The purpose of this study was
to assess the prevalence of personality disorders (PDs) and their associated
factors in prisoners who initiate chronic hepatitis C (CHC) treatment in 25
Spanish prisons.
The Personality Diagnostic Questionnaire-4 was used to
diagnose PDs according to DSM-IV criteria. Factors potentially associated with
a PD diagnosis were evaluated by logistic regression analysis. Two hundred and
fifty-five patients were initially assessed and 62 (24.3%) were excluded due to
an incomplete or invalid self-report screening questionnaire. PD prevalence was
70.5%, with antisocial PD being the most prevalent (46.1%). In terms of PD
clusters, the most prevalent was cluster-B (55.4%).
PD diagnosis was associated
with HCV genotypes 1, 2, or 3. Patients with a cluster-B PD were more likely to be infected
with HCV genotypes 1, 2, or 3 and be HIV-infected, to report past-year injection drug use, and to have stage 3 or 4 fibrosis. The prevalence of PDs in Spanish prisoners who initiate CHC
treatment is very high. PD management issues should be considered in treating
CHC patients in prisons.
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By:
- 1Health Services of Barcelona Men's Penitentiary Centre, Barcelona, Spain.
- 2Health Services of Albolote Penitentiary Centre, Granada, Spain.
- 3Health Services of Fontcalent Penitentiary Centre, Alicante, Spain.
- 4Health Services of Córdoba Penitentiary Centre, Córdoba, Spain.
- 5Health Services of Sevilla Penitentiary Centre, Sevilla, Spain.
- 6Epidemiology Service, Public Health Agency of Barcelona, CIBER de Epidemiología y Salud Pública (CIBERESP), Spain.
- 7Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Sant Pau Biomedical Research Institute (IIB Sant Pau), CIBER de Salud Mental (CIBERSAM), Barcelona, Spain. Electronic address: jtrujols@santpau.cat.
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