Hamzeloo Mohammad, Mashhadi Ali, Salehi Fadardi Javad
Ferdowsi University of Mashhad, Iran Gorgan State Prison, Gorgan, Golestan, Iran
Ferdowsi University of Mashhad, Iran.
J Atten Disord. 2016 Jul;20(7):590-8. doi: 10.1177/1087054712457991. Epub 2012 Sep 20.
The aim of the present study was to explore the prevalence of ADHD and comorbid disorders in a community sample of adult male prisoners in Iran.
Through stratified sampling method, 908 adult male prison inmates in Gorgan Prison were recruited on a voluntary basis. Diagnostic assessments were based on the Adult ADHD Self-Report Scale Screener and a clinical interview based on Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria and psychiatric interview. Comorbid disorders were assessed with the Beck Anxiety Inventory, Beck Depression Inventory-Second Edition, and Millon Clinical Multiaxial Inventory-III.
ADHD was present in 147 participants (16.2%). Eighty-five percent of participants with ADHD reported lifetime substance abuse. They had higher rates of mood (40.8%) and anxiety (55.1%) disorders. Antisocial and borderline personality disorders were also more prevalent among offenders with ADHD.
ADHD is prevalent in offenders and it is associated with comorbid disorders. The results emphasize the necessity of treatment programs for offenders with ADHD.
本研究旨在探讨伊朗成年男性囚犯社区样本中注意力缺陷多动障碍（ADHD）及共病的患病率。
通过分层抽样法，在戈尔甘监狱自愿招募了908名成年男性囚犯。诊断评估基于成人ADHD自陈量表筛查器以及依据《精神疾病诊断与统计手册》（第4版）标准进行的临床访谈和精神科访谈。共病通过贝克焦虑量表、贝克抑郁量表第二版和米隆临床多轴量表III进行评估。
147名参与者（16.2%）存在ADHD。85%患有ADHD的参与者报告有终生药物滥用情况。他们患情绪障碍（40.8%）和焦虑障碍（55.1%）的比例更高。反社会和边缘型人格障碍在患有ADHD的罪犯中也更为普遍。
ADHD在罪犯中普遍存在，且与共病相关。研究结果强调了为患有ADHD的罪犯制定治疗方案的必要性。
