Search results for ‘Subject term:"mental health problems"’ Sort:
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Assessing adolescent personality pathology
- Authors:
- WESTEN Drew, DUTRA Lissa, SHEDLER Jonathan
- Journal article citation:
- British Journal of Psychiatry, 186(3), March 2005, pp.227-238.
- Publisher:
- Cambridge University Press
Personality pathology constitutes a major form of psychopathology in adolescents. This study aimed to examine the reliability and validity of a Q-sort instrument for assessing adolescent personality pathology designed for clinically experienced informants. A sample of 294 randomly selected psychiatrists and psychologists each provided data on a current patient aged 14-18. Clinicians completed several measures, including the Shedler-Westen Assessment Procedure for Adolescents (SWAP-200-A). Factor analysis identified 11 dimensions of adolescent personality: psychopathology/malignant narcissism, dysphoria/inhibition, psychological health, histrionic sexualisation, schizotypy, sexual conflict, emotional dysregulation, anxious obsessionality, peer rejection, delinquent behaviour and attentional dysregulation. These correlated in predicted ways with a range of criterion variables, including measures of adaptive functioning, Axis II pathology, the Five Factor Model and the Child Behavior Checklist. The SWAP-200-A shows promise as an instrument for assessing personality pathology in adolescents. Trait dimensions such as delinquent behaviour and emotional dysregulation may prove useful additions to a classification of personality.
Mental illness and personality disorder in convicted male sex offenders
- Author:
- KESTEVEN Sue
- Publisher:
- NACRO
- Publication year:
- 2005
- Pagination:
- 24p.
- Place of publication:
- London
Sex offending is an important issue because of the serious harm and damage caused to the victims of sex offenders and because of the fears it raises among the public. This report looks at research conducted in Sweden into the prevalence of mental disorder in convicted male sex offenders. Based on the research findings, the report sets out the implications for the planning and provision of services in England and Wales, particularly that there needs to be a routine assessment of their mental health included in their treatment.
Personality and comorbidity of common psychiatric disorders
- Authors:
- KHAN Amir, et al
- Journal article citation:
- British Journal of Psychiatry, 186(3), March 2005, pp.190-196.
- Publisher:
- Cambridge University Press
We know little about the degree to which comorbidity, so commonly seen among psychiatric disorders, arises from variation in normal personality. The authors aimed to study the degree to which variation in normal personality accounts for the comorbidity of 8 common psychiatric and substance use disorders. Internalising disorders (major depression, generalised anxiety and panic disorders, phobias), externalising disorders (alcohol and drug dependence, antisocial personality and conduct disorders) and personality dimensions of neuroticism, extraversion and novelty seeking were assessed in 7,588 participants from a population-based twin registry. The proportion of comorbidity explained by each personality dimension was calculated using structural equation modelling. Neuroticism accounted for the highest proportion of comorbidity within internalising disorders (20–45%) and between internalising and externalising disorders (19–88%). Variation in neuroticism and novelty seeking each accounted for a modest proportion (10–12% and 7–14%, respectively) of the comorbidity within externalising disorders. Extraversion contributed negligibly. High neuroticism appears to be a broad vulnerability factor for comorbid psychiatric disorders. Novelty seeking is modestly important for comorbid externalising disorders.
Mental disordered offenders and prison health care in remand settings
- Authors:
- WILLIAMS Morgyn, LLOYD Karen, HAYRE Carol
- Journal article citation:
- Prison Service Journal, 162, November 2005, pp.24-28.
- Publisher:
- Her Majesty's Prison Service of England and Wales
The confinement of mentally disordered people has been practiced for almost 600 years in England. This article looks at the prevalence of people with mental health problems in remand, their needs, and the health care available to them.
Characteristics of need and risk among women prisoners referred to inreach mental health services
- Authors:
- LOUGHRAN Michael, SEEWOONARAIN Kishane
- Journal article citation:
- British Journal of Forensic Practice, 7(3), August 2005, pp.12-21.
- Publisher:
- Emerald
This paper presents the mental health needs and risk factors identified by a mental health inreach team during the first two years of operation. High levels of need and complexity were identified in women referred to and accepted by the inreach team in HMP & YOI Bullwood Hall during the first two years of operation. They included mental health problems, personality disorder, substance misuse and social factors.
Learning from ‘near misses’: interviews with women who survived an incident of severe self-harm in prison
- Authors:
- BORRILL Jo, et al
- Journal article citation:
- Howard Journal of Criminal Justice, 44(1), February 2005, pp.57-69.
- Publisher:
- Wiley
This article describes qualitative research with women survivors of potentially lethal self-harm in prison. In-depth interviews were carried out during 2002/03 with 15 women, (adults and young offenders), from six establishments. The interviews focused on the women's own accounts of the ‘near miss’ incident, including intentions and motivations, factors leading up to the incident, experiences of care and support, current self-harm and suicidality, and suggestions for prevention. Recommendations include: improvements to the general prison regime; training and support for staff; specialist help for women with histories of abuse, mental illness, or borderline personality disorder; improved support following stressful life events.
Links between drug and alcohol misuse and psychiatric disorders
- Author:
- LITTLEJOHN Christopher
- Journal article citation:
- Nursing Times, 4.1.05, 2005, pp.34-37.
- Publisher:
- Nursing Times
Substance use is common in a wide range of psychiatric disorders, which can increase the risks of use developing into a substance use disorder. Conversely, substance use disorders are frequently accompanied by psychiatric symptoms. In some people these indicate formal psychiatric disorder. Whatever the causes, comorbidity may complicate treatment and resolution of both disorders, often presenting as a vicious circle that is difficult to break.