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Tytuł:
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Trauma exposure and mental health of prisoners and ex-prisoners: A systematic review and meta-analysis.
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Autorzy:
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Liu H; Department of Psychology, The Education University of Hong Kong, Hong Kong, SAR, China; Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong, SAR, China.
Li TW; Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong, SAR, China.
Liang L; Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong, SAR, China; Department of Psychology, The University of Hong Kong, Hong Kong, SAR, China.
Hou WK; Department of Psychology, The Education University of Hong Kong, Hong Kong, SAR, China; Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong, SAR, China. Electronic address: .
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Źródło:
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Clinical psychology review [Clin Psychol Rev] 2021 Nov; Vol. 89, pp. 102069. Date of Electronic Publication: 2021 Aug 04.
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Typ publikacji:
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Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review; Systematic Review
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Język:
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English
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Imprint Name(s):
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Publication: Tarrytown Ny : Elsevier Science
Original Publication: New York : Pergamon Press, c1981-
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MeSH Terms:
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Mental Disorders*/epidemiology
Prisoners*
Adaptation, Psychological ; Humans ; Mental Health
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Contributed Indexing:
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Keywords: Ex-prisoners; Mental health; Meta-analysis; Prisoners; Social support; Trauma
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Entry Date(s):
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Date Created: 20210828 Date Completed: 20211103 Latest Revision: 20211103
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Update Code:
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20240105
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DOI:
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10.1016/j.cpr.2021.102069
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PMID:
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34454322
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The present meta-analytic review examined the associations between different forms of trauma and mental disorders among prisoners and ex-prisoners. Studies published from 1998 to March 31 2021 were identified by searching PsycINFO, PubMed, Medline and Web of Science. Data were meta-analyzed using a random-effect model. Moderator and mediator analyses were conducted. The protocol was registered in PROSPERO (CRD42020181587). We identified 62 studies (50 non-duplicated samples) with 15,115 (97.86%) prisoners and 330 (2.14%) ex-prisoners in 16 countries. A multi-level meta-analysis found that overall trauma was positively associated with more diagnoses or symptoms of mental disorders (Zr = 0.198, 95% CI = [0.167, 0.229], p < 0.001). Stronger effect sizes were found between childhood trauma (Zr = 0.357, 95% CI = [0.147, 0.568], p < 0.01) and sexual trauma (Zr = 0.326, 95% CI = [0.216, 0.435], p < 0.001) and stress-related disorders. Multilevel moderator analysis showed that effect size was stronger in imprisonment trauma (β = 0.247, 95% CI = [0.177, 0.316], p < 0.01), mixed trauma (β = 0.234, 95% CI = [0.196, 0.272], p < 0.001), and stress-related disorders (β = 0.261, 95% CI = [0.214, 0.307], p < 0.01). Associations between trauma and mental disorders were mediated by social support but not coping. Our findings provide an evidence base for future research on the impact of trauma and inform assessments and interventions in correctional settings.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
