Prevalence of Posttraumatic Stress Disorder in Prisoners.
Prevalence of Posttraumatic Stress Disorder in Prisoners.
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DOI：
10.1093/epirev/mxx015
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发表时间：
2018-06-01
影响因子：
5.5
通讯作者：
Mundt AP
中科院分区：
文献类型：
--
作者：
Baranyi G;Cassidy M;Fazel S;Priebe S;Mundt AP
参与刑事司法的人经常遭受暴力和创伤经历。这可能会导致创伤后应激障碍（PTSD）；然而，据我们所知，还没有任何综述在这种情况下综合研究结果。我们进行了系统回顾和荟萃分析，以估计监狱人口中创伤后应激障碍（PTSD）的患病率。系统地检索了 1980 年至 2017 年 6 月期间报告的未经选择的被监禁者样本中 PTSD 患病率的原始研究。使用随机效应荟萃分析汇总数据，并通过荟萃回归评估预先指定特征的异质性来源。我们确定了 56 个样本，其中包括来自 20 个国家的 21,099 名被监禁的男女。男性囚犯的 PTSD 患病率在 0.1% 到 27% 之间，女性囚犯的患病率在 12% 到 38% 之间。男性囚犯的随机效应汇总点患病率为 6.2%（95% 置信区间：3.9、9.0），女性囚犯的随机效应汇总点患病率为 21.1%（95% 置信区间：16.9、25.6）。纳入研究之间的异质性非常高。女性囚犯样本、小型研究（n < 100）以及高收入国家的调查报告称，患病率较高。现有证据表明，被监禁者，尤其是女性，患有创伤后应激障碍（PTSD）的比例很高。必须改进社会心理干预措施，以防止暴力行为，特别是针对儿童和妇女的暴力行为，并减轻其对边缘化社区的影响。需要进一步考虑监狱中针对惩教计划和可扩展的创伤后应激障碍 (PTSD) 治疗的创伤知情方法。
People involved with criminal justice frequently are exposed to violence and traumatic experiences. This may lead to posttraumatic stress disorder (PTSD); however, no review, to our knowledge, has synthetized findings in this setting. We conducted a systematic review and meta-analysis to estimate prevalence rates of PTSD in prison populations. Original studies in which prevalence rates of PTSD in unselected samples of incarcerated people were reported were systematically searched between 1980 and June 2017. Data were pooled using random-effects meta-analysis, and sources of heterogeneity for prespecified characteristics were assessed by meta-regression. We identified 56 samples comprising 21,099 imprisoned men and women from 20 countries. Point prevalence of PTSD ranged from 0.1% to 27% for male, and from 12% to 38% for female prisoner populations. The random-effects pooled point prevalence was 6.2% (95% confidence interval: 3.9, 9.0) in male prisoners and 21.1% (95% confidence interval: 16.9, 25.6) in female prisoners. The heterogeneity between the included studies was very high. Higher prevalence was reported in samples of female prisoners, smaller studies (n < 100), and for investigations based in high-income countries. Existing evidence shows high levels of PTSD among imprisoned people, especially women. Psychosocial interventions to prevent violence, especially against children and women, and to mitigate its consequences in marginalized communities must be improved. Trauma-informed approaches for correctional programs and scalable PTSD treatments in prisons require further consideration.
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DOI：
10.1037/10460-011
发表时间：
2003-01-01
期刊：
TRAUMA AND SUBSTANCE ABUSE: CAUSES, CONSEQUENCES, AND TREATMENT OF COMORBID DISORDERS
影响因子：
--
作者：
Battle, CL;Zlotnick, C;Winsor, C
通讯作者：
Winsor, C
影响因子：
5.4
作者：
Bracken, PJ
通讯作者：
Bracken, PJ
影响因子：
12.7
作者：
Bolton, James M.;Robinson, Jennifer
通讯作者：
Robinson, Jennifer
影响因子：
--
作者：
Brooke, D;Taylor, C;Maden, A
通讯作者：
Maden, A
影响因子：
1.5
作者：
Caravaca Sanchez, Francisco;Luna, Aurelio;Mundt, Adrian
通讯作者：
Mundt, Adrian