The course of major depression during imprisonment - A one year cohort study

Alicia Baier, Rosemarie Fritsch, Yuriy Ignatyev, Stefan Priebe, Adrian P. Mundt*

*Autor correspondiente de este trabajo

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

20 Citas (Scopus)

Resumen

Background First longitudinal studies in prisoners point to improvements of depressive symptoms during imprisonment. The aim of the present study was to assess the course of major depressive disorder during imprisonment and to identify factors influencing remission. Methods Prisoners with major depressive disorder in a sample of consecutive admissions to the penal justice system in Santiago de Chile were reassessed after one year of imprisonment. Psychiatric diagnoses were established using the Mini-International Neuropsychiatric Interview; psychological symptoms were assessed with the Symptom-Check-List 90 Revised (SCL-90-R). Mean symptom scores were compared at baseline and follow-up using Student's t-test. Odds ratios (OR) of comorbid disorders and socio-demographic factors at baseline to predict depression at follow-up were calculated. Results N=79 out of 80 inmates (99%) with major depression at baseline were included. Thirty-five prisoners (44%) had major depression at follow-up. The mean global severity score and all mean subscale scores of the SCL-90-R improved. High suicide risk was present in 37 prisoners (47%) at admission and in 11 (14%) at follow-up. The comorbid diagnosis of PTSD (OR 6.3; p<0.001) at admission and having been previously imprisoned (OR 2.5; p=0.05) predicted major depressive disorder at follow-up. Limitations The study could not account for temporary improvements between the assessments. Conclusion In spite of important symptom improvements, only about half of the prisoners with major depression at admission remit after one year of imprisonment. New interventions should target people with major depression and comorbid PTSD at admission.

Idioma originalInglés
Páginas (desde-hasta)207-213
Número de páginas7
PublicaciónJournal of Affective Disorders
Volumen189
DOI
EstadoPublicada - 1 ene. 2016

Nota bibliográfica

Publisher Copyright:
© 2015 Published by Elsevier B.V.

Huella

Profundice en los temas de investigación de 'The course of major depression during imprisonment - A one year cohort study'. En conjunto forman una huella única.

Citar esto