhan, M., Ghorbani, . (2015). The effect of dialectical behavior therapy on reducing impulsivity in women with comorbidity of borderline personality disorders and substance abuse. Addiction Research, 9 (34), 97-79. (in Persian)
Ball, S. A. (1998). Manualized treatment for substance abusers with personality disorders: Dual Focus Schema Therapy. Addictive Behaviors, 23, 883–891.
Ball, S. A., & Young, J. E. (2000). Dual focus schema therapy for personality disorders and substance dependence: Case study results. Cognitive and Behavioral Practice, 7, 270–281.
Ball, S. A. (2004). Treatment of personality disorders with co-occurring substance Dual focus schema therapy. In: J. Magnavita (Ed.), Handbook of personality disorders: Theory and practice. New York: John Wiley.
Ball, S. A., Cobb-Richardson, P., Connolly, A. J., Bujosa, C. T., & O'Neall, T. W. (2005). Substance abuse and personality disorders in homeless drop-in center clients: Symptom severity and psychotherapy retention in a randomized clinical trial. Comprehensive Psychiatry, 46, 371-379.
Ball, S. A. (2007). Comparing individual therapies for personality disordered opioid dependent patients. Journal of Personality Disorders, 21: 305-321.
Ball, S. A. (2007). Cognitive-Behavioral and Schema-Based Models for the Treatment of Substance Use Disorders. In Riso, L. P., Toit, P. L., Stein, D. J. and Young, J. E. (Eds.), Cognitive Schemas and Core Beliefs in Psychological Problems: A Scientist-Practitioner Guide. Washington, DC: American Psychological Association.
Ball, S. A., Maccarelli, L. M., LaPaglia, D. M., Ostrowski, M. J. (2011). Randomized trial of dual-focused vs. single-focused individual therapy for personality disorders and substance dependence. Nervous and Mental Disease, 199, 319–28.
Basu, D., Sarkar, S., & Mattoo, S. K. (2013). Psychiatric Comorbidity in Patients With Substance Use Disorders Attending an Addiction Treatment Center in India Over 11 Years: Case for a Specialized “Dual Diagnosis Clinic”. Journal of Dual Diagnosis, 9(1), 23-29.
European Monitoring Centre for Drugs and Drug Addiction. (2015). Comorbidity of substance use and mental
disorders in Europe. Luxembourg: Publications Office of the European Union.
Fraser, R., Isaif, L., Teles, D., Laporte, L. (2021) Personality Disorders and Addiction Disorders. In: el-Guebaly N., Carrà G., Galanter M., Baldacchino A.M. (eds) Textbook of Addiction Treatment. Springer.
Hartwell, K. J., Tolliver, B. K., Brady, K. T.(2009). Biologic Commonalities between Mental Illness and Addiction. Prim psychiatry, 16(8), 33–39.
Kazemi, D. M., Borsari, B., Levine, M. J., Li, S., Lamberson, K. A., & Matta, L. A. (2017). A Systematic Review of the mHealth Interventions to Prevent Alcohol and Substance Abuse, Journal of Health Communication, 22(5), 413-432.
Lee, N. K., Cameron, J., & Jenner, L. (2015). A systematic review of interventions for co-occurring substance use and borderline personality disorders. Drug and Alcohol Review, 34, 663–672.
Marlatt, G. A., & Gordon, J. R. (1985). Relapse prevention. New York: Guilford Press.
Menon, J., & Kandasamy, A. (2018). Relapse prevention. Indian journal of psychiatry, 60(4), 473–478.
Molavi, P., Sadeghi Movahed, F., Abul Hassanzadeh, M., Mashoufi, M., Mohammad Nia, H., Dailami, P., & Arab, R. (2009). Study of personality disorders among people with drug abuse disorders referred to Ardabil Addiction Treatment Center in 2008. Ardabil University of Medical Sciences, 9 (4), 333-325. (in Persian)
Naseri, E., Sohrabi, F., Borjali, A., Falsafinejad, M. R. (2014). The efficacy of dual focused schema therapy in reducing the severity of drug dependence in men with antisocial personality disorder. Health Psychology, 4 (1), 112-99. (in Persian)
National Institute on Drug Abuse (NIDA). (2018). Comorbidity: Substance Use Disorders and Other Mental Illnesses.
National Institute on Drug Abuse (NIDA). (2020). Common Comorbidities with Substance Use Disorders Research Report.
Prodromou, M., Kyritsi, E., Koukia, E. (2014). Dual diagnosis affects prognosis in patients with drug dependence in integrative care setting. Health Science Journal, 8(2),216-228.
Sepehrmanesh, Z., Ahmadvand, A., Qureshi, F. S., Mousavi, S. G. (2008). A study of personality traits of injecting drug users in Kashan prison in 2006. Feyz Research Quarterly, 12 (1), 75-69. (in Persian)
Spencer, A. E., Valentine, S. E., Sikov, J., Yule, A. M., Hsu, H., Hallett, E., Xuan, Z., Silverstein, M., and Fortuna, L. (2021). Principles of Care for Young Adults With Co-Occurring Psychiatric and Substance Use Disorders. Pediatrics January, 147 (2) 229-239.
Sureshkumar, K., Kailash, S., Dalal, P. K., Reddy, M. M., & Sinha, P. K. (2017). Psychosocial Factors Associated with Relapse in Patients with Alcohol Dependence. Indian Journal of Psychological Medicine, 39(3),312-315.
United Nations Office on Drugs and Crime. (2020). World drug report.
Wai, J.M., Shulman, M., Nunes, E.V., Hasin, D.S., Weiss, R.D. (2021). Co-occurring Mood and Substance Use Disorders. In: el-Guebaly N., Carrà G., Galanter M., Baldacchino A.M. (eds) Textbook of Addiction Treatment. Springer, Cham.
Walter, M. (2015). Personality Disorder and Addiction. In: Dom G., Moggi F. (eds) Co-occurring Addictive and Psychiatric Disorders. Springer, Berlin, Heidelberg.
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. New York: Guilford Press.
)