Correlates of Presence and Remission of Post-trauma Stress Disorder in Incarcerated Women: A Case-Control Study Design

Frontiers in Psychiatry

Jiansong Zhou¹  Shaoling Zhong¹  Xiaoping Wang¹  Xiaomin Zhu³  Graham Mellsop⁴ 

[1] Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, China;National Clinical Research Center for Mental Disorders, Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China;Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China;Waikato District Health Board (DHB), Hamilton, New Zealand;

关键词: post-traumatic stress disorder;    prison;    remission;    trauma;    female offenders;    violent crimes;   

DOI  :  10.3389/fpsyt.2021.748518

来源: DOAJ

【 摘 要 】

Women in prison are vulnerable to post-trauma stress disorder (PTSD). However, little is known about the presence of PTSD in imprisoned women or of the natural course of that disorder. The purpose of this study was to assess the risk factors for PTSD in incarcerated women and document correlations of remission. We conducted a retrospective case-control study in the Female Prison of Hunan Province, China. Participants were screened for PTSD and depression using the Chinese version of the MINI International Neuropsychiatric Interview (MINI) 5.0. Of the 2,322 women screened, 220 met the criterion for PTSD on admission. Remission (N = 142) and non-remission PTSD (N = 78) were then separated depending on current PTSD status. History of drug use (OR = 0.43, 95% CI: 0.28–0.66, p < 0.001) and violent offense (OR = 1.56, 95% CI: 1.17–2.09, p < 0.001) were associated with the presence of PTSD. Positive associations with remission were found for longer length of sentence (61–120 vs. 13–60 months) (OR = 4.20, 95% CI: 1.50–11.75, p = 0.006), violent offense (OR = 2.50, 95% CI: 1.12–5.60, p = 0.03), and comorbid depression (OR = 29.69, 95% CI: 3.50–251.78, p = 0.002); while a negative correlate was identified for past depression (OR = 0.24, 95% CI: 0.11–0.53, p < 0.001). Although some incarcerated women with PTSD can spontaneously remit, this study suggested certain criminological and clinical risk factors are associated with the presence of PTSD and others with remission over time. Timely screening and effective intervention should be tailored for individuals with PTSD in prisons.

【 授权许可】

Unknown