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Yıl:2004; Cilt: 5; Sayı: 2>> Özet
TAM METİN
Anadolu Psikiyatri Dergisi; 2004;5(2):85-91
Konya Kapalı Cezaevi'ndeki mahkumlarda psikiyatrik bozuklukların yaygınlığı
N Kaya, Ö Güler, AS Çilli
Selçuk Üniversitesi Meram Tıp Fakültesi Psikiyatri Anabilim Dalı, KONYA
Amaç: Konya Kapalı Cezaevi’nde mahkumlarda psikiyatrik bozuklukların 12 aylık yaygınlığının araştırılması amaçlanmıştır.
Yöntem: Çalışmaya alınan 305 mahkum ile Uluslararası Bileşik Tanı Görüşmesi-2.1 (CIDI) 12 aylık versiyonu kullanılarak
görüşülmüştür. Alkol ve madde kullanımı ile ilişkili bozukluklar için CIDI-2.1 yaşam boyu versiyonu kullanılmıştır. Sonuçlar:
DSM-IV tanı ölçütlerine göre mahkumların %67.2’sine herhangi bir psikiyatrik bozukluk, %29.2’sine herhangi bir
duygudurum bozukluğu, %27.9’una herhangi bir anksiyete bozukluğu, %3.6’sına herhangi bir somatoform bozukluk, %1’ine
şizofreni ve diğer psikozlar, %50.5’ine nikotin bağımlılığı tanısı konmuştur. Yaşam boyu alkol bağımlılığı %19.7, madde
bağımlılığı %7.9 bulunmuştur. Cezaevine giriş sayısı fazla olan mahkumlarda herhangi bir duygudurum bozukluğu, alkol
bağımlılığı/kötüye kullanımı, ve herhangi bir madde bağımlılığı/kötüye kullanımı anlamlı düzeyde yüksek bulunmuştur.
Psikiyatrik yatış öyküsü olan mahkumlarda herhangi bir duygudurum bozukluğu, herhangi bir anksiyete bozukluğu, nikotin
bağımlılığı ve herhangi bir madde bağımlılığı/kötüye kullanımı anlamlı düzede yüksek bulunmuştur. Tartışma: Mahkumlarda
psikiyatrik bozuklukların yaygınlığı yüksek bulunmuştur. Cezaevlerinde psikiyatrik bozuklukların tanı ve tedavisini sağlayacak
yeterli ve deneyimli ekibin olması önemli görünmektedir.
Prevalence of psychiatric disorders among prisoners in Konya prison
Objective: Twelve- [month] prevalence of psychiatric disorders among prisoners in Konya prison was investigated.
Methods: Totally 305 prisoners were interviewed using 12- [month] version of Composite International Diagnostic
Interview-2.1 (CIDI). For substance related disorders, lifetime version of the CIDI-2.1 was used. Results: Percentage
of psychiatric disorders according to DSM-IV criteria were as follows: any of the psychiatric disorders in 67.2%, any of
the affective disorders in 29.2%, any of the anxiety disorders in 27.9%, any of the somatoform disorders in 3.6%,
schizophrenia and other psychosis in %1, nicotine dependence in %50.5. Lifetime alcohol and substance dependence was
found in 19.7 and 7.9% respectively. Prevalence of affective disorders, alcohol dependence/abuse, and substance
dependence/abuse was found to be significantly high among prisoners were put into the prison more than once.
Prevalence of affective disorders, anxiety disorders, nicotine dependence and substance dependence/abuse was found to
be significantly high among prisoners who already have stayed in a psychiatric ward. Discussion: Prevalence of psychiatric disorders in prisoners was found high. An experienced staff to diagnosis psychiatric disorders and give adequate
psychiatric treatment seems to be a requisite in prisons.

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