Criminal Behaviour and Mental Health最新文献

{"title":"Inmates' Experiences of Rehabilitation and Self-Perception: A Sense of Coherence Exploration From Leeuwkop Correctional Centre","authors":"Bonginkosi Ndimande,&nbsp;Elizabeth Archer","doi":"10.1002/cbm.70045","DOIUrl":"10.1002/cbm.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Rehabilitation is a central objective of correctional services in South Africa, intended to support behavioural change, reduce recidivism and contribute to successful reintegration. Despite this mandate, concerns regarding persistent recidivism and prison overcrowding remain. Less is known about how incarcerated individuals themselves experience rehabilitation and make sense of it.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore how incarcerated individuals describe and make sense of their experiences of rehabilitation within a South African correctional setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Forty repeat-offending men serving custodial sentences at Leeuwkop Correctional Centre, South Africa, and having taken part in some rehabilitation programmes there, agreed to participate in semi-structured interviews about their experiences of the rehabilitation work. Data were analysed using inductive thematic analysis. Findings were partially validated through interviews with eight professional staff members who had been delivering aspects of the rehabilitation work. Themes were subsequently interpreted using the Sense of Coherence framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Prisoner participants described shifts in self-perception, including increased self-awareness, a greater sense of personal responsibility and more future-oriented perspectives. These experiences broadly fit with the Sense of Coherence components of comprehensibility, manageability and meaningfulness. Such shifts were not, however, uniform and were often described as tentative and shaped by contextual constraints.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Rehabilitation was experienced not only as a behavioural intervention but also as a process of meaning-making and identity reconstruction. By applying the Sense of Coherence framework as a postanalytic interpretive lens, this study offers a novel way of understanding how incarcerated individuals experience rehabilitation and perhaps internalise key aspects of it. Further longitudinal research is needed to examine the sustainability of these perceived changes over time.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":"36 4","pages":"179-187"},"PeriodicalIF":1.9,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cbm.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health and Serious Drug Crime: A Case–Control Study","authors":"Morten Hesse,&nbsp;Julie Elizabeth Brummer,&nbsp;Freja Ilsing Magnussen,&nbsp;Erik Simonsen,&nbsp;Thomas Friis Søgaard","doi":"10.1002/cbm.70042","DOIUrl":"10.1002/cbm.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Serious drug crime involves a high level of risk and is often characterised as requiring a network of suitable and trustworthy collaborators. Although prior studies have focused on the importance of economic, social and work-related factors for involvement in such crime, there has been less research into the mental health of the people involved.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To assess the prevalence of mental disorders in a full nationwide cohort of individuals convicted of serious drug crimes in Denmark (2001–2020), who were born after 1984 and had a personal national identification number.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We compared four groups: large-scale serious drug crime offenders sentenced to ≥ 5 years' imprisonment (<i>n</i> = 232); moderate-scale serious drug crime offenders sentenced to under 5 years' imprisonment (<i>n</i> = 2955); offenders convicted only of small-scale drug offences, such as low-level supply, but never of serious drug crime (<i>n</i> = 7630); and sex- and age-matched general population controls who had never been convicted of a serious drug crime (<i>n</i> = 3187). Mental disorders were identified using hospital and pharmacy registers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The adjusted prevalence of any mental disorder was similar across offender groups (large-scale: 32%, 95% CI [27%–38%]; moderate-scale: 36%, 95% CI [34%–38%]; small-scale: 36%, 95% CI [35%–37%]) and, in all three groups, was substantially higher than among controls (23%, 95% CI [22%–25%]). A similar pattern was observed for specific disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our results challenge the assumption that engagement in serious drug crime requires skills and behaviours that are incompatible with having a mental disorder. We conclude that people with serious drug crime convictions are as likely as minor drug offenders to need mental health services and that people with mental disorders are vulnerable to recruitment into serious drug crime.