Treating substance abuse is not enough: Comorbidities in consecutively admitted female prisoners

Mir, Jan; Kastner, Sinja; Priebe, Stefan; Konrad, Norbert; Ströhle, Andreas; Mundt, Adrian P.

doi:10.1016/j.addbeh.2015.02.016

Cited by 58 publications

(46 citation statements)

References 32 publications

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“…Its validity and reliability are comparable to other standardized structured psychiatric interviews like the Structured Clinical Interview for DSM Disorders. The MINI was previously used in prison populations [22,53,54].…”

Section: Methodsmentioning

confidence: 99%

Attention-Deficit Hyperactivity Disorder Symptom Status in a Mixed Gender Population of Opioid-Maintained Prison Inmates

et al. 2019

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Objective: Attention-deficit hyperactivity disorder (ADHD) often coincides with substance abuse and delinquency. A sample of opioid-maintained inmates was assessed for symptoms of ADHD, substance abuse history, types of offense, psychiatric comorbidities, and psychopharmacological treatment using a standardized battery of instruments. Method: Adult inmates (n = 133, mean age 35.7 years, 21.8% female) in opioid-maintenance therapy (OMT) were administered the Adult ADHD self-report scale, Wender Utah Rating Scale, Mini International Neuropsychiatric Interview, European Addiction Severity Index. Results: Fifty percent screened positive for childhood and 17% for adult ADHD, four (3.1%) received ADHD medication. Inmates with ADHD symptom status were significantly younger at first substance abuse, reported more drug overdoses, longer duration of cocaine and prescribed medication abuse and more in- and outpatient treatments (all p < 0.05). For all inmates in OMT a high rate of psychiatric comorbidities was observed (78.9%). Conclusion: There is a need for assessment of ADHD and other psychiatric comorbidities in OMT prisoners. Evidence-based treatment should be routinely provided.

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Section: Methodsmentioning

confidence: 99%

Attention-Deficit Hyperactivity Disorder Symptom Status in a Mixed Gender Population of Opioid-Maintained Prison Inmates

et al. 2019

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“…Recent studies indicate that comorbid mental disorders are present in about 90% of the imprisoned individuals with bipolar disorder, schizophrenia, or antisocial personality disorder [1]. Many imprisoned individuals have substance use disorders in addition to other mental health problems [2]. Individuals with comorbid substance use disorders and other mental disorders are more likely to reoffend [3], engage in violent behaviors, and have higher incidence of suicide attempts compared to offender populations without substance use problems [4].…”

Section: Introductionmentioning

confidence: 99%

The Underlying Structure of Comorbid Mental Health and Substance Use Disorders in Prison Populations

2019

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Background: High rates of mental disorders have been reported for prison populations. Understanding patterns of comorbidity may be essential for the development of adequate treatment interventions. The present study aimed to assess the underlying structure of comorbidity between mental health and substance use disorders in prison populations. Methods: Current mental disorders were assessed using the Mini-International Neuropsychiatric Interview in a cross-sectional observational study of 427 individuals consecutively committed to prison facilities in Santiago, Chile. Five alternative structural models were tested using confirmatory factor analysis (CFA). Latent class analysis of comorbid mental health and substance use disorders was carried out. Results: CFA indicated the best fit for a bifactor model with a general psychopathology P factor and specific internalizing and externalizing factors. Borderline personality disorder loaded highest on the P factor (0.85). The latent comorbidity structure showed a four-class solution representing one class without relevant comorbidities (48% prevalence) and three classes representing the following comorbidities: (1) externalizing disorders including substance use and antisocial personality disorder (31%), (2) internalizing disorders including anxiety disorders (10%), and (3) all types of disorders co-occurring (11%). Major depression and borderline personality disorder were present across all three latent classes of comorbidity. Conclusions: Prison mental health services need to serve a highly comorbid population. Specific approaches may be useful for an externalizing and an internalizing spectrum of disorders. An important group of individuals with all types of mental disorders co-occurring may need new approaches in treatment development.

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“…The ASPD module contains six questions about conduct disorder and six about adult antisocial behaviours. Previous research indicates that the module identifies prisoners with more serious mental health and substance misuse problems and a more serious and chronic history of offending behaviour (Black et al, ; Maccio et al, ; Mir et al, ). For this study, we used the official Danish translation of the MINI 5.0.0 by Bech et al ().…”

Section: Methodsmentioning

confidence: 99%

Why run the risk? Motivation for offences by patients with substance use and antisocial personality disorders which they rated as most risky to their own well‐being

Thylstrup

Hesse

2017

Criminal Behav Ment Health

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Treating substance abuse is not enough: Comorbidities in consecutively admitted female prisoners

Abstract: Introduction: Several studies have pointed to high rates of substance use disorders among

Cited by 58 publications

References 32 publications

Attention-Deficit Hyperactivity Disorder Symptom Status in a Mixed Gender Population of Opioid-Maintained Prison Inmates

Attention-Deficit Hyperactivity Disorder Symptom Status in a Mixed Gender Population of Opioid-Maintained Prison Inmates

The Underlying Structure of Comorbid Mental Health and Substance Use Disorders in Prison Populations

Why run the risk? Motivation for offences by patients with substance use and antisocial personality disorders which they rated as most risky to their own well‐being

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