Reactive attachment disorder, disinhibited social engagement disorder, adverse childhood experiences, and mental health in an imprisoned young offender population
Moran, Kate and Dyas, Rebecca and Kelly, Charles and Young, David and Minnis, Helen (2024) Reactive attachment disorder, disinhibited social engagement disorder, adverse childhood experiences, and mental health in an imprisoned young offender population. Psychiatry Research, 332. 115597. ISSN 0165-1781 (https://doi.org/10.1016/j.psychres.2023.115597)
Preview |
Text.
Filename: Moran-etal-PR-2023-Reactive-attachment-disorder-disinhibited-social-engagement-disorder-adverse-childhood-experiences-and-mental-health.pdf
Final Published Version License: Download (850kB)| Preview |
Abstract
Background A high proportion of young people in prison have a history of abuse and neglect, and/or of neurodevelopmental or psychiatric conditions. Despite this, the only two conditions specifically associated with abuse and neglect, Reactive Attachment Disorder (RAD) and Disinhibited Social Engagement Disorder (DSED), have never been included as part of a comprehensive prevalence study. Methods A cross sectional study, in 110 male inmates aged 16 to 23, examined the prevalence of, and associations between, adverse childhood experiences (ACEs), neurodevelopmental and mental health conditions, including RAD and DSED. Outcomes Virtually all of the young men (96 %) had one or more lifetime neurodevelopmental or mental health conditions, 85.5 % had a current condition, yet less than 3 % reported having received a mental health assessment in prison. High rates of RAD and/or DSED symptoms were found (53.6 %) and 74.5 % had experienced some form of abuse or neglect. Interpretation There is a high prevalence of ACEs, RAD/DSED, neurodevelopmental and other mental health conditions within this population. Comprehensive clinical assessments are required to ensure appropriate support and staff training is needed to ensure that the full implications of the high prevalence of neurodevelopmental and mental health conditions are understood as part of trauma informed care.
-
-
Item type: Article ID code: 88402 Dates: DateEvent29 February 2024Published14 November 2023Published Online6 November 2023AcceptedSubjects: Philosophy. Psychology. Religion > Psychology
Science > MathematicsDepartment: Faculty of Science > Mathematics and Statistics Depositing user: Pure Administrator Date deposited: 12 Mar 2024 10:00 Last modified: 04 Aug 2024 02:24 URI: https://strathprints.strath.ac.uk/id/eprint/88402