Psychiatric disorders and comorbidity in a Spanish sample of prisoners at the end of their sentence : Prevalence rates and associations with criminal history
Pagerols, Mireia (Universitat de Barcelona)
Valero, Sergi (Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas)
Dueñas, Lourdes (Generalitat de Catalunya. Departament de Justícia)
Bosch, Rosa (Hospital Sant Joan de Déu (Barcelona, Catalunya))
Casas Brugué, Miquel (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)

Data:	2023
Resum:	This study examined, for the first time, the prevalence of mental disorders and comorbidities among inmates who were about to be released, and their association with criminal history. A Spanish sample of 140 prisoners at the end of their sentence was recruited from an occupational program. Psychiatric disorders were determined according to the Diagnostic and Statistical Manual of Mental Disorders criteria. Bivariate analyses followed by multivariate regression models were conducted to identify significant variables for repeat incarceration and violent offending. The lifetime prevalence of Axis I disorders was 81. 4%, with substance use disorders (SUD) and attention deficit/hyperactivity disorder (ADHD) being the most common diagnoses (51. 4 and 31. 4%, respectively). The current prevalence of Axis I disorders was 59. 0%, including learning disorders (38. 6%), ADHD (16. 4%), and SUD (5. 71%) among the most frequent syndromes. Thirty-six (26. 5%) participants met criteria for a current Axis II disorder, which commonly was an antisocial personality disorder (12. 5%). The majority of the sample (60. 8%) suffered from two or more comorbid disorders during their lifetime, although the current prevalence fell to 23. 3%. Childhood ADHD increased the number of imprisonments, while inmates convicted of a violent crime were more likely to present a learning disorder. Having a lifetime diagnosis of SUD or multiple psychiatric disorders appeared to be associated with both repeat incarceration and violent offending. Given the high rate of mental disorders still present among subjects completing prison sentences and the challenges they may encounter to benefit from vocational programs, our results suggest that appropriate psychiatric care should be provided during imprisonment and after release to facilitate their community reintegration.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Substance use disorders (SUD) ; Attention deficit/hyperactivity disorder (ADHD) ; Learning disorders (LD) ; Repeat incarceration ; Violent offending ; Community reintegration
Publicat a:	Frontiers in psychology, Vol. 13 (january 2023) , ISSN 1664-1078

DOI: 10.3389/fpsyg.2022.1039099
PMID: 36710755

13 p, 416.9 KB

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