Mental disorders, perceived health and quality of life of older prisoners in France

Combalbert, Nicolas; Ferrand, Claude; Pennequin, Valérie; Keïta, Moussa; Geffray, Brigitte

doi:10.1684/pnv.2017.0654

Cited by 6 publications

(5 citation statements)

References 36 publications

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“…In our sample, only 12% of the prisoners reported having a depressive disorder, but around 60% of the sample showed depressive symptoms to some degree as measured with the PHQ-9. This result is in line with previous works, demonstrating a high number of older prisoners being depressed (Combalbert et al, 2017;Fazel et al, 2016;O'Hara et al, 2016). Also, the correlation analysis revealed that the DemTect scores were significantly associated with the PHQ-9 scores, indicating that more cognitive symptoms are correlated with more depressive symptoms.…”

Section: Executive Functioningsupporting

confidence: 92%

Cognitive dysfunction in older prisoners in Germany: a cross-sectional pilot study

Verhülsdonk

Folkerts

Höft

et al. 2020

IJPH

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Purpose The purpose of this study is to collect the first empirical data on the cognitive state of elderly prisoners in Germany and to examine associations between cognitive function and sociodemographic, clinical and incarceration characteristics. Design/methodology/approach All prisoners aged 60 years and older of five prisons in North Rhine-Westphalia, Germany, were asked to participate. The cognitive screening instruments mini-mental state examination (MMSE) and the DemTect were used to assess global cognition. Executive functions were tested with the trail making test and the frontal-assessment-battery. The Patient Health Questionnaire (PHQ-9) was used to assess participants’ affective state. Findings The sample of this study consisted of 58 prisoners with a mean age of 65.52 years (standard deviation = 6.03); 82.8% are male. Using the MMSE with age- and education-corrected z-scores, 36.9% of the prisoners showed marginal or impaired global cognition scores. Using the DemTect, 41.4% of the prisoners were classified as being cognitively impaired. Up to 40% of the prisoners showed deficits in executive functioning and around 60% of the prisoners showed depressive symptoms. The correlation analysis revealed significant associations between cognitive scores and age (rho = –0.335, p = 0.014), education (rho = 0.309, p = 0.020), sentence duration (rho = 0.409, p = 0.007) and duration of current incarceration (rho = 0.302, p = 0.043). The DemTect total score was significantly associated with the PHQ-9 (rho = –0.335, p = 0.016). Practical implications A large group of the prisoners showed a higher prevalence of cognitive dysfunction than that observed in same-age people who are not incarcerated. Taken together, there is an urgent need for an adequate management of older cognitively impaired prisoners including routine cognitive testing and guidelines-oriented treatment of cognitive symptoms. Originality/value This study has several strengths. To the best of the authors’ knowledge, this is the first study examining the cognitive and affective state in a German prison population. The authors considered female and male prisoners, as well as different prison settings, representing a realistic prison sample. The authors used several neuropsychological instruments to get a more detailed insight into the older prisoners’ cognitive status while trying to consider the economy of time and possible attention deficits to prevent dropouts during testing.

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Section: Executive Functioningsupporting

confidence: 92%

Cognitive dysfunction in older prisoners in Germany: a cross-sectional pilot study

Verhülsdonk

Folkerts

Höft

et al. 2020

IJPH

View full text Add to dashboard Cite

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“…Unlike in Meyer's study, where the older prisoners interviewed also talk about individual ageing problems such as incontinence [6], comments in our study often focus on access to medical services in prison, the lack of exercise and poor nutrition rather than individual physical ailments. Their mental health is, however, described in more detail, which underlines the high prevalence of mental health issues and the lack of available support that has been noted in other studies [6,31,32].…”

Section: Discussionmentioning

confidence: 84%

‘Successful Ageing’ Needs a Future: Older Incarcerated Adults’ Views on Ageing in Prison

Kenkmann,

Ghanem

2024

JAL

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Demographic changes have led to an increase in older people in prisons. Whereas the rehabilitative process of younger offenders is geared towards their reintegration into the labour market, successful ageing should be a policy aim for older prisoners. This study explores how older incarcerated persons view their ageing. A qualitative study using a written survey with only the single question What does ageing in prison mean to you? was conducted in Bavaria, Germany. A total of 64 prisoners (61 male, 3 female) supplied answers varying in length from a few words to several pages. The thematic analysis revealed that together with health concerns, social relations and everyday activities, the uncertainty of the future was a central focus point for the older adults in prison. The authors propose that a positive vision of the future needs to be included in any model of successful ageing. If successful ageing is used as an aim for older prisoners, more attention needs to be paid to support interventions during and after the release process.

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“…While half of patients in Profile 3 reported recurrent frequent ED use, those in Profile 1 also scored high in this regard, with most being unemployed and having low household income (<$20,000). The negative associations between poverty, unemployment, poor perceived health conditions and QoL have often been reported [ 66 , 67 ], and thus, contrary to the men in Profile 2, about a third of Profile 1 patients were living in supervised housing, which may have contributed to their lower QoL scores. Previous studies have shown that QoL may be lower among patients living in such settings, compared to those living autonomously [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

Profiles of quality of life among patients using emergency departments for mental health reasons

Fleury,

Cao,

Grenier

et al. 2023

Health Qual Life Outcomes

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Background This study identified profiles associated with quality of life (QoL) and sociodemographic and clinical characteristics of patients using emergency departments (ED) for mental health reasons and associated these profiles with patient service use. Methods Recruited in four Quebec (Canada) ED networks, 299 patients with mental disorders (MD) were surveyed from March 1st, 2021, to May 13th, 2022. Data from medical records were collected and merged with survey data. Cluster analysis was conducted to identify QoL profiles, and comparison analyses used to assess differences between them. Results Four QoL profiles were identified: (1) Unemployed or retired men with low QoL, education and household income, mostly having substance-related disorders and bad perceived mental/physical health conditions; (2) Men who are employed or students, have good QoL, high education and household income, the least personality disorders, and fair perceived mental/physical health conditions; (3) Women with low QoL, multiple mental health problems, and very bad perceived mental/physical health conditions; (4) Mostly women with very good QoL, serious MD, and very good perceived mental/physical health conditions. Conclusion The profiles with the highest QoL (4 and 2) had better overall social characteristics and perceived their health conditions as superior. Profile 4 reported the highest level of satisfaction with services used. To improve QoL programs like permanent supportive housing, individual placement and support might be better implemented, and satisfaction with care more routinely assessed in response to patient needs – especially for Profiles 1 and 3, that show complex health and social conditions.

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Mental disorders, perceived health and quality of life of older prisoners in France

Abstract: Background There is a wealth of studies of somatic and mental illness among prisoners, but little on older prisoners and their cognitive aging.Aims Our study examines the cognitive performance of older male prisoners and its effect on their perceived health and quality of life.

Cited by 6 publications

References 36 publications

Cognitive dysfunction in older prisoners in Germany: a cross-sectional pilot study

Cognitive dysfunction in older prisoners in Germany: a cross-sectional pilot study

‘Successful Ageing’ Needs a Future: Older Incarcerated Adults’ Views on Ageing in Prison

Profiles of quality of life among patients using emergency departments for mental health reasons

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