Neurotic disorders

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Co-occurrence of mental and physical disorders
I U
likely also to show evidence of personality disorder As was found in the survey of psychiatric morbidity
and functional psychosis as mentioned above. They of adults in private households (Meltzer et al 1995b),
were also more likely to report drug dependence those with neurosis (CIS-R scores of 12 or above)
prior to prison but not alcohol misuse. Generally were more likely to have a physical complaint than
the likelihood of the co-occurrence of these those without. The likelihood of reporting a physical
disorders increased with increasing CIS-R scores, complaint increased with increasing CIS-R scores so
that the odds of having a physical complaint were
Alcohol misuse before prison was associated with 1.93 for those with CIS-R scores of 12-17 rising to
personality disorder and socio-demographic and 3.07 for those with scores of 24+ (compared with
custodial factors were also significant. In particular, 1.00 for those with score of0-11).
more severe alcohol misuse, as shown by an AUDIT
score of 16 or more, was associated with increased Unlike prisoners as a whole, female young
likelihood of also having personality disorder, offenders were no more likely than male young
However, unlike prisoners of all ages, young offenders to report a physical complaint, once
offenders showing more severe alcohol misuse were other factors were taken into account.
no more likely to also have functional psychosis or Other mental disorders were not significantly
significant neurotic symptoms, associate d with physical complaints, and the low
numbers of young offenders reporting types of
The type of drugs on which people reported physical complaint other than those mentioned
dependence prior to prison affected the above meant that:the models did not produce
relationship with alcohol misuse. Those dependent significant results. (Table 10.5)
on opiates, alone or in combination with other
drugs, were about a third as likely to report alcohol
misuse as those who were not drug dependent.
Drug dependence of all kinds increased the
likelihood of reporting significant neurotic
symptoms while the relationship with personality
disorder was particularly strong. Compared with
those who reported no drug dependence those who
were dependent on cannabis only were more than
twice as likely to show evidence of personality
disorder. However, the odds of those reporting
dependence on stimulants or opiates having
personality disorder were even greater, being 5.62
for those dependent on stimulants only and 13,75
for those dependent on opiates (alone or with
stimulants). (Table 10.4)
10.4.2Mentaldisorderandphysicalcomplaints
In order to investigate whether the likelihood of
having a physical complaint was associated with
having a mental disorder, multiple logistic
regression modeling was carried out. To control for
co-morbidity and other possible confounding
factors the models used included all five main types
of disorder as well as key sociodemographic and
custodial variables. The odds ratios obtained are
shown in Table 10:5.
Psychiatric Morbidity arnongYoung Offenders inEngland andWales 63
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