[Post-traumatic condition and psychological distress/well-being in a sample of inmates: a cluster analytic approach]

Researchers addressing the mental health needs of inmates reported that post-traumatic stress disorder (PTSD) was one of the most common disorders. This study examined the patterns of PTSD symptoms and their relation to the self-reported level of distress and psychological wellbeing in a sample of Italian inmates.

Fifty inmates, 90% male, 54% aged 31-50 years, 70% awaiting trial, completed a battery of tests including the Davidson Trauma Scale (DTS), the Symptom Questionnaire (SQ), and the Psychological Well-Being Scales (PWBS).

Cluster analysis revealed three distinct clusters of respondents, which presents varying combination of PTSD symptoms, as measured with the three subscales of the DTS. Accordingly, these clusters were labeled Cluster 1--Traumatized (n = 18), Cluster 2--Non-traumatized (n = 18), and Cluster 3--Seriously traumatized (n = 14). Findings indicated that the three groups differed consistently across all the domains of the SQ and on the environmental mastery scale of the PWBS. Those in the Traumatized clusters, as compared to the Nontraumatized, demonstrated higher overall psychological distress and lower perceived environmental mastery. Moreover, independent of posttraumatic level, inmates showed poorer psychological wellbeing and higher distress than the normative population.

The patterns manifested in clusters 1 and 3 could become the focus of attention to deliver specific intervention aimed at reducing inmates' distress and encouraging their adjustment to prison life.