DEPARTMENT OF PSYCHIATRY

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    MAGNITUDE AND ASSOCIATED FACTORS OF ANTISOCIAL PERSONALITY DISORDER AMONG PRISONERS AT MEKELLE CORRECTIONAL CENTER, TIGRAY, ETHIOPIA, 2024/2
    (Mekelle University, 2025-02-25) BRHANU MERESA
    Background: Antisocial personality disorder is characterized by a consistent pattern of disregard for and violating the rights of others, this condition starts in childhood or early adolescence and into adulthood. Families, relationships, and social functioning are all significantly impacted, and individuals with ASPD place a significant burden on the legal system as well as social and mental health agencies. Despite the fact that ASPD is a prevalent issue among prisoners, little research has been done on it in Ethiopia and there has not been any published research on the subject in Tigray. Objective: To assess the prevalence and associated factors of antisocial personality disorder among prisoners at Mekelle correctional center, Mekelle, Tigray, Ethiopia, 2024. Methods: A cross-sectional study was conducted at Mekelle Correctional Center with 353 participants selected through systematic random sampling. Antisocial personality disorder was assessed by the Diagnostic and Statistical Manual of Mental Disorders 5th text revision and an interviewer-administered questionnaire. Data analysis was performed using SPSS Version 27, applying bivariate and multivariable logistic regressions were done to identify factors related to antisocial personality disorder. Significant predictors of antisocial personality disorder were identified with p-values below 0.05 at a 95% confidence interval and the data ware presented using text, tables and graphs. Result: A total of 353 participants were included in the study, with a response rate of 98.33%. The prevalence of antisocial personality disorder among prisoners was found to be 23.8%, with a 95% CI of (19.4, 28.6). This study found statistically significant associations between antisocial personality disorder and history of mental illness (AOR = 2.79, 95% CI: 1.15, 6.81), previous incarceration (AOR = 3.30, 95% CI: 1.33, 8.22), poor social support (AOR = 3.72, 95% CI: 1.63, 8.49), and adverse childhood experiences (AOR = 4.68, 95% CI: 1.38, 15.80). Conclusion: According to this study about one-quarter of the participants were found to have an anti-social personality disorder antisocial personality disorder among prisoners. History of mental illness, previous incarceration, poor social support, and adverse childhood experiences(s) were factors statistically associated with antisocial personality disorder. Addressing these factors could help reduce antisocial personality disorder prevalence and improve the mental health of the incarcerated population.