Tye Christine S, Mullen Paul E
Acute Assessment Unit, Melbourne Assessment Prison, West Melbourne, Victoria, Australia.
Aust N Z J Psychiatry. 2006 Mar;40(3):266-71. doi: 10.1080/j.1440-1614.2006.01784.x.
The objective of the study was to investigate the rates of mental disorder among women in prison in Victoria, and to compare with community rates.
A midnight census of all women in prison in Victoria was undertaken. Respondents were interviewed with a version of the Composite International Diagnostic Interview (CIDI), an adapted version of the Personality Diagnostic Questionnaire (PDQ-4+) and a demographics questionnaire.
Twelve-month prevalence rates of ICD-10 mental disorders including depressive disorders, anxiety disorders and drug-related disorders were examined. Prevalence of personality disorders was also investigated.
Eighty-four per cent of the female prisoners interviewed met the criteria for a mental disorder (including substance harmful use/dependence) in the year prior to interview. This rate was reduced to 66% when drug-related disorders were excluded. Forty-three per cent of subjects were identified as cases on a personality disorder screener. For all disorders, (except obsessive-compulsive disorder and alcohol harmful use) women in prison had a significantly greater likelihood of having met the 12-month diagnostic criteria when compared to women in the community. The most prevalent disorders among the female prisoners were: drug use disorder (57%), major depression (44%), Posttraumatic stress disorder (36%), and personality disorders. Almost a quarter (24%) of respondents were identified as a 'case' on the psychosis screen.
In the present study female prisoners had significantly higher rates of the mental disorders investigated (with the exceptions of OCD and alcohol harmful use) when compared with women in the community. The pattern of disorder found among female prisoners is consistent with the abuse literature, suggesting that histories of abuse among the prison population may account for part of the discrepancy. These results highlight the need for improved assessment and treatment resources to meet the demands of this population.
本研究旨在调查维多利亚州监狱女性中的精神障碍发生率，并与社区发生率进行比较。
对维多利亚州所有监狱女性进行了午夜普查。采用综合国际诊断访谈（CIDI）的一个版本、人格诊断问卷（PDQ-4+）的改编版以及一份人口统计学问卷对受访者进行访谈。
检查了国际疾病分类第十版（ICD-10）精神障碍的12个月患病率，包括抑郁症、焦虑症和药物相关障碍。还调查了人格障碍的患病率。
接受访谈的女性囚犯中，84%在访谈前一年符合精神障碍（包括物质有害使用/依赖）的标准。排除药物相关障碍后，这一比例降至66%。43%的受试者在人格障碍筛查中被确定为病例。对于所有障碍（除强迫症和酒精有害使用外），与社区女性相比，监狱女性在12个月内符合诊断标准的可能性显著更高。女性囚犯中最常见的障碍是：药物使用障碍（57%）、重度抑郁症（44%）、创伤后应激障碍（36%）和人格障碍。近四分之一（24%）的受访者在精神病筛查中被确定为“病例”。
在本研究中，与社区女性相比，女性囚犯所调查的精神障碍发生率显著更高（强迫症和酒精有害使用除外）。在女性囚犯中发现的障碍模式与虐待文献一致，表明监狱人群中的虐待史可能是差异的部分原因。这些结果凸显了需要改善评估和治疗资源以满足这一人群的需求。
