Otte S, Vasic N, Nigel S, Streb J, Ross T, Spitzer C, Grabe H J, Dudeck M
Department of forensic psychiatry and psychotherapy, university of Ulm, Ulm, Germany.
Department of forensic psychiatry and psychotherapy, university of Ulm, Ulm, Germany.
Eur Psychiatry. 2017 Jul;44:97-103. doi: 10.1016/j.eurpsy.2017.04.006. Epub 2017 Apr 26.
Previous research indicates that prisoners have severe psychological distress. To assess their distress level and potential need for treatment, the present study compared the subjective psychological distress of long- and short-term prisoners with that of psychiatric and forensic patients.
Long- (n=98) and short-term prisoners (n=94) and forensic (n=102) and psychiatric (n=199) patients completed the German versions of the Symptom Checklist Revised (SCL-90-R) and Brief Symptom Inventory (BSI).
In general, long-term prisoners showed the same level of mental distress as psychiatric patients and more than that reported by forensic patients. Short-term prisoners reported the least level of distress. Long- but not short-term prisoners showed clinically significant results on the scales for depression, paranoid ideation, and psychosis.
The improvements in psychiatric treatment for inmates demanded by many stakeholders need to differentiate between long- and short-term prisoners. Because depression seems to cause the most psychological distress among inmates, suicide prevention seems to be an important issue in prisons.
先前的研究表明，囚犯存在严重的心理困扰。为了评估他们的困扰程度以及潜在的治疗需求，本研究将长期和短期囚犯的主观心理困扰与精神科和法医患者的进行了比较。
长期囚犯（n = 98）、短期囚犯（n = 94）、法医患者（n = 102）和精神科患者（n = 199）完成了德文版的症状自评量表修订版（SCL - 90 - R）和简明症状量表（BSI）。
总体而言，长期囚犯的心理困扰程度与精神科患者相同，且高于法医患者。短期囚犯报告的困扰程度最低。长期而非短期囚犯在抑郁、偏执观念和精神病量表上呈现出具有临床意义的结果。
许多利益相关者所要求的改善囚犯精神科治疗的措施需要区分长期和短期囚犯。由于抑郁似乎是囚犯中造成心理困扰的最主要因素，预防自杀似乎是监狱中的一个重要问题。
