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Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2007, Number 6

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Salud Mental 2007; 30 (6)

Female depression and substance dependence in the Mexico City penitentiary system

Colmenares BE, Romero MMP, Rodríguez REM, Durand-Smith AL, Saldívar HGJ

Language: Spanish
References: 50
Page: 53-61
PDF size: 70.08 Kb.


ABSTRACT

The prevalence of mental disorders in people deprived of freedom has been estimated at between 10 and 15%. Acute or chronic mental illnesses provoke a major breakdown and maladjustment to prison conditions. The more frequent diagnose of mental disorders have been substance consumption, major depression, bipolar disorder, post-traumatic stress disorder and psychotic disorders.
Objective
To identify the frequency of major depressive episode in women in prison in Mexico City, its frequency of association with alcohol and substance dependence, and to describe the symptomatic and socio-demographic characteristics.
Material and method
A transversal, non-experimental, descriptive, ex post facto field study, in two prisons of Mexico City (Centro Preventivo Femenil Oriente [Preventivo Oriente] and the Feminine Center for Social Readaptation Tepepan CERESO), in a non- probabilistic sample of 213 women, selected by convenience. The instrument was designed ex profeso. For the evaluation of the major depressive episode, the Mini International Neuropsychiatric Interview (MINI) and DSM-IV criteria were used for substance dependence. Field work lasted from August 2001 to March 2004. Interviews were carried out under previous informed consent; confidentiality and anonymity were guaranteed. In collaboration with the Center of Orientation and Classification (COC), each center elaborated a list of inmates with a history of substance abuse who met the inclusion criteria to take part in the research. Results
The mean age of the interviewed population was 30.6 ± 7.9 years; 45.5% belonged to the age group between 28 to 40 years; the school attainment more frequent was elementary school (41.3%), followed by secondary school. Single women represented 48.6% of the population and 50.2% referred having, at the moment of the interview, a partner relationship. The type of offense reported with major frequency was robbery (51.6%, in different modalities: unspecific, simple, aggravated, not-aggravated, unspecific, burglary, tentative of robbery and car theft). The researched population referred that 43.7% had previously done time in some penal institution. The frequency of depressive episodes was 62% (n=132) in the interviewed population. The group between 18 to 27 years, with lower years of schooling, single mothers with children under 18 years presented the highest frequency of depression and substance abuse. Alcohol dependence and depression were more frequent in women with less than six months in prison. For depression and substance dependence, the more affected group was the one between one to four years of imprisonment. As to the length of the sentence, women with three to seven years were the most affected by the two diagnoses. Conclusions
The interviewed population showed that the longer the imprisonment or the sentence, the higher the frequency of the depressive disorder. A possible explanation is that being imprisoned for a long time may have severe consequences in women’s well-being due in part to the fact that in most of the cases women are abandoned by their relatives and loved ones, which intern increases their loss of social support networks. The problem of mental disorders becomes more evident when it is estimated that only 40% of the people who have a disorder had received treatment. Nearly half of the depressed women had not received support and care for their mental health problem. In the group of women with alcohol dependence, less than a quarter had asked for help, in contrast with the group with substance dependence where half of the women had asked for help.
On the other hand, prison by itself generates depression and it is a normal reaction in the face of the new situation. There is also the erroneous belief that symptoms will fade away by themselves. In other studies it has been observed that being deprived of freedom causes the lose of emotional relationships, solitude and boredom, lack of services, heterosexual relationships, autonomy, security, a problematic cohabitation with other unpredictable prisoners, all of which cause fear and anxiety. All these deprivations may constitute serious threats to the personality and self-esteem.


REFERENCES

  1. AMERICAN PSYCHIATRIC ASSOCIATION: Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. Washington, 1994.

  2. AMORIM P, LECRUBIER Y, WEILLER E, HERGUETA T, SHEEHAN D: DSM-III-R Psychotic Disorders: procedural validity of the Mini International Neuropsychiatric Interview (MINI). Concordance and causes for discordance with the CIDI. Eur Psychiatry, 13:26-34, 1998.

