Antisocial personality disorder in incarcerated offenders: Psychiatric comorbidity and quality of life.
Antisocial personality disorder in incarcerated offenders: Psychiatric comorbidity and quality of life.
复制标题
被监禁罪犯的反社会人格障碍：精神共病和生活质量。
DOI：
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复制
发表时间：
2010
期刊：
影响因子：
--
通讯作者：
B. Sieleni
中科院分区：
文献类型：
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作者：
D. Black;T. Gunter;P. Loveless;Jeff Allen;B. Sieleni
背景
我们确定了罪犯中反社会人格障碍（ASPD）的频率。我们研究了患有和不患有反社会人格障碍的患者的人口统计学特征、精神共病和生活质量。我们还研究了注意力缺陷多动障碍（ADHD）的子集。
方法
随机抽样的320名新入狱的罪犯进行了评估，使用迷你国际神经精神访谈（MINI），36项简表健康调查（SF-36），和服务水平量表修订版（LSI-R）。
结果
113例受试者（35.3%）存在ASPD。不存在基于性别的患病率差异。患有反社会人格障碍的罪犯更年轻，自杀风险更高，情绪、焦虑、物质使用、精神病、躯体形式障碍、边缘型人格障碍和多动症的发生率更高。他们的生活质量更差，LSI-R评分更高，表明再犯的风险更大。一项亚组分析显示，患有ASPD且患有ADHD的罪犯自杀风险更高，共病障碍的发生率更高，心理健康功能更差。
结论
ASPD在男性和女性囚犯中相对常见，并与共病障碍，高自杀风险和生活质量受损有关。有ADHD共病的人比没有ADHD的人受损更严重。反社会人格障碍在监狱人群中经常发生，女性和男性几乎一样常见。这些研究结果应有助于讨论在矫正环境中对ASPD进行适当和创新的治疗。
BACKGROUND
We determined the frequency of antisocial personality disorder (ASPD) in offenders. We examined demographic characteristics, psychiatric comorbidity, and quality of life in those with and without ASPD. We also looked at the subset with attention-deficit/hyperactivity disorder (ADHD).
METHODS
A random sample of 320 newly incarcerated offenders was assessed using the Mini International Neuropsychiatric Interview (MINI), the 36-item Short Form Health Survey (SF-36), and the Level of Service Inventory-Revised (LSI-R).
RESULTS
ASPD was present in 113 subjects (35.3%). There was no gender-based prevalence difference. Offenders with ASPD were younger, had a higher suicide risk, and had higher rates of mood, anxiety, substance use, psychotic, somatoform disorders, borderline personality disorder, and ADHD. Quality of life was worse, and their LSI-R scores were higher, indicating a greater risk for recidivism. A subanalysis showed that offenders with ASPD who also had ADHD had a higher suicide risk, higher rates of comorbid disorders, and worse mental health functioning.
CONCLUSION
ASPD is relatively common among both male and female inmates and is associated with comorbid disorders, high suicide risk, and impaired quality of life. Those with comorbid ADHD were more impaired than those without ADHD. ASPD occurs frequently in prison populations and is nearly as common in women as in men. These study findings should contribute to discussions of appropriate and innovative treatment of ASPD in correctional settings.
被监禁妇女中精神疾病的患病率。
影响因子：
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作者：
Jordan,BK;Schlenger,WE;Fairbank,JA;Caddell,JM
通讯作者：
Caddell,JM
成人注意力缺陷多动障碍。
DOI：
10.1176/ajp.151.5.633
发表时间：
1994
期刊：
The American journal of psychiatry
影响因子：
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作者：
Shaffer,D
通讯作者：
Shaffer,D