Connell Catriona, Furtado Vivek, McKay Elizabeth A, Singh Swaran P
Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick Coventry, Coventry, UK.
Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham, UK.
Crim Behav Ment Health. 2018 Oct;28(5):390-396. doi: 10.1002/cbm.2082. Epub 2018 Jun 19.
Personality disorder is highly prevalent in offender populations and is associated with poor health, criminal justice, and social outcomes. Research has been conducted into factors that influence offending and health, but, in order to improve (re)habilitation, service providers must also be able to identify the variables associated with social outcomes and the mechanisms by which they operate.
To establish what is known about what influences social outcomes among offenders with personality disorder.
A systematic review was completed using Cochrane methods, expanded to include nonrandomised trials. Anticipated high heterogeneity informed a narrative synthesis.
Three studies met inclusion criteria. Two were qualitative studies including only 13 cases between them. All studies were low quality.
There is insufficient evidence to determine what influences good social outcomes among offenders with personality disorder. Research is required to identify associated variables, to inform the development of effective interventions.
人格障碍在罪犯群体中高度流行，且与健康状况不佳、刑事司法及社会后果相关。已对影响犯罪及健康的因素展开研究，但为了改善（重新）康复情况，服务提供者还必须能够识别与社会后果相关的变量及其作用机制。
确定关于人格障碍罪犯中影响社会后果的因素的已知情况。
采用Cochrane方法完成了一项系统评价，并扩展至纳入非随机试验。鉴于预期的高度异质性，采用了叙述性综合分析。
三项研究符合纳入标准。两项为定性研究，两者合计仅13个案例。所有研究质量均较低。
尚无足够证据确定人格障碍罪犯中哪些因素影响良好的社会后果。需要开展研究以识别相关变量，为有效干预措施的制定提供依据。
