ror.org/002rjbv21
Abstracts
Résumé
Introduction Le trouble de personnalité limite (TPL) est associé à plusieurs comportements délétères pour la santé. L’usage de substances (alcool et drogues) est présent chez 78 % des adultes aux prises avec un TPL. De plus, une mauvaise qualité de sommeil semble intimement liée au portrait clinique des adultes avec un TPL. Finalement, plusieurs troubles médicaux comorbides au TPL sont associés à l’inactivité physique et la sédentarité comme l’obésité, les maladies cardiovasculaires et le diabète. Toutefois, à ce jour, aucune étude n’a documenté ni analysé ces comportements de santé dans la population francophone avec un TPL.
Objectifs Cette étude a pour but de documenter les comportements de santé chez des adultes aux prises avec un TPL au Canada et en France.
Méthode Cette étude transversale est réalisée à l’aide d’un sondage en ligne distribué en France et au Canada sur la plateforme LimeSurvey, incluant des questionnaires validés. Pour mesurer le niveau d’activité physique, nous utilisons le Global Physical Activity Questionnaire. L’insomnie est évaluée à l’aide de l’Index de Sévérité de l’Insomnie. Le trouble d’usage de substances (TUS) est évalué à l’aide du Alcohol, Smoking and Substance Involvement Test. Des statistiques descriptives (N, % et moyenne) sont utilisées pour décrire les comportements de santé préalablement cités. Cinq modèles de régression sont réalisés pour trouver les principales variables (âge, statut social perçu, niveau d’éducation, revenu du ménage, indice de masse corporelle, difficultés de régulation émotionnelle, symptômes de TPL, niveau de dépression, antécédent de tentatives de suicide et usage de médicaments psychotropes) associées aux comportements de santé.
Résultats Au total, 167 participants (92 Canadiens, 75 Français ; 146 femmes, 21 hommes) ont répondu au sondage en ligne. Au sein de notre échantillon, 38 % des Canadiens et 28 % des Français ont rapporté faire moins de 150 minutes d’activité physique par semaine. L’insomnie affectait 42 % des Canadiens et 49 % des Français. Le TUS du tabac touchait 50 % des Canadiens et 60 % des Français. Le TUS d’alcool touchait 36 % des Canadiens et 53 % des Français. Le TUS du cannabis touchait 36 % des Canadiens et 38 % des Français. Toutes les variables testées sont liées à l’activité physique (R² = 0,09). L’insomnie est liée à la symptomatologie du TPL (R² = 0,24). Le TUS du tabac est lié au statut social et au TUS d’alcool (R² = 0,13). Le TUS d’alcool est lié au statut social, à l’indice de masse corporelle, au TUS du tabac et à la dépression (R² = 0,16). Finalement le TUS du cannabis est lié à l’âge, à l’indice de masse corporelle, au TUS du tabac, à la dépression et aux antécédents de tentatives de suicide (R² = 0,26).
Conclusion Ces résultats sont essentiels pour l’élaboration d’interventions de prévention en santé chez les adultes francophones avec un TPL au Canada et en France. Ils aident à identifier les principaux facteurs associés aux différents comportements ciblés.
Mots-clés :
- trouble de personnalité limite,
- activité physique,
- usage de substances,
- insomnie
Abstract
Introduction Borderline personality disorder (BPD) is associated with many unhealthy behaviors. Psychoactive substance (alcohol and drugs) use is present in 78% of adults with BPD. Moreover, a poor sleep seems linked to the clinical profile of adults with BPD. Finally, some physical comorbid disorders like obesity, cardiovascular diseases, and diabetes are linked to physical inactivity and sedentary behaviors. However, to this day no study analyzed these behaviors in French-speaking individuals with BPD.
Objectives This study’s goal is to document health behaviors in adults with BPD in Canada and in France.
Method This cross-sectional study consists of an online survey on the LimeSurvey platform including validated questionnaires distributed in France and Canada. To measure physical activity, we used the “Global Physical Activity Questionnaire.” Insomnia was measured with the “Insomnia Severity Index.” Substance use was measured with the “Alcohol, Smoking and Substance Involvement Test.” Descriptive statistics (N,% and mean) are used to describe previously mentioned health behaviors. Five regression models have been realized to find the main associated variables (age, perceived social status, education level, household income, body mass index, emotional regulation difficulties, BPD symptoms, depression level, previous suicide attempts and psychotropic medication use) to health behaviors.
Results A total of 167 participants (92 Canadians, 75 French; 146 women, 21 men) filled out the online survey. In this sample, 38% of Canadians and 28% of French reported doing less than 150 minutes of physical activity weekly. Insomnia affected 42% of Canadians and 49% of French. Tobacco use disorder affected 50% of Canadians and 60% of French. Alcohol use disorder affected 36% of Canadians and 53% of French. Cannabis use disorder affected 36% of Canadians and 38% of French. All tested variables were linked to physical activity (R² = 0.09). Insomnia was only linked with BPD symptoms (R² = 0.24). Tobacco use disorder was linked to social status and alcohol use disorder (R² = 0.13). Alcohol use disorder was linked to social status, body mass index, tobacco use disorder, and depression (R² = 0.16). Finally, cannabis use disorder was linked to age, body mass index, tobacco use disorder, depression, and past suicide attempts (R² = 0.26).
Conclusion These results are essential to design health prevention interventions in French-speaking adults with BPD in Canada and in France. They help identify the main factors associated with these health behaviors.
Keywords:
- borderline personality disorder,
- physical activity,
- substance use,
- insomnia
Appendices
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