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首页> 外文期刊>Annals of physical and rehabilitation medicine >History of traumatic brain injury in prison populations: A systematic review
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History of traumatic brain injury in prison populations: A systematic review

机译：监狱人群创伤性脑损伤史的系统评价

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Traumatic brain injury (TBI) can lead to cognitive, behavioural and social impairments. The relationship between criminality and a history of TBI has been addressed on several occasions. Objective: The objective of this review was to present an update on current knowledge concerning the existence of a history of TBI in prison populations. Methods: PubMed and PsycINFO databases were searched for relevant papers, using the PRISMA guidelines. We selected papers describing TBI prevalence among incarcerated individuals and some that also discussed the validity of such studies. Results: Thirty-three papers were selected. The majority of the papers were on prison populations in Australia (3/33), Europe (5/33) and the USA (22/33). The selected studies found prevalence rates of the history of TBI ranging from 9.7 and 100, with an average of 46 (calculated on a total population of 9342). However, the level of evidence provided by the literature was poor according to the French national health authority scale. The majority of the prisoners were males with an average age of 37. In most of the papers (25/33), prevalence was evaluated using a questionnaire. The influence of TBI severity on criminality could not be analysed because of a lack of data in the majority of papers. Twelve papers mentioned that several comorbidities (mental health problems, use of alcohol...) were frequently found among prisoners with a history of TBI. Two papers established the validity of the use of questionnaires to screen for a history of TBI. Conclusion: These results confirmed the high prevalence of a history of TBI in prison populations. However, they do not allow conclusions to be drawn about a possible link between criminality and TBI. Specific surveys need to be performed to study this issue. The authors suggest ways of improving the screening and healthcare made available to these patients.
机译：创伤性脑损伤 （TBI） 可导致认知、行为和社交障碍。犯罪与TBI病史之间的关系已多次得到解决。目的：本综述的目的是介绍目前关于监狱人群中存在TBI病史的最新知识。方法：使用PRISMA指南在PubMed和PsycINFO数据库中检索相关论文。我们选择了描述被监禁者中TBI患病率的论文，以及一些讨论此类研究有效性的论文。结果：共筛选出33篇论文。大多数论文是关于澳大利亚（3/33）、欧洲（5/33）和美国（22/33）的监狱人口的。选定的研究发现，TBI 病史的患病率在 9.7% 和 100% 之间，平均为 46%（按总人口 9342 计算）。然而，根据法国国家卫生当局的量表，文献提供的证据水平很差。大多数囚犯是男性，平均年龄为37岁。在大多数论文（25/33）中，使用问卷评估患病率。由于大多数论文缺乏数据，无法分析TBI严重程度对犯罪的影响。12篇论文提到，在有TBI病史的囚犯中经常发现几种合并症（心理健康问题，饮酒等）。两篇论文确定了使用问卷筛查 TBI 病史的有效性。结论：这些结果证实了监狱人群中TBI病史的高患病率。但是，它们不允许就犯罪与TBI之间可能存在的联系得出结论。需要进行具体调查来研究这个问题。作者提出了改善这些患者可获得的筛查和医疗保健的方法。

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