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":"36 4","pages":"157-164"},"PeriodicalIF":1.9,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cbm.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Judicial Review, Legal Safeguards and the Rights of Persons With Severe Mental Illness: Reflections on Taiwan's Revised Mental Health Act","authors":"Fang-Chi Shih,&nbsp;Lien-Chung Wei","doi":"10.1002/cbm.70040","DOIUrl":"10.1002/cbm.70040","url":null,"abstract":"","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":"36 4","pages":"188-189"},"PeriodicalIF":1.9,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Effectiveness of Empathy Training for Women in Prison in Iran: An Exploratory Trial of an Empathy Training Group for Its Impact on Aggression, Moral Disengagement and Moral Identity","authors":"Alireza Azimpour,&nbsp;Fatemeh Ebrahimi,&nbsp;Habib Hadianfard","doi":"10.1002/cbm.70037","DOIUrl":"10.1002/cbm.70037","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Empathy deficits are linked to antisocial behaviour and low prosocial abilities. Improving capacity for empathy may help reduce aggression and support positive social engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To evaluate the impact of empathy training among women in prison in Iran.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Thirty female prisoners from Kermanshah Prison, Iran, volunteered to take part and were assigned to two groups. Fifteen participants received empathy training, whereas 15 served as a control group and only completed assessments. The intervention was of eight group sessions (45–60 min each). Standardised questionnaires were administered pre- and post-intervention to assess empathy, aggression, moral identity, moral disengagement and social desirability. Gain scores for social desirability were treated as covariates in a multivariate analysis of covariance (MANCOVA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>MANCOVA did not reveal statistically significant effects of empathy training. However, individual ANOVA analyses showed a significant increase in moral disengagement among the intervention group, suggesting unintended consequences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study adds to existing literature by highlighting both the challenges and risks of implementing empathy training in a prison context. Whereas results do not confirm effectiveness, at least partly because of sample size limitations, they confirm that such intervention can be implemented and evaluated safely in prison. They also show the importance of monitoring and interpreting apparent side effects. They pave the way towards larger samples and exploration of intensive interventions to foster psychological change among people in prison.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":"36 3","pages":"121-129"},"PeriodicalIF":1.3,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adverse Childhood Experiences and Their Relationship With Psychological Disorders and Violent Criminal Behaviour Within a Forensic Psychiatric Cohort","authors":"Manon van Beeck,&nbsp;M. Vere van Koppen,&nbsp;Janna Verbruggen,&nbsp;Joke M. Harte","doi":"10.1002/cbm.70038","DOIUrl":"10.1002/cbm.70038","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adverse childhood experiences (ACEs) are traumatic events occurring before the age of 18 that may undermine a child's sense of safety, stability and attachment. ACEs can have lifelong consequences, including an elevated risk of developing psychological disorders and an increased likelihood of engaging in delinquent or violent behaviour later in life. Clinical practice suggests that many forensic psychiatric patients have a history of ACEs, but scientific research on ACEs within this population remains limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To study the prevalence of ACEs before the age of 18 within a large Dutch forensic psychiatric prison cohort and the relationship between repeated ACEs and psychopathology or violent criminal behaviour.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data collected from 3421 adults (91% men) who had been admitted to one of the four penitentiary psychiatric centres (PPCs) in the Netherlands were used to examine the prevalence of ACEs and their association with different clusters of psychological disorders or violent criminal behaviour.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Over half of the men (1,633, 53%) and nearly two thirds of the women (198, 62%) had experienced repeated ACEs. The men with repeated ACEs had greater odds of having a neurobiological developmental disorder, having committed a violent offence and developing a substance use or addiction disorder, a personality disorder and/or a trauma- or stress-related disorder. The women with repeated ACEs had greater odds of developing a personality disorder.