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Depression, anxiety, and history of substance abuse among Norwegian inmates in preventive detention: Reasons to worry?

BACKGROUND: Inmates on preventive detention are a small and select group sentenced to an indefinite term of imprisonment. Mood disorders and substance abuse are risk factors for inmate violence and recidivism, so the prevalence of depression, anxiety, and substance abuse was examined in this cohort...

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Autor principal: Værøy, Henning
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3065400/
https://www.ncbi.nlm.nih.gov/pubmed/21392390
http://dx.doi.org/10.1186/1471-244X-11-40
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author Værøy, Henning
author_facet Værøy, Henning
author_sort Værøy, Henning
collection PubMed
description BACKGROUND: Inmates on preventive detention are a small and select group sentenced to an indefinite term of imprisonment. Mood disorders and substance abuse are risk factors for inmate violence and recidivism, so the prevalence of depression, anxiety, and substance abuse was examined in this cohort using psychometric tests. METHODS: Completion of self-report questionnaires was followed by face-to-face clinical interviews with 26 of the 56 male inmates on preventive detention in Norway's Ila Prison. Substance abuse histories and information about the type of psychiatric treatment received were compiled. To assess anxiety and depression, the Hospital Anxiety and Depression Scale (HADS), the Clinical Anxiety Scale (CAS), and the Montgomery Asberg Depression Rating Scale (MADRS) were used. RESULTS: Scores on the MADRS revealed that 46.1% of inmates had symptoms of mild depression. The HADS depression subscale showed that 19.2% scored above the cut-off for depression (κ = 0.57). The CAS anxiety score was above the cut-off for 30.7% of the subjects, while 34.6% also scored above the cut-off on the HADS anxiety subscale (κ = 0.61). Almost 70% of all these inmates, and more than 80% of those convicted of sex crimes, had a history of alcohol and/or drug abuse. CONCLUSIONS: Mild anxiety and depression was found frequently among inmates on preventive detention. Likewise, the majority of the inmates had a history of alcohol and drug abuse. Mood disorders and substance abuse may enhance recidivism, so rehabilitation programs should be tailored to address these problems.
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spelling pubmed-30654002011-03-29 Depression, anxiety, and history of substance abuse among Norwegian inmates in preventive detention: Reasons to worry? Værøy, Henning BMC Psychiatry Research Article BACKGROUND: Inmates on preventive detention are a small and select group sentenced to an indefinite term of imprisonment. Mood disorders and substance abuse are risk factors for inmate violence and recidivism, so the prevalence of depression, anxiety, and substance abuse was examined in this cohort using psychometric tests. METHODS: Completion of self-report questionnaires was followed by face-to-face clinical interviews with 26 of the 56 male inmates on preventive detention in Norway's Ila Prison. Substance abuse histories and information about the type of psychiatric treatment received were compiled. To assess anxiety and depression, the Hospital Anxiety and Depression Scale (HADS), the Clinical Anxiety Scale (CAS), and the Montgomery Asberg Depression Rating Scale (MADRS) were used. RESULTS: Scores on the MADRS revealed that 46.1% of inmates had symptoms of mild depression. The HADS depression subscale showed that 19.2% scored above the cut-off for depression (κ = 0.57). The CAS anxiety score was above the cut-off for 30.7% of the subjects, while 34.6% also scored above the cut-off on the HADS anxiety subscale (κ = 0.61). Almost 70% of all these inmates, and more than 80% of those convicted of sex crimes, had a history of alcohol and/or drug abuse. CONCLUSIONS: Mild anxiety and depression was found frequently among inmates on preventive detention. Likewise, the majority of the inmates had a history of alcohol and drug abuse. Mood disorders and substance abuse may enhance recidivism, so rehabilitation programs should be tailored to address these problems. BioMed Central 2011-03-10 /pmc/articles/PMC3065400/ /pubmed/21392390 http://dx.doi.org/10.1186/1471-244X-11-40 Text en Copyright ©2011 Værøy; 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
Værøy, Henning
Depression, anxiety, and history of substance abuse among Norwegian inmates in preventive detention: Reasons to worry?
title Depression, anxiety, and history of substance abuse among Norwegian inmates in preventive detention: Reasons to worry?
title_full Depression, anxiety, and history of substance abuse among Norwegian inmates in preventive detention: Reasons to worry?
title_fullStr Depression, anxiety, and history of substance abuse among Norwegian inmates in preventive detention: Reasons to worry?
title_full_unstemmed Depression, anxiety, and history of substance abuse among Norwegian inmates in preventive detention: Reasons to worry?
title_short Depression, anxiety, and history of substance abuse among Norwegian inmates in preventive detention: Reasons to worry?
title_sort depression, anxiety, and history of substance abuse among norwegian inmates in preventive detention: reasons to worry?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3065400/
https://www.ncbi.nlm.nih.gov/pubmed/21392390
http://dx.doi.org/10.1186/1471-244X-11-40
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