Relationship between the level of motivation and personality disorder in patients with opioid dependence syndrome

Abstract

Background: The relationship between the level of motivation and personality disorder (PD) in patients with opioid dependence syndrome is understudied. Method: A cross-sectional study was conducted on consecutively selected 100 adult inpatients with opioid dependence syndrome. All participants were assessed on ICD-10-AM Symptom Checklist for Mental Disorders, University of Rhode Island Change Assessment (URICA), Stage of Change Readiness and Treatment Eagerness Scale (SOCRATES 8D), International Personality Disorder Examination (IPDE), and Severity of Opioid Dependence Questionnaire (SODQ). Results: Most patients expressed the level of motivation at contemplation level, medium level of recognition for the need for change, and high levels of ambivalence and taking steps for change. PD was diagnosed in 40% of the patients. The most common PD identified was dissocial, followed by an emotionally unstable personality disorder-impulsive type. There was no statistically significant difference in URICA, SOCRATES 8D, or SODQ scores in opioid-dependent patients with and without PDs. Patients with severe opioid dependence reported higher readiness to change. Conclusion: Most of the patients with opioid dependence syndrome presenting for treatment are at the contemplation level of motivation. More than one-third of patients with opioid dependence syndrome have PD. A diagnosis of comorbid PD is unrelated to the level of motivation in patients with opioid dependence syndrome. Further multicentric research on personality and PD in a diverse sociocultural population with opioid use disorders is needed.

Keywords

• dependence
• motivation
• opioid
• personality disorder key messages: most patients with opioid dependence syndrome presenting for treatment are at the contemplation level of motivation. patients with severe opioid dependence report higher readiness to change. a diagnosis of comorbid personality disorder is unrelated to the level of motivation in patients with opioid dependence syndrome.