  3. ANTHONY GC: Panorama de la situación de las mujeres privadas de libertad en América Latina desde una perspectiva de género. Dentro del Seminario Taller Violencia Contra las Mujeres Privadas de Libertad en América Latina. Fundación para Debido Proceso Legal. Actualizado: 12/13/04. URL:http://www.dplf.org/TransparencyEng_Pub/ Transparencyeng_Program.htm

  4. AZAOLA E, JOSE C: Las Mujeres Olvidadas. Comisión Nacional de Derechos Humanos, El Colegio de México, México, 1996.

  5. AZAOLA GE: Género y justicia penal en México. Dentro del Seminario Taller Violencia Contra las Mujeres Privadas de Libertad en América Latina. Fundación para Debido Proceso Legal. Actualizado: 12/13/04. URL:http://www.dplf.org/ TransparencyEng_Pub/Transparencyeng_Program.htm

  6. BECK AT, RUSH J, SHAW BF: Cognitive Therapy of Depression. Guilford, New York, 1979.

  7. BIRMINGHAM L: Mental disorder and prisons. Psychiatric Bulletin, 28:393-397, 2000.

  8. BRINDED PM, SIMPSON AI, LAIDLAW TM, FAIRLEY N, MALCOLM F: Prevalence of psychiatric disorders in New Zealand prisons: a national study. Aus N Z J Psychiatry, 35(2): 166-173, 2001.

  9. CLEMENT M: Empirical study of depression in women felons in Virginia. Am J Forensic Psychiatry, 18(4):51-57, 1997.

  10. COVINGTON S: Women in prison: Approaches in the treatment of our most invisible population. En Haerden J, Hill M (eds). Breaking the Rules: Women in Prison and Feminist Therapy. The Haworth Press, 141-153, New York, 1998.

  11. DRAKE RE, BRUNETTE MF: Complications on severe mental illness related to alcohol and drug use disorders. Recent Dev Alcohol, 14:285-99, 1998.

  12. EATHROWL M, MCCULLY R: Screening new inmates in a female prison. J Forensic Psychiatry, 13(2):428-439, 2002.

  13. FERRANDO L, FRANCO-ALONZO L, SOTO M, BOBESGARCIA et al.: Mini International Neuropsychiatric Interview. Versiónen español 5.0.0, DSM-IV. Enero 2000.

  14. FOGEL CI, MARTIN SL: The mental health of incarcerated women. Western J Nursing Research, 14(1):30-47, 1992.

  15. GALVAN RJ, ROMERO MM, RODRIGUEZ RE, DURAND SA et al.: La importancia del apoyo social para el bienestar físico y mental de las mujeres reclusas. Salud Mental, 29(3):68-74, 2006.

  16. GUADARRAMA GR: Comparación del nivel de depresión en mujeres recluidas y no recluidas. Psicología Social México, VI:507-512, 1996.

  17. GUNTER TD: Incarcerated women and depression: a primer for the primary care provider. J Am Med Womens Assoc, 59(2):107-112, 2004.

  18. HADDAD P: Depression: counting the costs. Psychiatric Bull, 18:25-28, 1994.

  19. HAGAN J, DINOVITZER R: Collateral consequences of imprisonment for children, communities, and prisoners. En: Torny M, Petersilia J (eds). Prisons. The University of Chicago Pres, 121-162, Chicago and London, 1999.

  20. HARLOW CW: Profile of Jail Intimates 1996. U S Department of Justice. Office of Justice Programs. Bureau of Justices Statistics Special Report, 1998. NCJ 164620. Online at: http://www.ojp.usdoj.gov/bjs/abstract/pji96.htm.

  21. HERNANDEZ ZE, MARQUEZ BM: Evaluación de la salud mental de la población de internas de un centro de readaptación social. Psicología Salud, 14:101-110, 1999.

  22. HERRMAN H, MCGORRY P, MILLS J, SINGH B: Hidden severe psychiatric morbidity in sentenced prisoners: an Australian study. Am J Psychiatry, 148(2):236-239, 1991.

  23. HOUCK KD, LOPER AB: The relationship of parenting stress to adjustment among mothers in prison. Am J Orthopsychiatry, 72:548-558, 2002.

  24. JORDAN BK, FEDERMAN EB, BURNS BJ, SCHLENGER WE et al.: Lifetime use of mental health and substance abuse treatment services by incarcerated women felons. Psychiatr Serv, 53(3):317-25, 2002.

  25. JORDAN BK, SCHLENGER WE, FAIRBANK JA, CADDELL JM: Prevalence of psychiatric disorders amongincarcerated woman II: Convicted Felons Entering Prison. Arch Gen Psychiatry, 56:513-519, 1996.

  26. KHANTZIAN EJ: The self-medication hipotesis of addictive disorders: focus on heroin and cocaine dependance. Am J Psychiatry, 142(1):259-264, 1985.

  27. KOSTEN TR, GAWIN FH, MORGAN CH, NELSON JC , JATLOW PI: Evidence for altered desipramine disposition in methadone maintained patients treated for cocaine abuse. Am J Drug Alcohol Abuse, 16:329-336, 1990.

