The prevalence, characteristics, and psychiatric correlates of traumatic brain injury in incarcerated individuals: an examination in two independent samples.

The prevalence, characteristics, and psychiatric correlates of traumatic brain injury in incarcerated individuals: an examination in two independent samples.
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DOI:
10.1080/02699052.2021.2013534
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发表时间:
2021-12-06
期刊:
影响因子:
1.9
通讯作者:
Koenigs M
Koenigs M
中科院分区:
医学4区
文献类型:
--
作者:
Schneider BS;Arciniegas DB;Harenski C;Clarke GJB;Kiehl KA;Koenigs M

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确定监禁人员中创伤性脑损伤(TBI)的患病率、特征和心理相关因素。三个目标:(1)确定威斯康星州州立监狱中1469名成年人的TBI患病率和特征(2)在男性和女性的子样本中表征轻度TBI与精神疾病之间的关系;(3)在新墨西哥州州立监狱中监禁的1015名成年人(600名男性,415名女性)的独立样本中重现目标1和目标2的结果。采用结构化临床访谈和自我报告问卷进行标准化TBI评估。TBI的发病率大约是一般人群的五倍,其中由攻击引起的TBI发病率要高得多。在威斯康星州的样本中,轻度TBI与女性(但不是男性)更高水平的创伤后应激障碍(PTSD)有关。在新墨西哥州的样本中,任何严重程度的TBI都与女性中更高水平的重度抑郁症(MDD)相关(但在男性中没有)。因此,这项研究提供了新的数据TBI及其相关的个人被监禁在国家监狱,并强调了一个特定的治疗需要在监狱人口。
Identify the prevalence, characteristics, and psychological correlates of traumatic brain injury (TBI) among incarcerated individuals. Three aims: (1) Determine the prevalence and characteristics of TBI in 1469 adults incarcerated in Wisconsin state prisons (1064 men, 405 women); (2) Characterize the relationship between mild TBI and mental illness in a sub-sample of men and women; (3) Reproduce the findings from Aim 1 and Aim 2 in an independent sample of 1015 adults incarcerated in New Mexico state prisons (600 men, 415 women). Standardized TBI assessment with structured clinical interviews and self-report questionnaires. Rates of TBI were approximately five times greater than the general population, with a substantially higher rate of TBI caused by assault. In the Wisconsin sample, mild TBI was associated with greater levels of post-traumatic stress disorder (PTSD) among women (but not among men). In the New Mexico sample, TBI of any severity was associated with greater levels of major depressive disorder (MDD) among women (but not among men). This study thus provides novel data on TBI and its correlates among individuals incarcerated in state prisons, and highlights a specific treatment need within the prison population.
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