Assadi Seyed Mohammad, Noroozian Maryam, Pakravannejad Mahdi, Yahyazadeh Omid, Aghayan Shahrokh, Shariat Seyed Vahid, Fazel Seena
Roozbeh Psychiatric Hospital, South Kargar Avenue, Tehran 13337, Iran.
Br J Psychiatry. 2006 Feb;188:159-64. doi: 10.1192/bjp.188.2.159.
Information on psychiatric morbidity of prisoners has almost entirely been based on research in Western countries and it is uncertain whether these research findings are applicable to other settings.
The primary objective was to investigate the prevalence of psychiatric disorders in Iranian prisoners.
Through stratified random sampling, 351 prisoners were interviewed using the clinical version of the Structured Clinical Interview for DSM-IV Axis I Disorders and the Psychopathy Checklist: Screening Version.
The majority (88%) of prisoners met DSM-IV criteria for lifetime diagnosis of at least one Axis I disorder and 57% were diagnosed with current Axis I disorders. Opioid dependence (73%) had the highest prevalence among lifetime diagnoses, whereas major depressive disorder (29%) was the most common current diagnosis. Psychopathy was recorded in 23%. Prevalence rates of psychiatric disorders were significantly different among offence categories.
The results suggest that a substantial burden of psychiatric morbidity exists in the prison population of Iran, with treatment challenges that appear to be different from those observed in inmates in Western countries.
关于囚犯精神疾病发病率的信息几乎完全基于西方国家的研究，这些研究结果是否适用于其他环境尚不确定。
主要目的是调查伊朗囚犯中精神疾病的患病率。
通过分层随机抽样，使用《精神疾病诊断与统计手册》第四版轴I障碍的结构化临床访谈临床版和《精神病态检查表：筛查版》对351名囚犯进行访谈。
大多数（88%）囚犯符合《精神疾病诊断与统计手册》第四版终身诊断至少一种轴I障碍的标准，57%被诊断为当前轴I障碍。阿片类药物依赖（73%）在终身诊断中患病率最高，而重度抑郁症（29%）是最常见的当前诊断。23%的人被记录有精神病态。不同犯罪类别中精神疾病的患病率有显著差异。
结果表明，伊朗监狱人口中存在大量精神疾病负担，治疗挑战似乎与西方国家囚犯中观察到的不同。
