Prevalence of borderline personality disorder and its risk factors in female prison inmates in China.
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.
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.
Xiao-Min
XM
Zhu
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.
Jian-Song
JS
Zhou
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.
Chen
C
Chen
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.
Wang-Lian
WL
Peng
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.
Wen
W
Li
University of Notre Dame Australia / Marian Centre, Perth, Australia; School of Psychiatry & Clinical Neurosciences, University of Western Australia, Perth, Australia.
Gabor S
GS
Ungvari
Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia.
Chee H
CH
Ng
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. Electronic address: xiaop6@126.com.
Xiao-Ping
XP
Wang
Unit of Psychiatry, Faculty of Health Sciences, University of Macau, Macao SAR, China. Electronic address: xyutly@gmail.com.
Yu-Tao
YT
Xiang
D000328:Adult; D000367:Age Factors; D001883:Borderline Personality Disorder / Q000453:epidemiology* / Q000523:psychology; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006801:Humans; D008875:Middle Aged; D015995:Prevalence; D011329:Prisoners / Q000523:psychology*; D011330:Prisons; D012307:Risk Factors
Borderline personality disorder; Female inmates; Risk factors