Hospital and Rehabilitation Center for Disabled Children, Banepa, Nepal.
B and B Hospital, Gwarko, Nepal.
BMC Psychiatry. 2024 Jun 14;24(1):446. doi: 10.1186/s12888-024-05896-9.
Depression is a pervasive mental health condition that affects individuals across various demographic categories, including imprisoned adults. The prevalence of mental health problems among inmates worldwide is considerably higher than in the general population, and it is estimated that 11% of inmates have significant mental disorders, such as anxiety and depression. This study aimed to find out the prevalence of depression and factors associated with it among the prisoners of Gandaki Province, Nepal.
A descriptive cross-sectional study was conducted among the inmates in Gandaki Province, Nepal. Data were collected from 223 inmates, who were recruited through systematic random sampling from eight district-level prisons. The Beck Depression Inventory-II was used to measure depression, with the cumulated score dichotomized into depressed and not-depressed categories. Additionally, a structured questionnaire was employed to capture socio-demographic and imprisonment-related variables. Bivariate and multivariable logistic regressions were performed to examine the factors associated with depression.
Findings revealed that 18.8% of the inmates exhibited symptoms of depression. Inmates with health problems [(adjusted odds ratio (aOR) = 2.39], suicide ideation during imprisonment (aOR = 4.37), and attempted suicide before imprisonment (aOR = 7.97) had a statistically significant relationship with depression. This study revealed a notable prevalence of depression among incarcerated individuals in the Gandaki Province of Nepal.
The findings imply a crucial need for psychosocial and rehabilitative interventions to enhance inmates' mental health and overall well-being.
抑郁症是一种普遍存在的心理健康问题，影响着各个年龄段的人群，包括成年囚犯。全球囚犯的心理健康问题发生率明显高于一般人群，据估计，11%的囚犯患有严重的精神障碍，如焦虑和抑郁。本研究旨在了解尼泊尔甘达基省囚犯的抑郁症患病率及相关因素。
本研究采用描述性横断面研究方法，在尼泊尔甘达基省的囚犯中进行。通过系统随机抽样，从八个地区级监狱中招募了 223 名囚犯作为研究对象。采用贝克抑郁量表第二版（Beck Depression Inventory-II）评估抑郁症状，将累积得分分为抑郁和非抑郁两类。此外，还采用了一份结构化问卷来收集社会人口学和监禁相关变量。采用单因素和多因素逻辑回归分析来探讨与抑郁相关的因素。
研究结果显示，18.8%的囚犯表现出抑郁症状。有健康问题的囚犯（调整后的优势比（aOR）=2.39）、在监禁期间有自杀意念的囚犯（aOR=4.37）和在监禁前有自杀企图的囚犯（aOR=7.97）与抑郁有统计学显著关系。本研究揭示了尼泊尔甘达基省囚犯中存在相当高的抑郁患病率。
这些发现表明，需要采取心理社会和康复干预措施，以增强囚犯的心理健康和整体幸福感。