  28. LAGARDE M: Los Cautiverios de las Mujeres Madresposas, Monjas, Putas, Presas y Locas. Edición UNAM, 1993.

  29. LAMB HR, GRANT RW: Mentally Ill Women in a Country Jail. Arch Gen Psychiatry, 40:363-368, 1983.

  30. LAMB HR, WEINBERGER LE: Persons with severe mental illness in jails and prisons: A review. Psychiatr Serv, 49(4):483-492, 1998.

  31. LANGAN NP, PELISSIER BM: Gender differences among prisoners in drug treatment. J Subst Abuse, 13(3):291-301, 2001.

  32. LECRUBIER Y, SHEEHAN DV, WEILLER E, AMORIM P et al.: The Mini International Neuropsychiatric Interview (MINI): A short diagnostic structured interview: reliability and validity according to the CIDI. Eur Psychiatry, 12:224-231, 1997.

  33. LIEBLING A: Prison suicide and prisoner coping. En: Torny M, Petersilia J (eds). Prisons. The University of ChicagoPres, 283-359, Chicago and London, 1999.

  34. MARKOU A, KOSTEN TR, KOOB GF: Neurobiological similarities in depression and drug dependence: a self-medication hypothesis. Neuropsychopharmacology, 18(3):135-74, 1998.

  35. MATUD P, CARBALLEIRA M, LOPEZ M, MARRERO R, IBAÑEZ I: Apoyo social y salud: Un análisis de género. Salud Mental, 25(2):32-37, 2002.

  36. MERIKANGAS KR, RISCH NJ, WEISSMAN MM: Comorbidity and co-transmission of alcoholism, axiety and depression. Psychol Med, 24:69-80, 1994.

  37. MOHAN D, SULLY P, COLLINS C, SMITH C: Psychiatric disorder in an Irish female prison. Crim Behav Ment Health, 7(3): 229-235, 1997.

  38. MUESER KT, DRAKE RE, MILES KM: The course and treatment of substance use disorder in persons with severe mental illness. NIDA Research Monograph, 172:86-109, 1997.

  39. NUNES EV, QUITKIN FM, BRADY R, KOENING T. Antidepressant treatment in methadone maintenance patients. J Additct Dis, 13:13-24, 1994.

  40. PAYKEL ES: Life events and early environment. En: Handbook of Affective Disorders. Guilford Press, 146-161, New York, 1982.

  41. RASKIN MD, MILLAR NS: The epidemiology of the co morbidity of psychiatric and addictive disorders: a critical review. J Addict Dis, 12:45-57, 1993.

  42. REGIER DA, FARMER ME, RAE DS: Comorbidity of mentaldisorders with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) study. JAMA, 264(2): 511-518, 1990.

  43. SEPULVEDA R, TRONCOSO M, ALVAREZ C: Psicología y salud: El papel del apoyo social. Revista Médica Santiago, 1(2): 10-18, 1998.

  44. SHEEHAN DV, LECRUBIER Y, SHEEHAN HK, AMORIM P et al.: The Mini-International Neuropsychiatry Interview (MINI): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD- 10. J Clin Psychiatry, 59(suppl 20):22-33, 1998.

  45. SHEEHAN DV, LECRUBIER Y, SHEEHAN HK, JANAVS J et al.: The validity of the Mini International Neuropsychiatry Interview (MINI) according to the SCID-P and its reliability. Eur Psychiatry, 12:232-241, 1997.

  46. STATON M, LEUKEFELD C, WEBSTER JM: Substance use, health, and mental health: problems and service utilization among incarcerated women. Int J Offender Ther Comp Criminol, 47(2):224-39, 2003.

  47. TEPLIN LA, ABRAM KM, MCCLELLAND GM: Prevalence of psychiatric disorders among incarcerated woman: Pretial jail detainees. Arch Gen Psychiatry, 56:505-512, 1996.

  48. WINOKUR G, CORYELL W, AKISKAL HS, ENDICOTT J et al.: Manic-depressive (bipolar) disorder: the course in light of a prospective ten-year follow-up of 131 patients. Acta Psychiat Scandinavica, 89(2):102-10, 1994.

  49. WINOKUR G, TURVEY C, AKISKAL H, CORYELL W et al.: Alcoholism and drug abuse in three groups-bipolar I, unipolars and their acquaintances. J Affect Disorders, 50(2-3):81-9, 1998.

  50. YOUNG DS: Women’s perceptions of health care in prison. Health Care Women Int, 21(3):219-234, 2000.




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