Comparison of the effectiveness of attachment therapy with motivational therapy in reducing slippage, recurrence, craving and continued substance abstinence in patients with substance-dependent borderline personality disorder

Subject Areas : Educational

hojjatolah  tahmasebian ¹ (PhD student of General Psychology, Ilam Branch, Islamic Azad University, Ilam, Iran)
vahid  ahmadi ² (Assistant Professor, Department of Psychology, Islamic Azad University, Ilam, Iran.)
shahram  mami ³ (Assistant Professor, PhD in General Psychology, Ilam Branch, Islamic Azad University, Ilam, Iran)

Received: 2020-02-03 Accepted : 2020-10-26 Published : 2022-08-23

Keywords: Craving and abstinence, Slip and relapse, Attachment therapy, borderline personality disorder, Substance dependents, Motivational therapy,

Abstract :

The aim of this study was to compare the effectiveness of attachment therapy with motivational therapy in reducing slippage, recurrence, craving and continued substance abstinence in patients with substance-dependent borderline personality disorder. The present study was a quasi-experimental interventional study with pre-test post-test design with control group and 3-month follow-up. The statistical population of all substance abusers with borderline personality disorder referred to addiction treatment centers in Kermanshah city, 60 of whom were selected by convenience sampling method. Ross Adult Attachment Questionnaire (RASS Adult Attachment, 1996), Gashtasbi Asl et al.’s Borderline Personality Disorder (2017), Miller and Tonikan’s Stages of Change Readiness and Treatment Eagerness (1996), McMullen Addiction Thoughts (1990), researcher-made questionnaire on recurrence, craving, slip and abstinence, Motivational intervention of Transtheoretical model of change (Procheska and D. Clemente, 1990) and Attachment treatment protocol (Jahanbakhsh et al., 2011) was used. Data were analyzed by multivariate analysis of covariance. The results showed that attachment therapy and motivational therapy significantly decreased the slip, recurrence and craving of patients and increased the continuity of abstinence. Attachment therapy and motivational therapy had an effect on the rate of slip, relapse, craving and persistence of patients in the follow-up test. The rate of changes in slip, relapse, craving and abstinence scores was higher in those who received attachment therapy than those who received motivational therapy. Attachment therapy is more effective in reducing slip, relapse, craving, and continued drug use than motivational therapy. The results showed that both intervention methods were effective in improving the consumption of people with borderline personality disorder. However, the effect of addiction treatment-based therapy in people with borderline personality disorder is more effective than attachment therapy than motivational therapy.

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