اختلال هاي شخصيت در زندانيان وابسته به مواد، مبتلا به هپاتيتB و C و HIV و افراد سالم

Personality Disorders in Prisoners (Drug Users, Hepatitis B, C, and HIV Infected Patients, and Healthy Individuals)

سابقه و هدف: اختلالات رواني و شخصيتي سبب اعتياد و بيماري هاي ويروسي است و اعتياد و بيماري هاي ويروسي نيز سبب اختلالات رواني و شخصيتي است. هدف پژوهش مقايسه اختلالات شخصيت و نشانگان باليني در زندانيان مرد بود. مواد و روش ها: در اين پژوهش تحليل مقطعي، جامعه آماري را مجرمان مرد زندان قوچان در سال 1393 تشكيل و سه گروه نمونه (سالم، بيمار و معتاد) به صورت تصادفي منظم (200 نفر) انتخاب شدند. ابزار جمع آوري داده ها، پرسشنامه چند وجهي شخصيتي ميلون 3 (MCMI-III) و تحليل چند متغيره (MANOVA) با نرم افزار SPSS-11.5 انجام شد. يافته ها: تفاوت بين سه گروه در مقياس هاي اسكيزوئيد، وابسته، نمايشي، خودشيفته، ضد اجتماعي، آزارگر و خودناكام ساز، معني دار (0/001p). در مقياس پارانوئيد، تفاوت معتاد و سالم معني دار (0/001p). استنتاج: زندانيـان معتـاد و بيمار، داراي اختلالات شخصيتي بيش تري بودند كه ضرورت مداخلات روانشناختي موثر را مي طلبد.

Background and purpose: Personality disorders may lead to addiction and viral diseases. On the other hand, addiction and viral infections also cause mental and personality disorders. This research aimed at comparing personality disorders and clinical symptoms between male prisoners. Materials and methods: A cross–sectional study was conducted in male prisoners in Quchan, Iran, 2014. Three groups (healthy, addict, and viral infection) including 200 prisoners were selected using systematic sampling. Millon Clinical Multiaxial Inventory (MCMI-III) was administered. The multivariate analysis (MANOVA) was applied in SPSS V. 11.5. Results: There was significant differences between the three groups in schizoid, dependent, histrionic, narcissistic, antisocial, sadistic, and masochistic personality disorders (P<0.001). Significant differences were found between patients and addicts, and healthy prisoners in avoidance, OCD, passiveaggressive, schizotypal and borderline disorders (P<0.001), but this difference were not significant between patients and addicts (P>0.001). In paranoid scale, there was a significant difference between addicts and healthy prisoners (P<0.001), but the difference between other groups was not significant (P>0.001). Conclusion: Mental disorders were found to be more prevalent in addict prisoners and those with viral infections, therefore, effective psychological interventions are highly recommended for prisoners.