PTSD in prison settings: A systematic review and meta-analysis of comorbid mental disorders and problematic behaviours

English version

Autoři: Emma Facer-Irwin ^aff001; Nigel J. Blackwood ^aff001; Annie Bird ^aff001; Hannah Dickson ^aff001; Daniel McGlade ^aff001; Filipa Alves-Costa ^aff001; Deirdre MacManus ^aff001
Působiště autorů: Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, United Kingdom ^aff001
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pone.0222407

Souhrn

Purpose

Prevalence rates of PTSD are higher in the prison population than in the community. We sought to systematically review the extent to which this disorder is associated with other mental health disorders and problematic suicidal or aggressive behaviours in the prison population.

Methods

Studies reporting a relationship between PTSD and comorbid mental disorders and/or problematic behaviours in imprisoned adolescent and adult populations were identified from four bibliographic indexes. Primary studies involving clinical interviews, validated instruments leading to DSM or ICD diagnoses, or validated self-report questionnaires such as the PTSD checklist were included. Random-effects meta-analysis was conducted where possible. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed.

Results

This review identified 36 studies, with a combined sample of 9594 participants, (6478 male and 2847 female prisoners) from 11 countries. Thirty-four of the identified studies employed a cross-sectional design. We identified significant associations between PTSD and comorbid mental disorders including depression (OR = 3.4, 95% confidence interval (CI): 2.3–4.9), anxiety (OR = 2.9, 95% confidence interval (CI): 1.8–4.7) and substance use (OR = 1.9, 95% confidence interval (CI): 1.5–2.4). We also identified significant associations between PTSD and suicidality (OR = 3, 95% confidence interval (CI): 2.4–3.8) and aggressive behaviours (this latter finding was not subject to meta-analysis). Significant methodological heterogeneity was identified between studies.

Conclusions

High rates of psychiatric comorbidity among prisoners with PTSD, and links to suicidal behaviour, self-harm and aggressive behaviour, provide further support for the need for trauma-informed treatment approaches in prisons. However, significant gaps in the current evidence were apparent. In particular, a lack of large, longitudinal studies meant that the temporal relationships between PTSD and relevant outcomes cannot currently be determined.

Klíčová slova:

Diagnostic medicine – Prisons – Prisoners – Depression – Questionnaires – Aggression – Suicide

Zdroje

1. Wolff N, Huening J, Shi J, Frueh BC. Trauma exposure and posttraumatic stress disorder among incarcerated men. Journal of Urban Health. 2014;91(4):707–19. doi: 10.1007/s11524-014-9871-x 24865800.

2. Abram KM, Teplin LA, Charles DR, Longworth SL, McClelland GM, Dulcan MK. Posttraumatic stress disorder and trauma in youth in juvenile detention. Archives of general psychiatry. 2004;61(4):403–10. doi: 10.1001/archpsyc.61.4.403 15066899

3. Baranyi G, Cassidy M, Fazel S, Priebe S, Mundt AP. Prevalence of posttraumatic stress disorder in prisoners. Epidemiologic reviews. 2018;40(1):134–45. doi: 10.1093/epirev/mxx015 29596582

4. Fazel S, Bains P, Doll H. Substance abuse and dependence in prisoners: a systematic review. Addiction. 2006;101(2):181–91. doi: 10.1111/j.1360-0443.2006.01316.x 16445547

5. Fazel S, Hayes AJ, Bartellas K, Clerici M, Trestman R. Mental health of prisoners: prevalence, adverse outcomes, and interventions. The Lancet Psychiatry. 2016;3(9):871–81. doi: 10.1016/S2215-0366(16)30142-0 27426440

6. Hawton K, Linsell L, Adeniji T, Sariaslan A, Fazel S. Self-harm in prisons in England and Wales: an epidemiological study of prevalence, risk factors, clustering, and subsequent suicide. The Lancet. 2014;383(9923):1147–54.

7. Jakobowitz S, Bebbington P, McKenzie N, Iveson R, Duffield G, Kerr M, et al. Assessing needs for psychiatric treatment in prisoners: 2. Met and unmet need. Social psychiatry and psychiatric epidemiology. 2017;52(2):231–40. doi: 10.1007/s00127-016-1313-5 27878323

8. Wolff N, Vazquez R, Frueh CB, Shi J, Schumann BE, Gerardi D. Traumatic event exposure and behavioral health disorders among incarcerated females self-referred to treatment. Psychological Injury and Law. 2010;3(2):155–63.

