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首页> 外文期刊>The British journal of psychiatry : >Immigrants and borderline personality disorder at a psychiatric emergency service
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Immigrants and borderline personality disorder at a psychiatric emergency service

机译：精神科急诊服务中的移民和边缘人格障碍

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Background Several studies have suggested that immigrants have higher rates of psychiatric emergency service use and a higher risk of mental disorders such as schizophrenia than indigenous populations. Aims To compare the likelihood that immigrants (immigrant group) v. indigenous population (indigenous group) will be diagnosed with borderline personality disorder in a psychiatric emergency service and to determine differences according to area of origin. Method A total of 11 578 consecutive admissions over a 4-year period at a tertiary psychiatric emergency service were reviewed. The collected data included socio-demographic and clinical variables and the Severity of Psychiatric Illness rating score. Psychiatric diagnosis was limited to information available in the emergency room given that a structured interview is not usually feasible in this setting. The diagnosis of borderline personality disorder was based on DSMa€“IV criteria. Immigrants were divided into five groups according to region of origin: North Africa, sub-Saharan Africa, South America, Asia and Western countries. Results Multivariate statistical logistic regression analysis showed that all subgroups of immigrants had a lower likelihood of being diagnosed with borderline personality disorder than the indigenous population independently of age and gender. Furthermore, the rates of borderline personality disorder diagnosis were considerably lower in Asian and sub-Saharan subgroups than in South American, North African, Western or native subgroups. Conclusions Our results showed that in the psychiatric emergency service borderline personality disorder was diagnosed less frequently in the immigrant group v. the indigenous group. Our results do not support the concept of migration as a risk factor for borderline personality disorder.
机译：背景几项研究表明，与土著居民相比，移民具有更高的精神科急诊服务使用率和更高的精神分裂症（例如精神分裂症）风险。目的为了比较在精神病急诊中将诊断出移民（移民组）与土著居民（土著组）的边缘性人格障碍的可能性，并根据出身地区确定差异。方法对三级精神病急诊科在4年期间的11 578次连续入院进行了回顾。收集的数据包括社会人口统计学和临床​​变量以及精神疾病严重程度等级评分。鉴于在这种情况下通常无法进行结构化访谈，因此精神病诊断仅限于急诊室中可用的信息。边缘性人格障碍的诊断基于DSMa IV标准。根据原籍地区，移民分为五类：北非，撒哈拉以南非洲，南美，亚洲和西方国家。结果多元统计逻辑回归分析表明，与年龄和性别无关，所有移民亚组被诊断为边缘性人格障碍的可能性均低于土著人口。此外，在亚洲和撒哈拉以南亚组中，边缘性人格障碍的诊断率明显低于南美，北非，西方或本土亚组。结论我们的结果表明，在精神科急诊服务中，边缘性人格障碍在移民组与土著人群中被诊断得较少。我们的结果不支持将迁移作为边缘型人格障碍的危险因素的概念。

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