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Contribution title 2647 - MENTAL HEALTH ISSUES AMONG YOUNG ADULT IMPRISONED MALES, RELATED TO SYMPTOMS OF ATTENTION DEFICIT HYPERACTIVITY DISORDER
Contribution code PS03-46 (P)
Authors
  1. Jūratė Kuzmickaitė LSMU Presenter
  2. Darius Leskauskas Lithuanian University of Health Sciences
  3. Ona Gylytė Lietuvos kalinių globos draugija
Form of presentation Poster
Topic
  • ADHD
Abstract Introduction: Attention-deficit hyperactivity disorder (ADHD) is a mental disorder associated with a number of psychiatric conditions, mostly antisocial personality disorder, substance use and criminality. Because this disorder is often misunderstood, many people who have it do not receive appropriate treatment and, as a result, may never reach their full potential. WHO World Mental Health Survey Initiative, researchers screened more than 11,000 people aged 18 to 44 years in ten countries in the Americas, Europe and the Middle East. On this basis they estimated the adult ADHD proportion of the population to av. 3.5 % with a range of 1.2 to 7.3 %.

Methods: The study was performed in the Pravieniškės Correction House-Open Prison Colony (PCH-OPC). Standartised questionnaires (Adult ADHD Self-Report Scale (ASRS-v1.1); Wender Utah Rating Scale; DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure-Adult; The Personality Inventory for DSM-5-Brief Form (PID-5-BF)) were given to 100 prisoners in order to evaluate prevalence and manifestation of ADHD. Data from documented medical files and Delinquency/encouragement list was also analysed.

Results: Prevalence of ADHD symptoms among prisoners in the PCH-OPC was 17 % (17), while evaluating with Utah 12 % (12) and ASRS-v1.1 11 % (11), 6 % (6) in both scales. Prisoners in ADHD group (with ADHD sympt.) were younger (24±2) than in non-ADHD group (30±4,5) (p,0,05). In ADHD group personality dysfunction (negative affect, antagonism, disinhibition and psychoticism) were more intensive than in non-ADHD group (p<0,05). Delinquency list was greater in ADHD group (p<0,05). Medical files’ analysis showed that in ADHD group psychiatric disorders (sleeping disorder (F51.0) and Phobic anxiety disorder, unspecified (F40.9)) were more frequent than in non-ADHD group (p<0,05), on the other hand, ADHD wasn’t diagnosed in anyone of them. Prisoners with ADHD symptoms were more likely to have prescribed drugs than non-ADHD group (especially antipsychotics, no stimulants were prescribed) (p<0,05). Evaluating with DSM-5 Cross-Cutting Scale, substance use was more frequent among prisoners within ADHD group, however, not enough to reach statistical significance.

Conclusion: Almost one fifth of questionnaired prisoners had ADHD symptoms, but ADHD wasn’t diagnosed and properly treated. Prisoners in ADHD group were younger and had more intensive personality dysfunction. Sleeping, anxiety disorders and delinquency were more common in ADHD group.