Psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community
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 communit...
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| Format: | Article |
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Taylor & Francis
2017
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| Online Access: | https://eprints.nottingham.ac.uk/39869/ |
| _version_ | 1848795932910419968 |
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| author | Di Lorito, Claudio Völlm, Birgit Dening, Tom |
| author_facet | Di Lorito, Claudio Völlm, Birgit Dening, Tom |
| author_sort | Di Lorito, Claudio |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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<.05) among the prisoners for “Any psychiatric disorder”, depression and personality disorder. Overall, the sensitivity analyses confirmed our original results.
Conclusion: Our findings point at a high prevalence of every single psychiatric disorder among older prisoners, who also experience rates of dementia and alcohol abuse comparable to those reported in the community. Our results have relevant implications for policy and practice in this area. Further research is crucial to confirm findings from this study. |
| first_indexed | 2025-11-14T19:39:57Z |
| format | Article |
| id | nottingham-39869 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:39:57Z |
| publishDate | 2017 |
| publisher | Taylor & Francis |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-398692024-08-15T15:22:04Z https://eprints.nottingham.ac.uk/39869/ Psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community Di Lorito, Claudio Völlm, Birgit Dening, Tom 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<.05) among the prisoners for “Any psychiatric disorder”, depression and personality disorder. Overall, the sensitivity analyses confirmed our original results. Conclusion: Our findings point at a high prevalence of every single psychiatric disorder among older prisoners, who also experience rates of dementia and alcohol abuse comparable to those reported in the community. Our results have relevant implications for policy and practice in this area. Further research is crucial to confirm findings from this study. Taylor & Francis 2017-02-07 Article PeerReviewed Di Lorito, Claudio, Völlm, Birgit and Dening, Tom (2017) Psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community. Aging and Mental Health, 22 (1). pp. 1-10. ISSN 1364-6915 Prison older people psychiatric disorder dementia meta-analysis http://www.tandfonline.com/doi/full/10.1080/13607863.2017.1286453 doi:10.1080/13607863.2017.1286453 doi:10.1080/13607863.2017.1286453 |
| spellingShingle | Prison older people psychiatric disorder dementia meta-analysis Di Lorito, Claudio Völlm, Birgit Dening, Tom Psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community |
| title | Psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community |
| title_full | Psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community |
| title_fullStr | Psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community |
| title_full_unstemmed | Psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community |
| title_short | Psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community |
| title_sort | psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community |
| topic | Prison older people psychiatric disorder dementia meta-analysis |
| url | https://eprints.nottingham.ac.uk/39869/ https://eprints.nottingham.ac.uk/39869/ https://eprints.nottingham.ac.uk/39869/ |