Historique
Périodique
Prevalence of mental disorders in French prisons for men
(Prévalence de troubles mentaux dans les prisons pour hommes en France)
Auteur(s) :
FALISSARD, B. ;
LOZE J. Y. ;
GASQUET I. ;
DUBURC A. ;
DE BEAUREPAIRE, C. ;
FAGNANI F. ;
ROUILLON, F.
Année
2006
Page(s) :
art. 33
Langue(s) :
Anglais
Refs biblio. :
18
Domaine :
Plusieurs produits / Several products
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus géographique
FRANCE
Thésaurus mots-clés
TROUBLE BIPOLAIRE
;
PRISON
;
PSYCHOPATHOLOGIE
;
PREVALENCE
;
SEXE MASCULIN
;
ENQUETE
;
DIAGNOSTIC
;
ANXIETE
;
PSYCHOSE
;
DEPENDANCE
Note générale :
BMC Psychiatry, 2006, 6(33)
Résumé :
BACKGROUND: Psychiatric surveys conducted in prison populations find high prevalence rates, but diagnoses may be difficult in this particular context. None of these surveys have been conducted in France.
METHODS: 800 incarcerated male were sampled at random. Each prisoner was interviewed by a group of 2 clinicians, at least one of them being a senior psychiatrist. One of the clinicians used a structured clinical interview which generated DSM IV diagnosis (MINI plus); the second completed the procedure with an open clinical interview.
RESULTS: Prevalence rates for a diagnosis given independently by both clinicians and for a consensual diagnosis were respectively: 3.8% (6.2%) for schizophrenia, 17.9% (24%) for major depressive disorder, 12.0% (17.7%) for generalized anxiety and 10.8% (14.6%) for drug dependence.
CONCLUSION: Psychiatric diagnosis can be difficult to interpret in prison, especially using traditional standardized interviews. The approach proposed here, with good reliability and closer to a day-to-day clinical practice, yields high prevalence rates. (Authors abstract)
METHODS: 800 incarcerated male were sampled at random. Each prisoner was interviewed by a group of 2 clinicians, at least one of them being a senior psychiatrist. One of the clinicians used a structured clinical interview which generated DSM IV diagnosis (MINI plus); the second completed the procedure with an open clinical interview.
RESULTS: Prevalence rates for a diagnosis given independently by both clinicians and for a consensual diagnosis were respectively: 3.8% (6.2%) for schizophrenia, 17.9% (24%) for major depressive disorder, 12.0% (17.7%) for generalized anxiety and 10.8% (14.6%) for drug dependence.
CONCLUSION: Psychiatric diagnosis can be difficult to interpret in prison, especially using traditional standardized interviews. The approach proposed here, with good reliability and closer to a day-to-day clinical practice, yields high prevalence rates. (Authors abstract)
Affiliation :
Inserm U669, Maison de Solenn, Paris, France
Cote :
A02958