The central role of borderline personality disorder in imprisoned people: a network analysis of mental disorder diagnoses.

Mundt, Adrian P.; Baggio, Stéphanie (2024). The central role of borderline personality disorder in imprisoned people: a network analysis of mental disorder diagnoses. The journal of forensic psychiatry & psychology, pp. 1-12. Taylor & Francis 10.1080/14789949.2024.2340064

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Multiple comorbid mental disorders have been reported in prison populations worldwide. This study aimed to assess the interrelatedness of comorbid mental disorders in imprisoned people. We surveyed 427 consecutively imprisoned people at intake to the prison system in the Greater Metropolitan Region of Santiago, Chile, using the Mini Neuropsychiatric Interview. In addition, we used the Structured Clinical Interview for DSM-IV (SCID-II) to assess borderline personality disorder (BPD). We conducted network analyses using R 4.3.1 (package bootnet version 1.5.3) with 11 variables representing the diagnostic entities agoraphobia, alcohol use disorder, antisocial personality disorder, BPD, illicit drug use disorder, major depression, obsessive-compulsive disorder, panic disorder, psychotic disorder, posttraumatic stress disorder (PTSD), and social anxiety disorder. BPD had a central position in a network of nine interrelated diagnoses and showed the highest levels of connectedness (strength, closeness, and betweenness) among personality, anxiety, mood, and substance use disorders. Psychotic disorders and PTSD were not connected with the other diagnoses. In sensitivity analyses stratified by sex, BPD remained in a central position and psychotic disorders were unconnected, while PTSD was connected with different nodes in each sex. BPD has a central role in the complex comorbidity of imprisoned people, which needs consideration for intervention development.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)

UniBE Contributor:

Baggio, Stéphanie

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1478-9949

Publisher:

Taylor & Francis

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

18 Apr 2024 10:15

Last Modified:

19 Apr 2024 00:17

Publisher DOI:

10.1080/14789949.2024.2340064

BORIS DOI:

10.48350/196076

URI:

https://boris.unibe.ch/id/eprint/196076

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