RT Article
T1 The central role of borderline personality disorder in imprisoned people: a network analysis of mental disorder diagnoses
JF The journal of forensic psychiatry & psychology
VO 35
IS 3
SP 495
OP 506
A1 Mundt, Adrian P.
A2 Baggio, Stéphanie 1980-
LA English
YR 2024
UL https://krimdok.uni-tuebingen.de/Record/1892737035
AB 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.
K1 Prison
K1 network analyses
K1 incarcerated populations
K1 Comorbidity
K1 Borderline Personality Disorder
DO 10.1080/14789949.2024.2340064