埃塞俄比亚西北部南贡达区教养院囚犯中的反社会人格障碍及其决定因素：一项基于机构的横断面研究

IF 1.4 4区医学 Q1 LAW

International Journal of Law and Psychiatry Pub Date : 2024-09-10 DOI:10.1016/j.ijlp.2024.102018

Setegn Fentahun , Agegnehu Amare , Gebresilassie Tadesse , Mesele Wondie , Mamaru Melkam , Getachew Tesfaw

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引用次数: 0

摘要

背景反社会型人格障碍（ASPD）是一种常见的精神疾病，对公众健康造成了重大影响，患病率占总人口的 0.2-3.3%。反社会型人格障碍在惩教机构中越来越常见。因此，本研究旨在评估南贡达区教养中心囚犯中的反社会人格障碍及其决定因素，这对早期干预具有重要作用。方法采用简单随机抽样技术进行了一项基于机构的横断面研究，共招募了 552 名参与者。反社会型人格障碍采用《精神疾病诊断与统计手册》第 5 版修订本（DSM-5），通过访谈者发放的问卷进行评估。我们使用二元和多元分析来确定与 ASPD 相关的因素。结果共有 552 人参与，回复率为 97.87%。研究发现，反社会型人格障碍在囚犯中的患病率为 27.5%，95% 置信区间（23.96, 31.42）。研究显示，男性（AOR = 5.25，95 % CI：1.60, 17.31）、失业（AOR = 4.38，95 % CI：1.27, 15.08）、家族精神病史（AOR = 2.23，95 % CI：1.30, 3.结论这项研究表明，反社会型人格障碍在囚犯中的患病率较高。男性、失业、家族精神病史和监禁史与反社会型人格障碍有显著相关性。因此，本研究结果表明，惩教中心需要对被监禁者的反社会型人格障碍给予更多关注和早期干预。

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Antisocial personality disorder and determinants among prisoners in South Gondar zone correctional institutions, Northwest Ethiopia: An institution-based cross-sectional study

Background

Antisocial personality disorder (ASPD) is a common mental health condition with major public health consequences, affecting 0.2–3.3 % of the general population. ASPD has become increasingly common in correctional settings. Therefore, this study aimed to assess antisocial personality disorder and its determinants among prisoners in South Gondar zone correctional centers, which has a vital role in early intervention.

Methods

An institution-based cross-sectional study was conducted using the simple random sampling technique to recruit a total of 552 participants. Antisocial personality disorder was assessed by the Diagnostic and Statistical Manual of Mental Disorders 5th text revision (DSM-5) using an interviewer-administered questionnaire. We used binary and multivariate analyses to identify factors associated with ASPD. Statistical significance was declared at a 95 % confidence interval (CI) of p-value ˂0.05.

Results

A total of 552 participants took part with a response rate of 97.87 %. The prevalence of antisocial personality disorder among prisoners was found to be 27.5 %, with a 95 % CI (23.96, 31.42). The study revealed that male sex (AOR = 5.25, 95 % CI: 1.60, 17.31), being unemployed (AOR = 4.38, 95 % CI: 1.27, 15.08), family history of mental illness (AOR = 2.23, 95 % CI: 1.30, 3.81), and repeated incarceration (AOR = 2.04, 95 % CI: 1.28, 3.23) were factors significantly associated with antisocial personality disorder.

Conclusions

This study showed a higher prevalence of antisocial personality disorder among prisoners. Male sex, unemployment, family history of mental illness, and history of incarceration were significantly associated with antisocial personality disorder. Therefore, the findings of this study recommend that incarcerated people require more attention and early intervention for antisocial personality disorder in correctional centers.

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来源期刊

International Journal of Law and Psychiatry Multiple-

CiteScore

4.70

自引率

8.70%

发文量

审稿时长

41 days

期刊介绍： The International Journal of Law and Psychiatry is intended to provide a multi-disciplinary forum for the exchange of ideas and information among professionals concerned with the interface of law and psychiatry. There is a growing awareness of the need for exploring the fundamental goals of both the legal and psychiatric systems and the social implications of their interaction. The journal seeks to enhance understanding and cooperation in the field through the varied approaches represented, not only by law and psychiatry, but also by the social sciences and related disciplines.