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Prevalence of mental disorders in French prisons for men

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...

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Autores principales: Falissard, Bruno, Loze, Jean-Yves, Gasquet, Isabelle, Duburc, Anne, de Beaurepaire, Christiane, Fagnani, Francis, Rouillon, Frédéric
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1559686/
https://www.ncbi.nlm.nih.gov/pubmed/16923177
http://dx.doi.org/10.1186/1471-244X-6-33
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author Falissard, Bruno
Loze, Jean-Yves
Gasquet, Isabelle
Duburc, Anne
de Beaurepaire, Christiane
Fagnani, Francis
Rouillon, Frédéric
author_facet Falissard, Bruno
Loze, Jean-Yves
Gasquet, Isabelle
Duburc, Anne
de Beaurepaire, Christiane
Fagnani, Francis
Rouillon, Frédéric
author_sort Falissard, Bruno
collection PubMed
description 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.
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spelling pubmed-15596862006-09-05 Prevalence of mental disorders in French prisons for men Falissard, Bruno Loze, Jean-Yves Gasquet, Isabelle Duburc, Anne de Beaurepaire, Christiane Fagnani, Francis Rouillon, Frédéric BMC Psychiatry Research Article 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. BioMed Central 2006-08-21 /pmc/articles/PMC1559686/ /pubmed/16923177 http://dx.doi.org/10.1186/1471-244X-6-33 Text en Copyright © 2006 Falissard et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Falissard, Bruno
Loze, Jean-Yves
Gasquet, Isabelle
Duburc, Anne
de Beaurepaire, Christiane
Fagnani, Francis
Rouillon, Frédéric
Prevalence of mental disorders in French prisons for men
title Prevalence of mental disorders in French prisons for men
title_full Prevalence of mental disorders in French prisons for men
title_fullStr Prevalence of mental disorders in French prisons for men
title_full_unstemmed Prevalence of mental disorders in French prisons for men
title_short Prevalence of mental disorders in French prisons for men
title_sort prevalence of mental disorders in french prisons for men
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1559686/
https://www.ncbi.nlm.nih.gov/pubmed/16923177
http://dx.doi.org/10.1186/1471-244X-6-33
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