Prevalence of Mental Health problems in sentenced men in prisons from Andalucía (Spain).

OBJECTIVES: To estimate the prevalence of different mental health problems in men serving prison sentences in Andalusia. METHODS: Descriptive, cross-sectional study of a random sample of 472 men interned in two prisons located in Andalusia. We collected socio-demographic and general criminal and penitentiary data, and we identified mental health problems with two validated instruments for epidemiological research in mental health: the SCID-I interview to diagnose Axis 1 disorders of the DSM-IV and the self-applied questionnaire IPDE to estimate personality disorders. We analyzed the data (proportions and confidence intervals) with the SPSS-18 statistical package. RESULTS: 82.6% of the sample had a history of having suffered some type of mental health problem throughout their life (prevalence-life) and 25.8 have suffered from them in the past month (month prevalence). The most common disorders of the Axis I (DSM-IV) are related to abuse of and dependence on psychoactive substances (prevalence life of 65.9% and month prevalence of 6.6%), with an important but less frequent presence of affective (31.4%-9.3%), anxiety (30.9%-10, 4%) and psychotic disorders (9.5%-3, 4%). As regards personality disorders, the estimated probable prevalence lies between the 56.6% ("5" cutoff point) and the 79.9 ("4" cut-off point). CONCLUSIONS: The male inmate population in prisons in Andalucía shows a high prevalence of mental health problems, similar to that found in other Spanish and international prisons, but their care needs should take into account the different pathologies that they present.

Prevalencia de problemas de salud mental en varones que cumplen condena en centros penitenciarios de Andalucía (España) / Prevalence of mental health problems in sentenced men in prisons from Andalucía (Spain)

Objetivos: Estimar la prevalencia de problemas de salud mental en varones que cumplen condena en instituciones penitenciarias en Andalucía. Material y métodos: Estudio descriptivo transversal de una muestra aleatoria de 472 varones penados de dos centros penitenciarios en Andalucía. Se obtuvieron datos sociodemográficos y penales generales y se identificaron problemas de salud mental mediante dos instrumentos validados de investigación epidemiológica: la entrevista SCID-I, para diagnosticar trastornos del Eje 1 de la DSM-IV y el cuestionario autoaplicado IPDE, para estimar Trastornos de personalidad. Se analizaron los datos (proporciones e intervalos de confianza) con el paquete estadístico SPSS-18. Resultados: El 82,6% de la muestra tenía antecedentes de haber padecido algún tipo de problema de salud mental a lo largo de su vida (prevalencia-vida) y el 25,8 de haberlo padecido en el último mes (prevalencia mes). Los trastornos más frecuentes del Eje I fueron los relacionados con el abuso y dependencia a substancias psicoactivas (prevalencia vida de 65,9% y prevalencia mes de 6,6%), seguidos por los trastornos afectivos (31,4%-9,3%), de ansiedad (30,9%-10,4%) y psicóticos (9,5%-3,4%). La prevalencia probable estimada de trastornos de personalidad estaba entre el 56,6% y el 79,9 (puntos de corte del IPDE de '5' y '4' respectivamente). Conclusiones: La población masculina y penada de centros penitenciarios de Andalucía muestra una elevada prevalencia de problemas de salud mental, similar a la encontrada en otras poblaciones penitenciarias españolas e internacionales, pero sus necesidades de atención deben tener en cuenta las diferentes patologías que presentan (AU)

Objectives: To estimate the prevalence of different mental health problems in men serving prison sentences in Andalusia. Methods: Descriptive, cross-sectional study of a random sample of 472 men interned in two prisons located in Andalusia. We collected socio-demographic and general criminal and penitentiary data, and we identified mental health problems with two validated instruments for epidemiological research in mental health: the SCID-I interview to diagnose Axis 1 disorders of the DSM-IV and the self-applied questionnaire IPDE to estimate personality disorders. We analyzed the data (proportions and confidence intervals) with the SPSS-18 statistical package. Results: 82.6% of the sample had a history of having suffered some type of mental health problem throughout their life (prevalence-life) and 25.8 have suffered from them in the past month (month prevalence). The most common disorders of the Axis I (DSM-IV) are related to abuse of and dependence on psychoactive substances (prevalence life of 65.9% and month prevalence of 6.6%), with an important but less frequent presence of affective (31.4%-9.3%), anxiety (30.9%-10, 4%) and psychotic disorders (9.5%-3, 4%). As regards personality disorders, the estimated probable prevalence lies between the 56.6% ('5' cutoff point) and the 79.9 ('4' cut-off point). Conclusions: The male inmate population in prisons in Andalucía shows a high prevalence of mental health problems, similar to that found in other Spanish and international prisons, but their care needs should take into account the different pathologies that they present (AU)

Evaluación del funcionamiento de la vida diaria en personas con trastorno mental de larga evolución. Adaptación y fiabilidad de la versión española del 'Basic Everyday Living Skills' (BELS) / Assessment of the functioning of the daily life in people with long term mental disorder. Adaptation and reliability of the Spanish version of the 'Basic Everyday Living Skills' (BELS)

Introducción: Existe una estrecha relación entre deterioro del funcionamiento global y enfermedad mental. El nivel de apoyo y cuidados necesitado por una persona correlaciona de forma estrecha con su nivel de funcionamiento. El objeto de este artículo es presentar la adaptación española del cuestionario para la evaluación funcional Habilidades Básicas de la Vida Diaria (BELS), y su fiabilidad en una muestra de población española. Metodología: Tras realizar la traducción al español por el procedimiento de la traducción inversa, 77 sujetos residentes en alojamientos protegidos fueron evaluados por dos parejas de entrevistadores. Para el análisis estadístico se utilizó el coeficiente kappa. Resultados: Los valores kappa en la escala de oportunidad han obtenido un promedio de 0,791 y en la de ejecución de 0,743.Conclusiones: El BELS es un instrumento de medida que presenta propiedades de fiabilidad adecuadas para cumplir el objetivo para el que ha sido diseñado: evaluar las habilidades básicas de convivencia diaria (AU)

[Assessment of the functioning of the daily life in people with long term mental disorder. Adaptation and reliability of the Spanish version of the "Basic Everyday Living Skills" (BELS)]. / Evaluación del funcionamiento de la vida diaria en personas con trastorno mental de larga evolución. Adaptación y fiabilidad de la versión española del "Basic Everyday Living Skills" (BELS).

INTRODUCTION: There is a close relationship between mental illness and the decay of global functioning. The level of support and care needed by a person will also depend closely of the level of his or her functioning. The aim of this article is to present the Spanish version of the Basic Every Day Living Schedule (BELS) and its reliability that has been studied on a sample of Spanish population. METHODOLOGY: Once the first translation into Spanish was satisfactory back translated into English, 77 residents in different sheltered homes were assessed by two pair of researchers. For the statistical analysis the Kappa coefficient was used. RESULTS: Kappa mean values for the opportunity scale was 0.791 and 0.743 for the performance scale. CONCLUSION: BELS is an assessment instrument with adequate reliability properties for the purpose for which it was conceived: to assess the basic abilities for the every day living.