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Psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community

Di Lorito, Claudio; Völlm, Birgit; Dening, Tom

Authors

Claudio Di Lorito claudio.dilorito@nottingham.ac.uk

Birgit Völlm birgit.vollm@nottingham.ac.uk

Tom Dening tom.dening@nottingham.ac.uk



Abstract

Objectives: Despite emerging evidence that older prisoners experience poor mental health, literature in this area is still limited. In the present systematic review and meta-analysis, we report on the prevalence of psychiatric disorders among older prisoners and compare our findings against community studies on older people.
Methods: We searched on Assia, PsycInfo, MedLine, Embase, Web of Science, Google and Gov.uk. We carried out bias assessments, rated studies for quality and ran a heterogeneity test. We meta-analysed prevalence rates of psychiatric disorders through an aggregate weighted mean and calculated Relative Risk and statistical significance against community studies. Sensitivity analyses were further performed.
Results: We reviewed nine studies and obtained the following prevalence: “Any psychiatric disorder” 38.4%, depression 28.3%, schizophrenia/psychoses 5.5%, bipolar disorder 4.5%, dementia 3.3%, cognitive impairment 11.8%, personality disorder 22.9%, alcohol abuse 15.9%, anxiety disorders 14.2%, PTSD 6.2%. Older prisoners were found to have higher RR for every single psychiatric disorder against older people in the community, with the sole exception of alcohol abuse (RR=1) and dementia (RR=.75). The prevalence rates were statistically significantly higher (p

Journal Article Type Article
Journal Aging and Mental Health
Print ISSN 1360-7863
Electronic ISSN 1364-6915
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 22
Issue 1
APA6 Citation Di Lorito, C., Völlm, B., & Dening, T. (in press). Psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community. Aging and Mental Health, 22(1), doi:10.1080/13607863.2017.1286453
DOI https://doi.org/10.1080/13607863.2017.1286453
Keywords Prison, older people, psychiatric disorder, dementia, meta-analysis
Publisher URL http://www.tandfonline.com/doi/full/10.1080/13607863.2017.1286453
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
Additional Information This is an Accepted Manuscript of an article published by Taylor & Francis in Aging and Mental Health on 7 February 2017 available online: http://www.tandfonline....0/13607863.2017.1286453

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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