Mental Health Institute of the Second Xiangya Hospital & Hunan Province Technology Institute of Psychiatry & Key Laboratory of Psychiatry and Mental Health of Hunan Province, Central South University, Changsha, China; Suzhou Psychiatric Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.
Mental Health Institute of the Second Xiangya Hospital & Hunan Province Technology Institute of Psychiatry & Key Laboratory of Psychiatry and Mental Health of Hunan Province, Central South University, Changsha, China.
Psychiatry Res. 2017 Apr;250:200-203. doi: 10.1016/j.psychres.2017.01.065. Epub 2017 Jan 23.
High prevalence of borderline personality disorder (BPD) has been found in Western prisons but no such data exists in China. The objective of this study was to determine the lifetime prevalence of BPD in Chinese female prison inmates and its associated risk factors. This cross-sectional study was conducted in Hunan Provincial Female Prison. Data on consenting inmates' socio-demographic and clinical characteristics were collected and the diagnosis of lifetime BPD was established using the Structural Clinical Interview for DSM-IV. The prevalence of BPD was 10.6% in the cohort of 2709 participating inmates. Multiple logistic regression analysis revealed that younger age, unmarried marital status, higher education level, fewer major medical conditions, more frequent personal and family members' drug use, more frequent comorbid psychiatric disorders and family history of psychiatric disorders were positively and independently associated with BPD. BPD is common in Chinese female prison inmates. Considering its adverse social consequences and impact on physical and mental well-being, serious attempts should be made to diagnose BPD early and improve access to treatment in women prisons.
高患病率的边缘型人格障碍（BPD）已被发现在西方监狱中，但在中国没有这样的数据存在。本研究的目的是确定中国女性监狱囚犯的 BPD 终身患病率及其相关的危险因素。这项横断面研究是在湖南省女子监狱进行的。收集了同意参加的囚犯的社会人口学和临床特征数据，并使用DSM-IV 结构临床访谈来确定 BPD 的终生诊断。在 2709 名参与囚犯的队列中，BPD 的患病率为 10.6%。多因素逻辑回归分析显示，年龄较小、未婚、受教育程度较高、较少的主要医疗条件、更多的个人和家庭成员吸毒、更多的共患精神障碍和精神障碍家族史与 BPD 呈正相关和独立相关。BPD 在中国女性监狱囚犯中很常见。考虑到其对社会造成的不良后果以及对身心健康的影响，应认真尝试早期诊断 BPD，并改善女性监狱的治疗途径。
