监狱人群创伤性脑损伤的历史：系统评价。
History of traumatic brain injury in prison populations: A systematic review.
机构信息
CNRS UMR 7371, Inserm UMR S 1146, Laboratory of Biomedical Imaging (LIB), Sorbonne University, UPMC University, Paris 06, 75005 Paris, France; GRC-UPMC n(o) 18 Cognitive Handicap and Rehabilitation HanCRe, 75013 Paris, France.
CNRS UMR 7371, Inserm UMR S 1146, Laboratory of Biomedical Imaging (LIB), Sorbonne University, UPMC University, Paris 06, 75005 Paris, France; GRC-UPMC n(o) 18 Cognitive Handicap and Rehabilitation HanCRe, 75013 Paris, France; Rehabilitation Unit for acquired neurological pathologies in children, Saint-Maurice Hospital, 94410 Saint-Maurice, France.
出版信息
Ann Phys Rehabil Med. 2017 Apr;60(2):95-101. doi: 10.1016/j.rehab.2017.02.003. Epub 2017 Mar 27.
UNLABELLED
Traumatic brain injury (TBI) can lead to cognitive, behavioural and social impairments. The relationship between criminality and a history of TBI has been addressed on several occasions.
OBJECTIVE
The objective of this review was to present an update on current knowledge concerning the existence of a history of TBI in prison populations.
METHODS
PubMed and PsycINFO databases were searched for relevant papers, using the PRISMA guidelines. We selected papers describing TBI prevalence among incarcerated individuals and some that also discussed the validity of such studies.
RESULTS
Thirty-three papers were selected. The majority of the papers were on prison populations in Australia (3/33), Europe (5/33) and the USA (22/33). The selected studies found prevalence rates of the history of TBI ranging from 9.7% and 100%, with an average of 46% (calculated on a total population of 9342). However, the level of evidence provided by the literature was poor according to the French national health authority scale. The majority of the prisoners were males with an average age of 37. In most of the papers (25/33), prevalence was evaluated using a questionnaire. The influence of TBI severity on criminality could not be analysed because of a lack of data in the majority of papers. Twelve papers mentioned that several comorbidities (mental health problems, use of alcohol…) were frequently found among prisoners with a history of TBI. Two papers established the validity of the use of questionnaires to screen for a history of TBI.
CONCLUSION
These results confirmed the high prevalence of a history of TBI in prison populations. However, they do not allow conclusions to be drawn about a possible link between criminality and TBI. Specific surveys need to be performed to study this issue. The authors suggest ways of improving the screening and healthcare made available to these patients.
未加标签
颅脑损伤 (TBI) 可导致认知、行为和社交障碍。犯罪与 TBI 病史之间的关系已在多次研究中得到探讨。
目的
本综述旨在介绍当前关于监狱人群 TBI 病史的相关知识。
方法
使用 PRISMA 指南，在 PubMed 和 PsycINFO 数据库中搜索相关文献。我们选择了描述在押个体 TBI 患病率的论文，并讨论了这些研究的有效性。
结果
共选择了 33 篇论文。大多数论文是关于澳大利亚（3/33）、欧洲（5/33）和美国（22/33）的监狱人群。所选研究发现 TBI 病史的患病率从 9.7%到 100%不等，平均为 46%（根据 9342 人的总人口计算）。然而，根据法国国家卫生署的评估标准，文献提供的证据水平较差。囚犯大多为男性，平均年龄为 37 岁。在大多数论文中（25/33），患病率是通过问卷评估的。由于大多数论文缺乏数据，因此无法分析 TBI 严重程度对犯罪行为的影响。12 篇论文提到，在有 TBI 病史的囚犯中，经常同时存在多种合并症（心理健康问题、酗酒等）。两篇论文确定了使用问卷筛查 TBI 病史的有效性。
结论
这些结果证实了监狱人群中 TBI 病史的高患病率。然而，它们并不能得出犯罪与 TBI 之间可能存在联系的结论。需要进行专门的调查来研究这个问题。作者提出了改善对这些患者进行筛查和医疗保健的方法。
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