9. Stander VA, Thomsen CJ, Highfill-McRoy RM. Etiology of depression comorbidity in combat-related PTSD: a review of the literature. Clinical psychology review. 2014;34(2):87–98. doi: 10.1016/j.cpr.2013.12.002 24486520

10. Stewart SH, Pihl RO, Conrod PJ, Dongier M. Functional associations among trauma, PTSD, and substance-related disorders. Addictive behaviors. 1998;23(6):797–812. doi: 10.1016/s0306-4603(98)00070-7 9801717

11. Debell F, Fear NT, Head M, Batt-Rawden S, Greenberg N, Wessely S, et al. A systematic review of the comorbidity between PTSD and alcohol misuse. Social psychiatry and psychiatric epidemiology. 2014;49(9):1401–25. doi: 10.1007/s00127-014-0855-7 24643298

12. Panagioti M, Gooding PA, Triantafyllou K, Tarrier N. Suicidality and posttraumatic stress disorder (PTSD) in adolescents: a systematic review and meta-analysis. Social psychiatry and psychiatric epidemiology. 2015;50(4):525–37. doi: 10.1007/s00127-014-0978-x 25398198

13. Mellesdal L, Gjestad R, Johnsen E, Jørgensen HA, Oedegaard KJ, Kroken RA, et al. Borderline Personality Disorder and Posttraumatic Stress Disorder at Psychiatric Discharge Predict General Hospital Admission for Self‐Harm. Journal of traumatic stress. 2015;28(6):556–62. doi: 10.1002/jts.22053 26581019

14. Donley S, Habib L, Jovanovic T, Kamkwalala A, Evces M, Egan G, et al. Civilian PTSD Symptoms and Risk for Involvement in the Criminal Justice System. Journal of the American Academy of Psychiatry and Law. 2012;40(4):522–9.

15. MacManus D, Dean K, Al Bakir M, Iversen AC, Hull L, Fahy T, et al. Violent behaviour in UK military personnel returning home after deployment. Psychological Medicine. 2011;42(8):1663–73. Epub 11/25. doi: 10.1017/S0033291711002327 22115074

16. MacManus D, Dean K, Jones M, Rona RJ, Greenberg N, Hull L, et al. Violent offending by UK military personnel deployed to Iraq and Afghanistan: a data linkage cohort study. The Lancet. 2013;381(9870):907–17. https://doi.org/10.1016/S0140-6736(13)60354-2.

17. Gillikin C, Habib L, Evces M, Bradley B, Ressler KJ, Sanders J. Trauma exposure and PTSD symptoms associate with violence in inner city civilians. Journal of psychiatric research. 2016;83:1–7. doi: 10.1016/j.jpsychires.2016.07.027 27518177

18. Taft CT, Watkins LE, Stafford J, Street AE, Monson CM. Posttraumatic stress disorder and intimate relationship problems: a meta-analysis. Journal of consulting and clinical psychology. 2011;79(1):22. doi: 10.1037/a0022196 21261431

19. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Ann Intern Med. 2014;151:264–9.

20. First MB, Williams JBW, Karg RS, Spitzer RL. Structured Clinical Interview for DSM-5- Research Version. Arlington, VA: American Psychiatric Association; 2015.

21. Weathers F, Litz B, Keane T, Palmieri P, Marx B, Schnurr P. The PTSD checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD. 2013.

22. Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology & Community Health. 1998;52(6):377–84.

23. Loney PL, Chambers LW, Bennett KJ, Roberts JG, Stratford PW. Critical appraisal of the health research literature: prevalence or incidence of a health problem. Chronic Dis Can. 1998;19(4):170–6. 10029513

24. Saha S, Chant D, Welham J, McGrath J. A systematic review of the prevalence of schizophrenia. PLoS medicine. 2005;2(5):e141. doi: 10.1371/journal.pmed.0020141 15916472

25. Wing J. The schedules for clinical assessment in neuropsychiatry. Geneva: World Health Organization—Division of Mental Health & Social Work; 1994.

26. Ulzen T, Hamilton H. Post traumatic stress disorder in incarcerated adolescents. The Canadian Child & Adolescent Psychiatry Review. 2003;12(4):113–6. 19030154.

