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监狱工作人员中的常见精神障碍

Common mental disorders in prison workers.

作者信息

Silva André Lopes E, Cruz Camila Rodrigues Bressane, de-Almeida Flávia Souza E Silva

机构信息

Departamento de Medicina do Trabalho, Programa Prevenir, Centro de Promoção e Proteção à Saúde, Instituto de Assistência Médica ao Servidor Público Estadual, São Paulo, SP, Brazil.

Departamento de Medicina do Trabalho, Centro de Estudos Augusto Leopoldo Ayrosa Galvão, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Bras Med Trab. 2021 Sep 30;19(3):314-323. doi: 10.47626/1679-4435-2021-613. eCollection 2021 Jul-Sep.

DOI:10.47626/1679-4435-2021-613
PMID:35774757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9137864/
Abstract

INTRODUCTION

The conditions of Brazilian penitentiaries are known to be affected by overcrowding and precarious cells. Violence inside the prison impacts the mental and general health of individuals in this environment, whether prisoners whether workers. Thus, an increase in cases of common mental disorders is expected among workers, which contributes for their absenteeism.

OBJECTIVE

To assess the prevalence of common mental disorders among prison workers in the state of São Paulo, Brazil.

METHODS

A prison unit was selected for the administration of the Self-Reporting Questionnaire-20 and a questionnaire to assess the sociodemographic profile of employees. The questionnaires were filled out in electronic format and made available on computers in the selected unit. Two visits were made to the unit to assess the work environment and to listen workers' reports.

RESULTS

Fifty-three questionnaires were selected, of which 50 were included in the research. According to the Self-Reporting Questionnaire-20, 34% of participants had positive results for CMD. The use of psychotropic drugs and less family support were statistically correlated with common mental disorders. The apparently small number of employees in the unit was considered a more harmful factor to work than personal contact with prisoners.

CONCLUSIONS

Although high, the prevalence of common mental disorders was lower than that described in the literature. The implementation of mental care programs for state civil servants would be essential to reduce the prevalence and absenteeism due to common mental disorders.

摘要

引言

众所周知,巴西监狱的状况受过度拥挤和牢房条件简陋的影响。监狱内的暴力行为会影响处于这种环境中的个人的心理健康和总体健康,无论是囚犯还是工作人员。因此,预计工作人员中常见精神障碍病例会增加,这导致了他们的缺勤。

目的

评估巴西圣保罗州监狱工作人员中常见精神障碍的患病率。

方法

选择一个监狱单位进行《自填式问卷 - 20》的施测以及一份用于评估员工社会人口学特征的问卷。问卷以电子形式填写,并在选定单位的电脑上提供。对该单位进行了两次走访,以评估工作环境并听取工作人员的报告。

结果

共选取了53份问卷,其中50份纳入研究。根据《自填式问卷 - 20》,34%的参与者常见精神障碍检测呈阳性。使用精神药物和较少的家庭支持与常见精神障碍在统计学上相关。该单位表面上员工数量较少被认为是比与囚犯的个人接触对工作更有害的因素。

结论

尽管常见精神障碍的患病率较高,但低于文献中所描述的水平。为国家公务员实施心理护理项目对于降低因常见精神障碍导致的患病率和缺勤率至关重要。

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