Characteristics of forensic psychiatric patients with a neurocognitive disorder.
| Autor: | Meijers J; Willem Pompe Institute for Criminal Law and Criminology, Utrecht University, The Netherlands; and Judicial Complex Zaanstad, Dutch Custodial Institutions Agency, Ministry of Justice and Security, The Hague, The Netherlands., Kuin NC; Penitentiary Institution Vught, Dutch Custodial Institutions Agency, Ministry of Justice and Security, The Hague, The Netherlands; and Pieter Baan Centre, Netherlands Institute of Forensic Psychiatry and Psychology, Ministry of Justice and Security, The Hague, The Netherlands., Scherder EJA; Section of Clinical Neuropsychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, The Netherlands., Harte JM; Department of Criminology, Faculty of Law, Vrije Universiteit Amsterdam, The Netherlands. |
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| Jazyk: | angličtina |
| Zdroj: | BJPsych open [BJPsych Open] 2024 May 20; Vol. 10 (3), pp. e117. Date of Electronic Publication: 2024 May 20. |
| DOI: | 10.1192/bjo.2024.712 |
| Abstrakt: | Background: Emotional and behavioural disturbances accompanying neurocognitive disorders may sometimes lead to a criminal offence. Our knowledge of this specific forensic subpopulation is lagging behind the knowledge on, and attention for, 'classic' psychiatric disorders in forensic populations. Aims: To gain knowledge on the prevalence and characteristics of individuals with neurocognitive disorders in the forensic population. Method: This retrospective database study uses an anonymised data-set of the National Database of penitentiary psychiatric centres (PPC) ( N = 8391), which collects data on all patients admitted to one of the four PPCs (mental health clinics within the prison system) in The Netherlands since May 2013. Inclusion criterion for this study was the presence of a Diagnostic and Statistical Manual of Mental Disorders , fourth edition, text revision (DSM-IV-TR) or Diagnostic and Statistical Manual of Mental Disorders , fifth edition (DSM-5) diagnostic code belonging to the category of neurocognitive disorders. Results: A DSM-IV-TR or DSM-5 diagnostic code of a neurocognitive disorder was classified in 254 out of 8391 unique individuals, resulting in a prevalence of 3.0% in the total PPC population. The most prevalent diagnosis was unspecified neurocognitive disorder (59.1%). The neurocognitive disorder group significantly differed from a random control group from the database ( n = 762) on demographic, clinical and criminological variables. Conclusions: The prevalence of neurocognitive disorders in this real-world clinical sample is remarkably lower than in two earlier studies in similar populations. Also remarkable is the relatively high prevalence of an unspecified neurocognitive disorder. These findings lead us to hypothesise that neurocognitive disorders may be underdiagnosed in this population. Forensic psychiatric settings should evaluate whether they have sufficient expertise available in neuropsychological assessment. |
| Databáze: | MEDLINE |
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