27. Ariga M, Uehara T, Takeuchi K, Ishige Y, Nakano R, Mikuni M. Trauma exposure and posttraumatic stress disorder in delinquent female adolescents. Journal of Child Psychology and Psychiatry. 2008;49(1):79–87. doi: 10.1111/j.1469-7610.2007.01817.x 17979964

28. Abram KM, Washburn JJ, Teplin LA, Emanuel KM, Romero EG, McClelland GM. Posttraumatic stress disorder and psychiatric comorbidity among detained youths. Psychiatric Services. 2007;58(10):1311–6. doi: 10.1176/appi.ps.58.10.1311 17914008

29. Becker SP, Kerig PK. Posttraumatic stress symptoms are associated with the frequency and severity of delinquency among detained boys. Journal of Clinical Child and Adolescent Psychology. 2011;40(5):765–71. doi: 10.1080/15374416.2011.597091 21916694

30. Dixon A, Howie P, Starling J. Trauma Exposure, Posttraumatic Stress, and Psychiatric Comorbidity in Female Juvenile Offenders. Journal of the American Academy of Child & Adolescent Psychiatry. 2005;44(8):798–806.

31. Hamerlynck SM, Doreleijers TA, Vermeiren R, Jansen LM, Cohen-Kettenis PT. Aggression and psychopathology in detained adolescent females. Psychiatry Research. 2008;159(1–2):77–85. doi: 10.1016/j.psychres.2007.03.001 18314201

32. Kerig PK, Ward RM, Vanderzee KL, Arnzen Moeddel M. Posttraumatic Stress as a Mediator of the Relationship Between Trauma and Mental Health Problems Among Juvenile Delinquents. Journal of Youth and Adolescence. 2009;38(9):1214–25. doi: 10.1007/s10964-008-9332-5 19669901

33. Kerig PK, Bennett DC, Chaplo SD, Modrowski CA, McGee AB. Numbing of Positive, Negative, and General Emotions: Associations With Trauma Exposure, Posttraumatic Stress, and Depressive Symptoms Among Justice-Involved Youth. Journal of Traumatic Stress. 2016;29(2):111–9. doi: 10.1002/jts.22087 27077492.

34. Kimonis ER, Ray JV, Branch JR, Cauffman E. Anger mediates the relation between violence exposure and violence perpetration in incarcerated boys. Child & Youth Care Forum. 2011;40(5):381–400.

35. Plattner B, The SSL, Kraemer HC, Williams RP, Bauer SM, Kindler J, et al. Suicidality, psychopathology, and gender in incarcerated adolescents in Austria. Journal of Clinical Psychiatry. 2007;68(10):1593–600. doi: 10.4088/jcp.v68n1019 17960977

36. Sharf A, Kimonis ER, Howard A. Negative life events and posttraumatic stress disorder among incarcerated boys with callous-unemotional traits. Journal of Psychopathology and Behavioral Assessment. 2014;36(3):401–14.

37. Stimmel MA, Cruise KR, Ford JD, Weiss RA. Trauma exposure, posttraumatic stress disorder symptomatology, and aggression in male juvenile offenders. Psychological Trauma: Theory, Research, Practice, and Policy. 2014;6(2):184–91. doi: 10.1037/a0032509

38. Moore E, Gaskin C, Indig D. Childhood maltreatment and post-traumatic stress disorder among incarcerated young offenders. Child Abuse & Neglect. 2013;37(10):861–70.

39. Ardino V, Milani L, Di Blasio P. PTSD and re-offending risk: the mediating role of worry and a negative perception of other people’s support. European Journal of Psychotraumatology. 2013;4. doi: 10.3402/ejpt.v4i0.21382 24371516.

40. Caraballo JN, Perez-Pedrogo C, Albizu-Garcia CE. Assessing post-traumatic stress symptoms in a Latino prison population. International Journal of Prisoner Health. 2013;9(4):196–207. doi: 10.1108/IJPH-02-2013-0004 25763455

41. Collins JJ, Bailey SL. Traumatic stress disorder and violent behavior. Journal of Traumatic Stress. 1990;3(2):203–20.