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings underscore the importance of incorporating assessment of trauma histories and trauma-informed service for forensic psychiatric offenders. We also add evidence for the potential for early intervention, given that repeated ACEs were associated with certain mental disorders and with violent offending, in particular for men.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":"36 3","pages":"130-140"},"PeriodicalIF":1.3,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Impulsivity, Alexithymia and Facial Emotion Recognition in Schizophrenia Patients With and Without Criminal Records","authors":"Muhammed Emin Boylu,&nbsp;Fatma Büşra Parlakkaya Yıldız,&nbsp;Mesut Keskin,&nbsp;Ahmet Demir,&nbsp;İlker Taşdemir,&nbsp;Ümit Haluk Yeşilkaya","doi":"10.1002/cbm.70039","DOIUrl":"10.1002/cbm.70039","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Criminal behaviour by people with schizophrenia has been attributed variously to direct effects of the illness, an interplay between clinical features and social circumstances or neither. A difficulty in the interpretation of the relevance of the illness may lie in the focus on the more clearly psychotic features and the relative neglect of emotional dysregulation or deficits in social cognition. We, therefore, aimed to examine whether psychological and social cognitive factors—such as alexithymia, impulsivity, aggression and facial emotion recognition—differ between individuals with schizophrenia who have a criminal history and those who do not.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Forty-seven patients with schizophrenia and a criminal record were recruited from consecutive admissions to a specialist forensic mental health inpatient unit and 73 patients with schizophrenia but no criminal record were recruited from a general psychiatry unit in the same hospital. All participants, aged 18–65 years, completed a battery of assessments, including the facial emotion recognition test, the Toronto Alexithymia Scale, the Barratt Impulsiveness Scale and the Buss–Perry Aggression Questionnaire, between October 2023 and June 2025.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The offender-patients showed significantly higher average motor impulsivity scores, significantly higher alexithymia scores—particularly externally oriented thinking—and significantly higher anger scores, but significantly superior performance in facial emotion recognition tests, specifically identifying shame, fear, surprise and happiness more accurately than the noncriminal group. Clinically, individuals with a criminal history had a significantly later onset of disorder (30.78 vs. 23.42 years), shorter disorder duration (8.85 vs. 12.36 years) and fewer psychotic episodes (2.48 vs. 3.21) and were more prone to self-harm. The offender-patients appeared to have been less treatment-adherent; specifically, they were less likely to have sustained treatment with depot antipsychotic medication. These findings remained significant in regression analyses, with offending as the dependent variable and these other characteristics as independent variables.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study adds evidence on links between criminal behaviour and schizophrenia other than, or over and above, positive psychotic symptoms. Emotional dysregulation, substance use and poor treatment adherence were problematic, but facial emotion recognition was not. Thus, forensic risk assessments should include tests of emotion dysr","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":"36 3","pages":"141-154"},"PeriodicalIF":1.3,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary Psychoses Among Sentenced Prisoners in Finland","authors":"Petra Laivonen,&nbsp;Taina Laajasalo,&nbsp;Mika Rautanen","doi":"10.1002/cbm.70034","DOIUrl":"10.1002/cbm.70034","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Recent studies suggest an increased prevalence of primary psychotic disorders among sentenced prisoners in Finland. Exploring the extent and correlates of lifetime primary psychoses through high-quality data is crucial for early identification and effective interventions within correctional settings.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To establish the current lifetime prevalence and comorbidities of primary psychotic disorders among sentenced prisoners in Finland and to explore associations between these and sex, solitary confinement, forensic mental health examination, index offence and total days imprisoned.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Data were derived from a subsample (&lt;i&gt;n&lt;/i&gt; = 295) of the Health and Wellbeing of Prisoners 2023 (Wattu IV) study (&lt;i&gt;n&lt;/i&gt; = 529). Assessments included Structured Clinical Interview for the US Diagnostic and Statistical Manual for Mental Disorders (DSM-IV; SCID I and II). Details of offending to date and imprisonment history from official records and self-reported solitary confinement were included in the database. Logistic regression analysis was used to examine associations between lifetime primary psychotic disorders and variables significantly related in binary analyses.