Kelly E Moore1, Robyn L Gobin2, Heather L McCauley3, Chien-Wen Kao4, Stephanie M Anthony5, Sheryl Kubiak6, Caron Zlotnick7, Jennifer E Johnson5. 1. Yale University School of Medicine, Department of Psychiatry, 389 Whitney Ave, New Haven, CT 06511, United States. Electronic address: Kelly.e.moore@yale.edu. 2. University of Illinois Urbana-Champaign, Department of Kinesiology and Community Health, 1206 South Fourth Street, Champaign, IL 61820, United States. 3. Michigan State University, Department of Human Development & Family Studies, 552 W. Circle Drive, 13E Human Ecology, East Lansing, MI 48824, United States. 4. Columbia University, Department of Counseling and Clinical Psychology, 525 West 120th St., New York, NY 10027, United States. 5. Michigan State University, College of Human Medicine, Division of Public Health, 200 E. 1st Street, Flint, MI 48502, United States. 6. Michigan State University, School of Social Work and Consortium on Gender-based Violence, 655 Auditorium Rd., East Lansing, MI 48824, United States. 7. Brown University Medical School and Butler Hospital, Department of Psychiatry and Human Behavior, 345 Blackstone Boulevard, Providence, RI 02906, United States.
Abstract
OBJECTIVE:Borderline personality disorder (BPD) is highly prevalent among incarcerated populations; however, research has yet to examine whether prisoners diagnosed with BPD experience greater interpersonal dysfunction and institutional misconduct while incarcerated. PROCEDURE: This study drew from a sample of 184 male and female prisoners diagnosed with major depressive disorder (MDD) in a randomized trial of depression treatment. The presence of a BPD diagnosis (n = 69) was analyzed as a predictor of disciplinary incidents/infractions (i.e., fights, arguments with staff, disciplinary infractions, isolation), time spent in isolation, and types of aggression and victimization experiences during incarceration. RESULTS: There was a trend suggesting prisoners with BPD were about twice as likely as those without BPD to report disciplinary incidents/infractions (OR = 1.76 [0.93, 3.32], p = 0.075). Having a BPD diagnosis was unrelated to time in isolation and overall aggression and victimization. However, prisoners with BPD were more likely than those without BPD to perpetrate and be victimized by psychological aggression. Due to high rates of antisocial personality disorder (ASPD) in the sample as a whole (72%), additional analyses compared outcomes across prisoners with no BPD or ASPD diagnosis, BPD diagnosis only, ASPD diagnosis only, and comorbid BPD and ASPD. Prisoners with comorbid BPD and ASPD were no more likely than prisoners with ASPD only to report disciplinary incidents/infractions, but were significantly more likely than those with ASPD only to report perpetrating and being victimized by psychological aggression. CONCLUSIONS: Among prisoners with MDD, those with a BPD diagnosis have increased risk of psychological aggression and disciplinary infractions during incarceration.
RCT Entities:
OBJECTIVE:Borderline personality disorder (BPD) is highly prevalent among incarcerated populations; however, research has yet to examine whether prisoners diagnosed with BPD experience greater interpersonal dysfunction and institutional misconduct while incarcerated. PROCEDURE: This study drew from a sample of 184 male and female prisoners diagnosed with major depressive disorder (MDD) in a randomized trial of depression treatment. The presence of a BPD diagnosis (n = 69) was analyzed as a predictor of disciplinary incidents/infractions (i.e., fights, arguments with staff, disciplinary infractions, isolation), time spent in isolation, and types of aggression and victimization experiences during incarceration. RESULTS: There was a trend suggesting prisoners with BPD were about twice as likely as those without BPD to report disciplinary incidents/infractions (OR = 1.76 [0.93, 3.32], p = 0.075). Having a BPD diagnosis was unrelated to time in isolation and overall aggression and victimization. However, prisoners with BPD were more likely than those without BPD to perpetrate and be victimized by psychological aggression. Due to high rates of antisocial personality disorder (ASPD) in the sample as a whole (72%), additional analyses compared outcomes across prisoners with no BPD or ASPD diagnosis, BPD diagnosis only, ASPD diagnosis only, and comorbid BPD and ASPD. Prisoners with comorbid BPD and ASPD were no more likely than prisoners with ASPD only to report disciplinary incidents/infractions, but were significantly more likely than those with ASPD only to report perpetrating and being victimized by psychological aggression. CONCLUSIONS: Among prisoners with MDD, those with a BPD diagnosis have increased risk of psychological aggression and disciplinary infractions during incarceration.
Authors: Donald W Black; Tracy Gunter; Jeff Allen; Nancee Blum; Stephan Arndt; Gloria Wenman; Bruce Sieleni Journal: Compr Psychiatry Date: 2007-07-05 Impact factor: 3.735