42. Giarratano P, Ford JD, Nochajski TH. Gender Differences in Complex Posttraumatic Stress Symptoms, and Their Relationship to Mental Health and Substance Abuse Outcomes in Incarcerated Adults. Journal of Interpersonal Violence. 2017:886260517692995. doi: 10.1177/0886260517692995 29294660.

43. Gibson LE, Holt JC, Fondacaro KM, Tang TS, Powell TA, Turbitt EL. An examination of antecedent traumas and psychiatric comorbidity among male inmates with PTSD. J Trauma Stress. 1999;12(3):473–84. Epub 1999/09/01. doi: 10.1023/A:1024767020280 10467556.

44. Gobin RL, Reddy MK, Zlotnick C, Johnson JE. Lifetime trauma victimization and PTSD in relation to psychopathy and antisocial personality disorder in a sample of incarcerated women and men. International Journal of Prisoner Health. 2015;11(2):64–74. doi: 10.1108/IJPH-06-2014-0016 26062658

45. Harner HM, Budescu M, Gillihan SJ, Riley S, Foa EB. Posttraumatic stress disorder in incarcerated women: A call for evidence-based treatment. Psychol Trauma. 2015;7(1):58–66. doi: 10.1037/a0032508 25793594.

46. Heffernan E, Andersen K, Davidson F, Kinner SA. Ptsd among aboriginal and torres strait islander people in custody in australia: Prevalence and correlates. Journal of Traumatic Stress. 2015:No Pagination Specified.

47. Howard R, Karatzias T, Power K, Mahoney A. From Childhood Trauma to Self-Harm: An Investigation of Theoretical Pathways among Female Prisoners. Clinical Psychology & Psychotherapy. 2017;24(4):942–51. doi: 10.1002/cpp.2058 27878907.

48. Howard R, Karatzias T, Power K, Mahoney A. Posttraumatic stress disorder (PTSD) symptoms mediate the relationship between substance misuse and violent offending among female prisoners. Social Psychiatry & Psychiatric Epidemiology. 2017;52(1):21–5. doi: 10.1007/s00127-016-1293-5 27770174.

49. Huang G, Zhang Y, Momartin S, Cao Y, Zhao L. Prevalence and characteristics of trauma and posttraumatic stress disorder in female prisoners in china. Comprehensive Psychiatry. 2006;47(1):20–9. doi: 10.1016/j.comppsych.2005.04.004 16324898

50. Karatzias T, Power K, Woolston C, Apurva P, Begley A, Mirza K, et al. Multiple traumatic experiences, post-traumatic stress disorder and offending behaviour in female prisoners. Criminal Behaviour & Mental Health. 2018;28(1):72–84. doi: 10.1002/cbm.2043 28632345.

51. Kubiak SP. The Effects of PTSD on Treatment Adherence, Drug Relapse, and Criminal Recidivism in a Sample of Incarcerated Men and Women. Research on Social Work Practice. 2004;14(6):424–33.

52. Moore E, Sunjic S, Kaye S, Archer V, Indig D. Adult ADHD among NSW prisoners: Prevalence and psychiatric comorbidity. Journal of Attention Disorders. 2016;20(11):958–67. doi: 10.1177/1087054713506263 24134874

53. Wahlstrom LC, Scott JP, Tuliao AP, DiLillo D, McChargue DE. Posttraumatic stress disorder symptoms, emotion dysregulation, and aggressive behavior among incarcerated methamphetamine users. Journal of Dual Diagnosis. 2015;11(2):118–27. doi: 10.1080/15504263.2015.1025026 25781457

54. Warren JI, Loper AB, Komarovskaya I. Symptom patterns related to traumatic exposure among female inmates with and without a diagnosis of posttraumatic stress disorder. Journal of the American Academy of Psychiatry and the Law. 2009;37(3):294–305. 19767493

55. Willemsen J, De Ganck J, Verhaeghe P. Psychopathy, traumatic exposure, and lifetime posttraumatic stress. International Journal of Offender Therapy and Comparative Criminology. 2012;56(4):505–24. doi: 10.1177/0306624X11407443 21518704

56. Woodfield R, Dhingra K, Boduszek D, Debowska A. Facets of psychopathy in relation to trauma-exposure and posttraumatic stress symptomology in a sample of incarcerated male offenders. International journal of prison health. 2016;12(4):244–52. doi: 10.1108/IJPH-06-2016-0020 27921637.

