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

Di Lorito, Claudio; V�llm, Birgit; Dening, Tom

Authors

Claudio Di Lorito

Birgit V�llm

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TOM DENING TOM.DENING@NOTTINGHAM.AC.UK
Clinical Professor in Dementia Research



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

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), https://doi.org/10.1080/13607863.2017.1286453

Journal Article Type Article
Acceptance Date Jan 15, 2017
Online Publication Date Feb 7, 2017
Deposit Date Jan 16, 2017
Publicly Available Date Mar 28, 2024
Journal Aging and Mental Health
Print ISSN 1360-7863
Electronic ISSN 1364-6915
Publisher Routledge
Peer Reviewed Peer Reviewed
Volume 22
Issue 1
DOI https://doi.org/10.1080/13607863.2017.1286453
Keywords Prison, older people, psychiatric disorder, dementia, meta-analysis
Public URL https://nottingham-repository.worktribe.com/output/847217
Publisher URL http://www.tandfonline.com/doi/full/10.1080/13607863.2017.1286453
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.com/doi/full/10.1080/13607863.2017.1286453