Vicens Enric, Tort Vicenç, Dueñas Rosa María, Muro Álvaro, Pérez-Arnau Francesc, Arroyo José Manuel, Acín Enrique, De Vicente Angel, Guerrero Rafael, Lluch Joan, Planella Ramón, Sarda Pilar
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
Crim Behav Ment Health. 2011 Dec;21(5):321-32. doi: 10.1002/cbm.815. Epub 2011 Jun 26.
The prevalence of mental disorders among prisoners has been researched in a few countries worldwide but never previously in Spain.
Our aim was to estimate the lifetime and last month prevalence of mental disorders in a Spanish prison population.
This is a descriptive, cross-sectional, epidemiological study of 707 male prisoners. Sociodemographic, clinical and offending data were collected by interviewers. Offending data were confirmed using penitentiary records. Mental disorders were assessed with the clinical version of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition Axis I Disorders, and personality disorders were assessed through the Spanish version of the International Personality Disorders Examination.
The lifetime prevalence of mental disorder was 84.4%. Substance use disorder (abuse and dependence) was the most frequent disorder (76.2%) followed by anxiety disorder (45.3%), mood disorder (41%) and psychotic disorder (10.7%). The period (last month) prevalence of any mental disorder was 41.2%. Anxiety disorder was the most prevalent (23.3%) followed by substance use disorder (abuse and dependence; 17.5%), mood disorder (14.9%) and psychotic disorder (4.2%).
Although period prevalence figures, which are those generally provided in research into rates of mental disorder among prisoners, are useful for planning improvements to services within prisons, the fact that almost all of these men had a lifetime prevalence of at least one mental disorder suggests a much wider need for improving services, including community services, for this group.
全球有几个国家对囚犯中的精神障碍患病率进行过研究，但西班牙此前从未开展过此类研究。
我们的目的是估计西班牙监狱人群中精神障碍的终生患病率和上月患病率。
这是一项对707名男性囚犯进行的描述性、横断面流行病学研究。访谈人员收集了社会人口学、临床和犯罪数据。犯罪数据通过监狱记录进行核实。使用《精神障碍诊断与统计手册（第四版）》轴I障碍的结构化临床访谈临床版评估精神障碍，通过国际人格障碍检查表的西班牙语版评估人格障碍。
精神障碍的终生患病率为84.4%。物质使用障碍（滥用和依赖）是最常见的障碍（76.2%），其次是焦虑障碍（45.3%）、心境障碍（41%）和精神病性障碍（10.7%）。任何精神障碍的期间（上月）患病率为41.2%。焦虑障碍最为普遍（23.3%），其次是物质使用障碍（滥用和依赖；17.5%）、心境障碍（14.9%）和精神病性障碍（4.2%）。
虽然囚犯精神障碍患病率研究中通常提供的期间患病率数据有助于规划监狱内服务的改进，但几乎所有这些男性都有至少一种精神障碍的终生患病率这一事实表明，包括社区服务在内，该群体对改善服务的需求要广泛得多。
