Capuzzi Enrico, Capellazzi Martina, Caldiroli Alice, Cova Francesca, Auxilia Anna Maria, Rubelli Paola, Tagliabue Ilaria, Zanvit Francesco Giuseppe, Peschi Gianluca, Buoli Massimiliano, Clerici Massimo
Psychiatric Department, Azienda Socio Sanitaria Territoriale Monza, 20900 Monza, Italy.
Department of Medicine and Surgery, University of Milano Bicocca, 20900 Monza, Italy.
Healthcare (Basel). 2022 Jan 18;10(2):180. doi: 10.3390/healthcare10020180.
Attention-deficit/hyperactivity disorder (ADHD) is a disabling disorder. High rates of ADHD have been consistently reported among prisoners. The main objectives were (1) to estimate the prevalence of ADHD symptoms in a sample of male inmates and (2) to investigate the relationship between ADHD symptoms and socio-demographic/clinical features. According to the high prevalence of childhood trauma among inmates, we assessed whether exposition to childhood trauma can be related to the presence of ADHD symptoms.
A total of 159 male prisoners admitted to Monza prison between January 2020 and June 2021 were included. Both Wender Utah ADHD rating scale and adult ADHD self-report scale were administered to assess ADHD symptoms. Moreover, inmates completed the childhood trauma questionnaire.
Data were available for 108 inmates. Thirty-five prisoners (32.4%) were found on screening to meet the criteria for symptoms of ADHD. Cocaine use disorder, prescription of mood stabilizers and a history of emotional abuse significantly increased the likelihood of having clinically significant ADHD symptoms. Furthermore, patients who experienced physical neglect resulted in meeting the criteria for ADHD symptoms.
ADHD symptoms are widespread among inmates and are associated with specific risk factors. Screening for ADHD should be done to provide appropriate intervention strategies.
注意力缺陷多动障碍（ADHD）是一种致残性疾病。囚犯中ADHD的高发病率一直有报道。主要目标是（1）估计男性囚犯样本中ADHD症状的患病率，以及（2）调查ADHD症状与社会人口统计学/临床特征之间的关系。鉴于囚犯中童年创伤的高患病率，我们评估了童年创伤暴露是否与ADHD症状的存在有关。
纳入2020年1月至2021年6月期间入住蒙扎监狱的159名男性囚犯。采用温德犹他ADHD评定量表和成人ADHD自我报告量表评估ADHD症状。此外，囚犯们完成了童年创伤问卷。
108名囚犯的数据可用。筛查发现35名囚犯（32.4%）符合ADHD症状标准。使用可卡因障碍、情绪稳定剂处方和情感虐待史显著增加了出现具有临床意义的ADHD症状的可能性。此外，经历过身体忽视的患者符合ADHD症状标准。
ADHD症状在囚犯中普遍存在，并与特定风险因素相关。应进行ADHD筛查以提供适当的干预策略。
