精神疾病与纪律监禁之间的关联及其对心理健康的影响:系统性审查和元分析
Sabrina Giguère1,2, Laura Dellazizzo1,3, Charles-Édouard Giguère2
1Department of Psychiatry and Addictology, University of Montreal, Montreal, Canada.
PloS one
|June 10, 2025
概括
患有精神障碍的监禁人员更有可能面临纪律监禁 (DC). 这种做法加剧了心理痛苦和精神症状,突出了在惩戒设施中改善心理健康护理的需要.
科学领域:
- 惩戒卫生卫生机构
- 法医精神病学 法医精神病学
- 公共卫生 公共卫生
背景情况:
- 纪律监禁 (DC) 是拘留设施中的惩罚措施.
- 现有的关于DC对精神病犯的影响的研究结果各不相同.
- 国际关注和关注需要更清楚地了解DC风险.
研究的目的:
- 系统地审查和元分析将患有精神障碍的囚犯安置在DC的风险.
- 评估DC暴露对囚犯心理健康的心理影响.
主要方法:
- 在PubMed,PsycINFO,Web of Science和谷歌学者中进行系统的文献搜索.
- 使用随机效应模型进行元分析,评估异质性和出版偏差.
- 基于GRADE检查表和PRISMA指南的质量评估.
主要成果:
- 患有精神障碍的囚犯被安置在DC的可能性是1.23倍.
- 严重的精神障碍,人格障碍和先前的心理健康服务增加了DC风险.
- 暴露于DC与增加的心理痛苦,精神症状和住院治疗有关.
结论:
- 患有精神障碍的监禁人员面临更高的DC安置风险.
- DC对囚犯的心理健康产生负面影响,增加了痛苦和精神症状.
- 迫切需要开发安全干预措施和改善心理健康护理,以限制DC的使用.
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