Netherlands Institute for the Study of Crime and Law Enforcement (NSCR), Amsterdam, The Netherlands.
Department of Criminology, Leiden University, Leiden, The Netherlands.
Acta Psychiatr Scand. 2018 Oct;138(4):300-311. doi: 10.1111/acps.12940. Epub 2018 Jul 12.
Mental health problems are common in prison populations. Less is known about how mental health problems develop during imprisonment. The objective was to examine the longitudinal course of mental health symptoms during imprisonment and individual factors associated with the development of these symptoms.
In a prospective cohort study, 1.664 Dutch male prisoners were questioned 3 weeks after their arrival in detention. Those still in custody were questioned again after 3, 9, and 18 months. Multilevel analyses were conducted to identify predictors of the course of mental health symptoms.
Prisoners reported continued elevated symptom levels compared to the general population. Inmates who entered detention with pre-existing mental health problems and problematic alcohol/drugs use showed mental health improvements during detention.
The high levels of prisoners' mental health problems highlight the importance of addressing mental health issues in prison. Imprisonment does not have an overall negative effect on mental health.
心理健康问题在监狱人群中很常见。对于心理健康问题在监禁期间如何发展，人们知之甚少。本研究旨在探讨监禁期间心理健康症状的纵向发展过程，以及与这些症状发展相关的个体因素。
在一项前瞻性队列研究中，1664 名荷兰男性囚犯在入狱 3 周后接受了调查。那些仍被拘留的囚犯在 3、9 和 18 个月后再次接受了调查。采用多水平分析来确定心理健康症状发展的预测因素。
囚犯报告的症状水平持续高于一般人群。在进入拘留所时就存在心理健康问题和存在问题的酒精/药物使用的囚犯在拘留期间表现出了心理健康的改善。
囚犯的心理健康问题水平较高，突显了在监狱中解决心理健康问题的重要性。监禁对心理健康没有总体负面影响。
