{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:32:44Z","timestamp":1787761964069,"version":"build-2784847793"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"\n Background:<\/jats:title>\n Borderline personality disorder (BLPD) is one of the most common personalities disorders frequently encountered in the outpatient setup.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n Understanding the role of impulsivity and metacognition in clinical and cognitive insight among BLPD patients.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n A cross-sectional study was performed among 81 patients diagnosed with BLPD. Sociodemographic details were collected, and the Borderline Personality Questionnaire (BPQ), Beck Cognitive Insight Scale (BCIS), Metacognitive Questionnaire (MCQ-30), Urgency premeditation perseverance sensation seeking \u2013 impulsive behavior scale \u2013 short version (UPPS-S), and Scale to assess unawareness of mental disorder (SUMD) were applied to assess severity symptomatology, cognitive insight, metacognition, impulsivity and clinical insight, respectively.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The mean age \u00b1 SD of subject was 22.19 \u00b1 3.79, with a female preponderance (N = 61, 75.3%). The mean \u00b1 SD of BCIS, MCQ-30, UPPS-S, SUMD, and BPQ was 7.78 \u00b1 4.11, 66.96 \u00b1 14.95, 50.98 \u00b1 11.72, 5.53 \u00b1 2.36, and 57.56 \u00b1 9.00, respectively. The cognitive (BCIS) and clinical insight (SUMD) were significantly correlated (r = \u22120.26, P = 0.01). The impulsivity (UPPS) was also positively correlated with BPQ, (r = 0.26,\n P<\/jats:italic>\n = 0.01). In regression analysis, a significant negative relation was observed with MCQ-30 (Cognitive self-consciousness) (\u03b2 = \u22120.341, 95% CI = \u22121.022 to \u2212 0.186,\n P<\/jats:italic>\n = 0.005) when predicting BPQ. A significant negative relation of Negative urgency with BCIS (\u03b2 = \u22120.339, 95% CI = \u22120.703 to \u2212 0.054,\n P<\/jats:italic>\n = 0.023) and a positive relation with SUMD (\u03b2 =0.331, 95% CI = 0.032 to 0.392,\n P<\/jats:italic>\n = 0.022) were obtained.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The results of this study can be used in clinical practice by strengthening existing therapies aiming at these areas and thereby enhancing therapeutic alliance, adherence, and prognosis.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ipj.ipj_348_24","type":"journal-article","created":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T07:00:20Z","timestamp":1744959620000},"page":"89-96","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Understanding the metacognition and impulsivity issues with clinical and cognitive insight in borderline personality disorder \u2013 A cross sectional study"],"prefix":"10.4103","volume":"34","author":[{"given":"Rajnish","family":"Raj","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Institute of Mental Health and Neurosciences Kashmir, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaliya","family":"Khanam","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Institute of Mental Health and Neurosciences Kashmir, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaid A.","family":"Wani","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Institute of Mental Health and Neurosciences Kashmir, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afifa","family":"Afreen","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Institute of Mental Health and Neurosciences Kashmir, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simranjeet","family":"Kour","sequence":"additional","affiliation":[{"name":"Drug Deaddiction Center, Government Medical College, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajaz A.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Institute of Mental Health and Neurosciences Kashmir, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inaamul","family":"Haq","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Government Medical College, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4,18]]},"reference":[{"key":"R2-20260423","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1017\/S0954579405050510","article-title":"The development of impulsivity and suicidality in borderline personality disorder","volume":"17","author":"Paris","year":"2005","journal-title":"Dev Psychopathol"},{"key":"R3-20260423","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.jpsychires.2023.02.023","article-title":"Metacognition and insight dynamics exploration in borderline personality disorder: Exploring the underlying dynamics","volume":"160","author":"Martin","year":"2023","journal-title":"J Psychiatr Res"},{"key":"R4-20260423","first-page":"185","article-title":"Development of a self-report measure of metacognition: The metacognition self-assessment scale (MSAS). 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