@article{ref1,
title="Psychological distress in an incarcerated juvenile population",
journal="Journal of the Formosan Medical Association",
year="2014",
author="Lyu, Shu-Yu and Chi, Ying-Chen and Farabee, David and Tsai, Liang-Ting and Lee, Ming-Been and Lo, Feng-En and Morisky, Donald E.",
volume="114",
number="11",
pages="1076-1081",
abstract="BACKGROUND/PURPOSE: This study sought to examine the prevalence and correlates of psychological distress among incarcerated youth in Taiwan using the 5-item Brief Symptom Rating Scale (BSRS-5). <br><br>METHODS: This cross-sectional census survey study was conducted in 2007 among all the juveniles incarcerated in 23 correctional institutions (n = 1505) in Taiwan using a self-administered anonymous questionnaire. Of the total 1505 participants, 1363 completed the questionnaire (91% response rate). We excluded 494 participants as they were aged either over 17 years or under 12 years. Psychological distress was measured among the final 869 participants using the BSRS-5. Psychological distress was defined as a total score of at least 6 out of 20. Those identified as having psychological distress were then pooled into a case group and compared with control participants without psychological distress. <br><br>RESULTS: The prevalence of psychological distress was 44.1%. Among the case group, sleep disturbance (36.8%) had the highest prevalence of severe or very severe symptoms, followed by depression (34.7%), and hostility (27.9%). Multivariate logistic regression analysis revealed that correlates of psychological distress included the following: being female; having a poor self-rated health status; having joined a gang; having experienced life disturbances prior to the current imprisonment; and having ever had a smoking habit. <br><br>CONCLUSION: Significant gender differences were found for both the overall BSRS-5, as well as for each individual item of the BSRS-5. Treatment programs and interventions should be carefully tailored to address the mental health needs of juvenile inmates in a gender-specific manner using a multifaceted approach.<p /><p>Language: en</p>",
language="en",
issn="0929-6646",
doi="10.1016/j.jfma.2014.03.011",
url="http://dx.doi.org/10.1016/j.jfma.2014.03.011"
}