The Prevalence of Personality Disorders in Outpatient Forensic Mental Health in the Netherlands
NCT ID: NCT06453096
Last Updated: 2025-03-28
Study Results
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Basic Information
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COMPLETED
8000 participants
OBSERVATIONAL
2024-07-01
2025-03-24
Brief Summary
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Detailed Description
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All diagnoses and additional offences are treated in forensic psychiatry. Diagnoses are usually established through the DSM-5 and include, for example, psychotic disorders, substance-related disorder or sexual dysfunction. The offences are for instance, aggressive behavior, sexual violence, acquisition crimes or behavior problems like stalking.
In the Netherlands the Risk Need Responsivity (RNR) model is used in all kinds of forensic treatment and also in OFMH. Besides working on the most common risk factors like substance abuse or problematic circumstances at school or work, recognizing psychiatric diagnoses is important because this can be a risk factor in itself. Mental health problems can be seen both as a criminogenic need or as a responsivity factor.
Personality disorder (PD) is one of the diagnoses that is important to recognize. PDs are associated with increased risk of violent and antisocial behavior, and with recidivism risk. PD's also require a specific treatment approach; therefore, there are programs that focus on this group. Knowledge about prevalence is important for several reasons. Prevalence studies show the disease burden of certain conditions and promote both the recognition of these and the formulation of policy in healthcare. Knowledge of prevalence rates can also help therapists to be more attentive to certain problems or diagnoses, such as PDs. Consequently, this knowledge can facilitate the identification of PDs, which also ensures that treatment approaches are better tailored to PDs. A systematic review of studies on detainees found that 46% of the men and 21 % of the women were diagnose with antisocial PD and 65% of the men and 42% of the women exhibited a PD, including antisocial PD. In forensic inpatients almost 78%\* of the population had a PD with 28% a cluster B PD and 42% a PD not otherwise specified. So, prevalence figures in forensic populations are quite high. The question however arises whether PDs are also common among forensic outpatients in the Netherlands? Figures on prevalence of PDs in OFMH are however scarce. Therefore, this research aims at identifying the prevalence of PDs in OFMH in the Netherlands.
research question: What DSM-5 classifications have been made (primary and secondary)? How can the group with a PS be described with respect to gender, age, education, nationality, legal title, nature of offense and care received.
Conditions
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Study Design
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COHORT
RETROSPECTIVE
Interventions
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prevalence of personality disorders
the prevalence of personality disorders will be investigated with a retrospective study
Eligibility Criteria
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Exclusion Criteria
18 Years
ALL
No
Sponsors
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Vrije Universiteit Brussel
OTHER
Responsible Party
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Barbera Van Reijswoud
principal investigator and phd-student
Principal Investigators
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Barbera van reijswoud, drs
Role: PRINCIPAL_INVESTIGATOR
Vrije Universiteit Brussel
Locations
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VUB
Brussels, , Belgium
Countries
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References
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American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.). Author.
Andrews, D. A., Bonta, J., & Wormith, J. S. (2011). The risk-need-responsivity (RNR) model: Does adding the good lives model contribute to effective crime prevention? Criminal Justice and Behavior, 38(7), 735-755. https://doi.org/10.1177/0093854811406356
Borges Migliavaca C, Stein C, Colpani V, Barker TH, Munn Z, Falavigna M; Prevalence Estimates Reviews - Systematic Review Methodology Group (PERSyst). How are systematic reviews of prevalence conducted? A methodological study. BMC Med Res Methodol. 2020 Apr 26;20(1):96. doi: 10.1186/s12874-020-00975-3.
