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Health-related quality of life in prisoners with attention-deficit hyperactivity disorder and head injury

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dc.contributor Reykjavík University (RU)
dc.contributor Háskólinn í Reykjavík (HR)
dc.contributor.author Young, Susan
dc.contributor.author González, Rafael A.
dc.contributor.author Fridman, Moshe
dc.contributor.author Hodgkins, Paul
dc.contributor.author Kim, Keira
dc.contributor.author Gudjonsson, Gisli H.
dc.date.accessioned 2019-10-23T15:26:02Z
dc.date.available 2019-10-23T15:26:02Z
dc.date.issued 2018-06-22
dc.identifier.citation Young, S., Gonzalez, R. A., Fridman, M., Hodgkins, P., Kim, K., & Gudjonsson, G. H. (2018). Health-related quality of life in prisoners with attention-deficit hyperactivity disorder and head injury. BMC Psychiatry, 18, 209. https://doi.org/10.1186/s12888-018-1785-9
dc.identifier.issn 1471-244X
dc.identifier.uri https://hdl.handle.net/20.500.11815/1309
dc.description Publisher's version (útgefin grein)
dc.description.abstract Background: Attention-deficit hyperactivity disorder (ADHD) and head injury (including traumatic brain injury (TBI)) manifest in high levels across prison samples and guidance from the National Institute for Health and Care Excellence notes that people with acquired brain injury may have increased prevalence of ADHD. We aimed to examine the association of ADHD with TBI and the impact of the association upon health-related quality of life (HRQoL) and service use among imprisoned adults. Methods: An observational study was performed in 2011–2013, at Porterfield Prison, Inverness, United Kingdom (UK). The all male sample included 390 adult prison inmates with capacity to consent and no history of moderate or severe intellectual disability. Head injury was measured with a series of self-reported questions, addressing history of hits to the head: frequency, severity, loss of consciousness (LOC), and sequelae. Participants were interviewed using the Diagnostic Interview for ADHD in Adults 2.0. The Health Utilities Index Mark 3 was used to measure health status, and to calculate attribute specific HRQoL and Quality-Adjusted Life Year (QALY) scores. Results: 72% of prisoners sampled reported at least one head injury in their lifetime. Among those, 70% of head injuries occurred before age 16 and 70% experienced LOC. Prisoners with ADHD were nearly twice more likely to have TBI. Prisoners with ADHD-only and ADHD with co-morbid TBI had significantly lower scores in several HRQoL attributes, compared with TBI only or the absence of either condition. Adjusted logistic regression models indicated an average reduction of 0.20 QALYs in inmates with ADHD-only and 0.30 QALY loss in those with ADHD with co-morbid TBI compared with inmates with neither condition. Conclusions: There is a robust association between ADHD and TBI, and ADHD with co-morbid TBI confers significantly greater impairment in terms of HRQoL. Managing the short and long-term consequences of TBI is essential to improving care for prisoners and to addressing the criminogenic factors related to them. Keywords: Attention deficit/hyperactivity disorder, Head injury, Traumatic brain injury, Prison population, Health-related quality of life, Co-morbidity
dc.description.sponsorship Shire Pharmaceutical Development Limited
dc.format.extent 209
dc.language.iso en
dc.publisher Biomed Central LTD
dc.relation.ispartofseries BMC Psychiatry;18(1)
dc.rights info:eu-repo/semantics/openAccess
dc.subject ADD
dc.subject ADHD
dc.subject Head injury
dc.subject Höfuðáverkar
dc.subject Traumatic brain injury
dc.subject Heilaskaði
dc.subject Prison population
dc.subject Fangar
dc.subject Health related quality of life
dc.subject Lífsgæði
dc.subject Co morbidity
dc.subject Sálfræði
dc.subject Psychology
dc.title Health-related quality of life in prisoners with attention-deficit hyperactivity disorder and head injury
dc.type info:eu-repo/semantics/article
dcterms.license © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.description.version Peer Reviewed
dc.identifier.journal BMC Psychiatry
dc.identifier.doi 10.1186/s12888-018-1785-9
dc.relation.url http://link.springer.com/content/pdf/10.1186/s12888-018-1785-9.pdf
dc.contributor.school Viðskiptadeild (HR)
dc.contributor.school School of Business (RU)

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