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Báo cáo y học: " Attention Deficit Hyperactivity Disorder (ADHD) among longer-term prison inmates is a prevalent, persistent and disabling disorder"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Attention Deficit Hyperactivity Disorder (ADHD) among longer-term prison inmates is a prevalent, persistent and disabling disorder | Ginsberg et al. BMC Psychiatry 2010 10 112 http www.biomedcentral.com 1471 -244X 10 112 BMC Psychiatry RESEARCH ARTICLE Open Access Attention Deficit Hyperactivity Disorder ADHD among longer-term prison inmates is a prevalent persistent and disabling disorder Ylva Ginsberg1 2 Tatja Hirvikoski3 Nils Lindefors1 Abstract Background ADHD is a common and disabling disorder with an increased risk for coexisting disorders substance abuse and delinquency. In the present study we aimed at exploring ADHD and criminality. We estimated the prevalence of ADHD among longer-term prison inmates described symptoms and cognitive functioning and compared findings with ADHD among psychiatric outpatients and healthy controls. Methods At Norrtalje Prison we approached 315 male inmates for screening of childhood ADHD by the Wender Utah Rating Scale WURS-25 and for present ADHD by the Adult ADHD Self-Report Screener ASRS-Screener . The response rate was 62 . Further we assessed 34 inmates for ADHD and coexisting disorders. Finally we compared findings with 20 adult males with ADHD assessed at a psychiatric outpatient clinic and 18 healthy controls. Results The estimated prevalence of adult ADHD among longer-term inmates was 40 . Only 2 out of 30 prison inmates confirmed with ADHD had received a diagnosis of ADHD during childhood despite most needed health services and educational support. All subjects reported lifetime substance use disorder SUD where amphetamine was the most common drug. Mood and anxiety disorders were present among half of subjects autism spectrum disorder ASD among one fourth and psychopathy among one tenth. Personality disorders were common almost all inmates presented conduct disorder CD before antisocial personality disorder APD . Prison inmates reported more ADHD symptoms during both childhood and adulthood compared with ADHD psychiatric outpatients. Further analysis of executive functions after controlling for IQ showed both ADHD groups performed poorer than .