57. Zlotnick C. Posttraumatic stress disorder (PTSD), PTSD comorbidity, and childhood abuse among incarcerated women. Journal of Nervous and Mental Disease. 1997;185(12):761–3. doi: 10.1097/00005053-199712000-00007 9442188

58. McCallum K. Does PTSD predict institutional violence within a UK male prison population? Journal of Forensic Practice. 2018;20(4):229–38.

59. Pérez-Pedrogo C, Martínez-Taboas A, González RA, Caraballo JN, Albizu-García CE. Sex differences in traumatic events and psychiatric morbidity associated to probable posttraumatic stress disorder among Latino prisoners. Psychiatry research. 2018;265:208–14. doi: 10.1016/j.psychres.2018.04.017 29738944

60. Shepherd SM, Spivak B, Arabena K, Paradies Y. Identifying the prevalence and predictors of suicidal behaviours for indigenous males in custody. BMC public health. 2018;18(1):1159. doi: 10.1186/s12889-018-6074-5 30286743

61. Ford JD, Charak R, Modrowski CA, Kerig PK. PTSD and dissociation symptoms as mediators of the relationship between polyvictimization and psychosocial and behavioral problems among justice-involved adolescents. Journal of Trauma & Dissociation. 2018;19(3):325–46.

62. Kuanliang A, Sorensen J. Predictors of self‐reported prison misconduct. Criminal Justice Studies. 2008;21(1):27–35. doi: 10.1080/14786010801972662

63. Cloitre M, Garvert DW, Brewin CR, Bryant RA, Maercker A. Evidence for proposed ICD-11 PTSD and complex PTSD: A latent profile analysis. European journal of psychotraumatology. 2013;4(1):20706.

64. Brewin CR, Cloitre M, Hyland P, Shevlin M, Maercker A, Bryant RA, et al. A review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD. Clinical psychology review. 2017.

65. Briere J, Agee E, Dietrich A. Cumulative trauma and current posttraumatic stress disorder status in general population and inmate samples. Psychological trauma: Theory, research, practice, and policy. 2016;8(4):439.

66. Contractor AA, Brown LA, Weiss NH. Relation between lifespan polytrauma typologies and post-trauma mental health. Comprehensive psychiatry. 2018;80:202–13. doi: 10.1016/j.comppsych.2017.10.005 29128858

67. Greene CA, Ford JD, Wakefield DB, Barry LC. Posttraumatic stress mediates the relationship between childhood victimization and current mental health burden in newly incarcerated adults. Child Abuse & Neglect. 2014;38(10):1569–80.

68. Kronish IM, Edmondson D, Li Y, Cohen BE. Post-traumatic stress disorder and medication adherence: results from the Mind Your Heart study. Journal of psychiatric research. 2012;46(12):1595–9. doi: 10.1016/j.jpsychires.2012.06.011 22809686

69. Zammit S, Lewis C, Dawson S, Colley H, McCann H, Piekarski A, et al. Undetected post-traumatic stress disorder in secondary-care mental health services: systematic review. The British Journal of Psychiatry. 2018;212(1):11–8. doi: 10.1192/bjp.2017.8 29433609

70. Tyler N, Miles HL, Karadag B, Rogers G. An updated picture of the mental health needs of male and female prisoners in the UK: prevalence, comorbidity, and gender differences. Social psychiatry and psychiatric epidemiology. 2019:1–10.

71. Morina N, Wicherts JM, Lobbrecht J, Priebe S. Remission from post-traumatic stress disorder in adults: a systematic review and meta-analysis of long term outcome studies. Clinical Psychology Review. 2014;34(3):249–55. doi: 10.1016/j.cpr.2014.03.002 24681171

72. Yoon IA, Slade K, Fazel S. Outcomes of psychological therapies for prisoners with mental health problems: A systematic review and meta-analysis. Journal of consulting and clinical psychology. 2017;85(8):783. doi: 10.1037/ccp0000214 28569518

73. Branson CE, Baetz CL, Horwitz SM, Hoagwood KE. Trauma-informed juvenile justice systems: A systematic review of definitions and core components. Psychological Trauma: Theory, Research, Practice, and Policy. 2017;9(6):635.

74. Levenson JS, Willis GM. Implementing Trauma-Informed Care in Correctional Treatment and Supervision. Journal of Aggression, Maltreatment & Trauma. 2018:1–21.