DJI. (2024). Overzicht door DJI gecontracteerde aanbieders FZ per 1/1/2024 per zorgsoort. https://www.forensischezorg.nl/documenten/publicaties/2024/02/12/overzicht-aanbieders-fz-2024-per-zorgsoort
Douglas, K. S., Hart, S. D., Webster, C. D., Belfrage, H., Guy, L. S., & Wilson, C. M. (2014). Historical-Clinical-Risk Management-20, Version 3 (HCR-20V3): Development and Overview. International Journal of Forensic Mental Health, 13, 93-108. https://doi.org/DOI: 10.1080/14999013.2014.906519
Drieschner, K., & Tollenaar, N. (2011). Recidive tijdens forensische zorgtrajecten 2013-2017. Cahier 2021-18. www.wodc.nl
Fazel S, Danesh J. Serious mental disorder in 23000 prisoners: a systematic review of 62 surveys. Lancet. 2002 Feb 16;359(9306):545-50. doi: 10.1016/S0140-6736(02)07740-1.
Guyton, M. R., & Foerschner, A. (2017). Treatment of Personality Disorders in Forensic/Correctional Settings. In R. Roesch & A. N. Cook (Eds.), Handbook of Forensic Mental Health Services (pp. 290-322). Routledge. https://doi.org/10.4324/9781315627823-11
ILOSTAT. (2011). ISCED. International Standard Classification of Education. https://ilostat.ilo.org/resources/concepts-and-definitions/classification-education/
Jankovic M, Masthoff E, Spreen M, de Looff P, Bogaerts S. A Latent Class Analysis of Forensic Psychiatric Patients in Relation to Risk and Protective Factors. Front Psychol. 2021 Jul 20;12:695354. doi: 10.3389/fpsyg.2021.695354. eCollection 2021.
Lutz M, Zani D, Fritz M, Dudeck M, Franke I. A review and comparative analysis of the risk-needs-responsivity, good lives, and recovery models in forensic psychiatric treatment. Front Psychiatry. 2022 Oct 31;13:988905. doi: 10.3389/fpsyt.2022.988905. eCollection 2022.
Noland E, Strandh M. Historical, clinical and situational risk factors for post-discharge recidivism in forensic psychiatric patients - A Swedish registry study. Int J Law Psychiatry. 2021 Nov-Dec;79:101749. doi: 10.1016/j.ijlp.2021.101749. Epub 2021 Nov 10.
Tamam L, Ozpoyraz N, Karatas G. Personality disorder comorbidity among patients with bipolar I disorder in remission. Acta Neuropsychiatr. 2004 Jun;16(3):175-80. doi: 10.1111/j.1601-5215.2004.00074.x.
Taylor, J. (2014). Developing a framework for the identification of criminogenic needs in offenders with intellectual disability and personality disorder: The Treatment Need Matrix. Advances in Mental Health and Intellectual Disabilities, 8(1), 43-50. https://doi.org/10.1108/AMHID-07-2013-0051
van den Bosch LM, Hysaj M, Jacobs P. DBT in an outpatient forensic setting. Int J Law Psychiatry. 2012 Jul-Aug;35(4):311-6. doi: 10.1016/j.ijlp.2012.04.009. Epub 2012 May 5.
Verschuur, J., & Keulen-de Vos, M. (2018). Basis zorgprogramma voor de forensische ambulante zorg.
Yu R, Geddes JR, Fazel S. Personality disorders, violence, and antisocial behavior: a systematic review and meta-regression analysis. J Pers Disord. 2012 Oct;26(5):775-92. doi: 10.1521/pedi.2012.26.5.775.
Zimmerman M, Galione JN, Chelminski I, Young D, Dalrymple K, Morgan TA. Does the diagnosis of multiple Axis II disorders have clinical significance? Ann Clin Psychiatry. 2012 Aug;24(3):195-201.
Zorginstituut Nederland. (2022). Kwaliteitskader Forensische Zorg 2022-2028. https://www.rijksoverheid.nl/documenten/rapporten/2020/11/02/tk-bijlage-visie-forensische-zorg-2020.
Other Identifiers
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BvRVUBdeeloz2
Identifier Type: -
Identifier Source: org_study_id
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