The Impact of Opioid Misuse within Divorced and Separated Family Structures on Borderline Personality Disorder Traits among Justice-Involved Adolescents
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Mentor Information
Dr. Micah E. Johnson
Description
Justice-involved adolescents (JIA) with adverse childhood experiences (ACEs), particularly parental separation/divorce, are a vulnerable population at risk for opioid misuse (OM). Adolescents from divorced and separated homes (DASH) are observed to be at risk of developing borderline personality disorder (BPD) traits. BPD prevalently co-occurs with substance misuse, including OM. This study hypothesized JIA with OM from DASH are at increased risk of reporting BPD traits compared to JIA without OM or DASH. The study utilized a sample of 79,960 JIA obtained from the Florida Department of Juvenile Justice. From these, 1,740 JIA with OM from DASH that completed the Positive Achievement Change Tool were examined. Cross tabulation and logistic regression analyses were employed to find the odds and significance of 7 different BPD traits within this sub-population. The 1,740 JIA with OM from DASH were more likely to report being impulsive(OR=3.63; 95% CI=3.25, 4.06), having low frustration tolerance (OR=3.42; 95% CI=2.18, 2.69), having low levels of optimism(OR=2.62; 95% CI=2.38, 2,88), and struggling to use skills to deal with feelings(OR=1.81; 95% CI=1.64, 1.99). JIA with OM from DASH were also more likely to report suicidal behavior (OR=3.36; 95% CI=3.05, 3.70), hostile interpretations of others in common settings (OR=2.27; 95% CI=1.90, 2.74), and consistent anger/irritability (OR=2.29; 95% CI=2.08, 2.53). A significant impact between BPD traits and JIA from DASH was found. Lack of parental supervision and socioeconomic factors could potentially contribute to JIA with OM from DASH having vulnerability to BPD traits. These data highlight the importance of implementing psychological interventions.
The Impact of Opioid Misuse within Divorced and Separated Family Structures on Borderline Personality Disorder Traits among Justice-Involved Adolescents
Justice-involved adolescents (JIA) with adverse childhood experiences (ACEs), particularly parental separation/divorce, are a vulnerable population at risk for opioid misuse (OM). Adolescents from divorced and separated homes (DASH) are observed to be at risk of developing borderline personality disorder (BPD) traits. BPD prevalently co-occurs with substance misuse, including OM. This study hypothesized JIA with OM from DASH are at increased risk of reporting BPD traits compared to JIA without OM or DASH. The study utilized a sample of 79,960 JIA obtained from the Florida Department of Juvenile Justice. From these, 1,740 JIA with OM from DASH that completed the Positive Achievement Change Tool were examined. Cross tabulation and logistic regression analyses were employed to find the odds and significance of 7 different BPD traits within this sub-population. The 1,740 JIA with OM from DASH were more likely to report being impulsive(OR=3.63; 95% CI=3.25, 4.06), having low frustration tolerance (OR=3.42; 95% CI=2.18, 2.69), having low levels of optimism(OR=2.62; 95% CI=2.38, 2,88), and struggling to use skills to deal with feelings(OR=1.81; 95% CI=1.64, 1.99). JIA with OM from DASH were also more likely to report suicidal behavior (OR=3.36; 95% CI=3.05, 3.70), hostile interpretations of others in common settings (OR=2.27; 95% CI=1.90, 2.74), and consistent anger/irritability (OR=2.29; 95% CI=2.08, 2.53). A significant impact between BPD traits and JIA from DASH was found. Lack of parental supervision and socioeconomic factors could potentially contribute to JIA with OM from DASH having vulnerability to BPD traits. These data highlight the importance of implementing psychological interventions.
