Meta-analysis of the prevalence of attention-deficit hyperactivity disorder in prison: A comment on Fazel and Favril (2024) and reanalysis of the data

IF 1.1 4区医学 Q3 CRIMINOLOGY & PENOLOGY Criminal Behaviour and Mental Health Pub Date : 2024-06-14 DOI:10.1002/cbm.2347

Stéphanie Baggio, Orestis Efthimiou

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Abstract

Background

Fazel and Favril presented a reanalysis of our previously published systematic review and meta-analysis on the prevalence of attention deficit hyperactivity disorder (ADHD) in prison.

Aims

The current paper addresses some of the criticisms of Fazel and Favril on our meta-analysis and presents a reanalysis of the data, focusing on adult detained persons.

Methods

We conducted a meta—regression on 28 studies (n = 7710) to estimae the pooled prevalence of ADHD.

Results

This reanalysis yielded a pooled estimate of 22.2% for the prevalence of ADHD (95% confidence interval [CI]: 15.7; 28.6), which disagrees with the estimate given by Fazel and Favril (8.3%, 95% CI: 3.8; 12.8).

Conclusion

We argue that the ADHD prevalence provided by Fazel and Favril was an underestimate due to their use of too restrictive exclusion criteria and suboptimal analysis methods. Our reanalysis on detained adults suggests a higher ADHD prevalence, which highlights the need to diagnose and treat ADHD in prison.

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监狱中注意力缺陷多动障碍患病率的元分析：对 Fazel 和 Favril（2024 年）的评论以及对数据的重新分析。

背景：法泽尔和法夫里尔对我们之前发表的关于监狱中注意力缺陷多动障碍（ADHD）患病率的系统综述和荟萃分析进行了重新分析。目的：本文回应了法泽尔和法夫里尔对我们的荟萃分析提出的一些批评，并对数据进行了重新分析，重点关注成年被拘留者：我们对 28 项研究（n = 7710）进行了元回归，以估计多动症的总体患病率：结果：重新分析得出的ADHD患病率总体估计值为22.2%（95%置信区间[CI]：15.7；28.6），这与Fazel和Favril给出的估计值（8.3%，95% CI：3.8；12.8）不同：我们认为，Fazel 和 Favril 提供的多动症患病率被低估了，这是因为他们使用了过于严格的排除标准和不理想的分析方法。我们对被拘留的成年人进行的重新分析表明，多动症的患病率更高，这凸显了在监狱中诊断和治疗多动症的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Criminal Behaviour and Mental Health Multiple-

CiteScore

1.60

自引率

0.00%

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期刊介绍： Criminal Behaviour & Mental Health – CBMH – aims to publish original material on any aspect of the relationship between mental state and criminal behaviour. Thus, we are interested in mental mechanisms associated with offending, regardless of whether the individual concerned has a mental disorder or not. We are interested in factors that influence such relationships, and particularly welcome studies about pathways into and out of crime. These will include studies of normal and abnormal development, of mental disorder and how that may lead to offending for a subgroup of sufferers, together with information about factors which mediate such a relationship.