Department of Psychiatry, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
J Med Life. 2022 Apr;15(4):454-461. doi: 10.25122/jml-2021-0317.
Personality disorders can lead to difficult social or occupational functional processes rooted in chronic maladaptive thoughts, feelings, and behaviors. This study aimed to investigate factors of personality disorder in prisoners from the central prison of Sanandaj, Iran. We conducted a cross-sectional study, which included all prisoners in the central prison of Sanandaj, Iran. The study sample includes 343 prisoners, of which 329 were male, and 14 were female, selected by randomized multistage sampling method. Participants filled in Millon's multi-axis clinical questionnaire. The data were analyzed using Chi-square, multiple logistic regression, and bootstrap analysis. There were 183 participants without personality disorders (53.4%) and 99 participants (28.9%) with cluster B personality disorders (narcissistic, histrionic, anti-social, and borderline). Male gender (OR=0.07) and elementary education level (OR=0.18) have a significant relationship with cluster A personality disorders (paranoid, schizoid, schizotypal). Cluster B has a significant relationship only with the elementary education level (OR=0.27). Cluster C (avoidant, dependent, obsessive-compulsive personality disorder) has a significant relationship with male gender (OR=0.20), elementary education level (OR=0.30), unemployment (OR=2.64), theft crime types (OR=0.38) and disputes and assaults (OR=0.18). Based on these results, psychological and psychiatric interventions in prisoners are suggested.
人格障碍可导致源于慢性适应不良的思想、情感和行为的困难社交或职业功能过程。本研究旨在调查伊朗赞詹中央监狱囚犯的人格障碍因素。我们进行了一项横断面研究，包括伊朗赞詹中央监狱的所有囚犯。研究样本包括 343 名囚犯，其中 329 名男性，14 名女性，采用随机多级抽样法选择。参与者填写了米隆多轴临床问卷。使用卡方检验、多因素逻辑回归和 bootstrap 分析对数据进行分析。183 名参与者无人格障碍（53.4%），99 名参与者（28.9%）有 B 群人格障碍（自恋型、表演型、反社会型和边缘型）。男性（OR=0.07）和小学教育程度（OR=0.18）与 A 群人格障碍（偏执型、分裂型、分裂样型）有显著关系。B 群仅与小学教育程度（OR=0.27）有显著关系。C 群（回避型、依赖型、强迫型人格障碍）与男性（OR=0.20）、小学教育程度（OR=0.30）、失业（OR=2.64）、盗窃犯罪类型（OR=0.38）和纠纷和攻击（OR=0.18）有显著关系。基于这些结果，建议对囚犯进行心理和精神干预。