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Twenty-four (8%) participants had a lifetime primary psychotic disorder, according to SCID-based data. A further 100 (34%) had a lifetime substance-induced psychotic disorder. The odds of primary psychotic disorder were over five times (OR 5.22) higher among women than men. For more detailed analyses, prisoners with a drug-related psychosis could not be separated from prisoners without psychosis. The odds of disciplinary solitary confinement were over three times (OR 3.36) higher among those with lifetime primary psychosis than among all other sentenced prisoners and over four and a half times (OR 4.61) higher among those requesting it. Neither index offence nor total lifetime days imprisoned had any relationship with primary psychosis.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study updates the understanding of lifetime primary psychotic disorders and their correlates in Finnish prisons, descriptively suggesting a likely rise in their prevalence from 6% in 2017 to 8% in 2023, a 33% increase. The finding that twice as many female as male prisoners have primary psychosis aligns with previous research. The higher use of s","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":"36 3","pages":"105-111"},"PeriodicalIF":1.3,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cbm.70034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicide in Prisons and Other Custodial Settings in Bangladesh: Key Challenges for Prevention","authors":"Anisur Rahman Khan,&nbsp;Rasel Hussain","doi":"10.1002/cbm.70028","DOIUrl":"10.1002/cbm.70028","url":null,"abstract":"","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":"36 3","pages":"101-104"},"PeriodicalIF":1.3,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Loneliness, Meaning in Life and Distress Among Incarcerated Men: The Moderating Role of Search for Meaning","authors":"Dominik Borawski,&nbsp;Daria Matynia,&nbsp;Dominik Moskal,&nbsp;Bartosz Pyrz","doi":"10.1002/cbm.70035","DOIUrl":"10.1002/cbm.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Incarceration often disrupts an individual's sense of purpose and connectedness, contributing to loneliness and psychological distress. Identifying psychological resources that might buffer these effects is especially relevant in correctional settings. One such resource, emphasised in Viktor Frankl's existential theory, is search for meaning—a motivation to pursue existential purpose.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To investigate whether search for meaning moderates associations between loneliness and (a) presence of meaning and (b) psychological distress. We also explored whether presence of meaning mediates the link between loneliness and distress and whether any such indirect association varies by levels of search for meaning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 114 male prisoners aged 18–65 years (mean 37.25, SD = 9.52) were recruited from two correctional facilities encompassing closed and semi-open units. Participants completed the revised UCLA Loneliness Scale, the Perceived Stress Scale and both subscales of the Meaning in Life Questionnaire (MLQ).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Higher loneliness scores were associated with lower presence of meaning and higher distress. Presence of meaning mediated the relationship between loneliness and distress. Search for meaning moderated the link between loneliness and presence of meaning: The association was weaker at higher levels of search.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Identification of presence of meaning as a key mechanism relating loneliness and distress among these incarcerated men extends research on meaning in life to a setting where management of loneliness and distress may be key to safety and underscores the potential relevance of meaning-centred interventions in prison settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":"36 3","pages":"112-120"},"PeriodicalIF":1.3,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical Management of Problematic Sexual Arousal for People With a Sexual Conviction in England and Wales: Challenges, Learning and Progress","authors":"Belinda Winder,&nbsp;D. Grubin,&nbsp;M. Underwood,&nbsp;Z. Antoniadis,&nbsp;M. Carvalheiro,&nbsp;E. Marshall,&nbsp;C. Norman,&nbsp;R. Bourne,&nbsp;A. Kaul","doi":"10.1002/cbm.70030","DOIUrl":"10.1002/cbm.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In England and Wales, the primary treatments for individuals convicted of sexual offences are psychological. However, medication to manage problematic sexual arousal (MMPSA) is gaining importance as an alternative. This article reviews the current evidence surrounding the MMPSA approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This paper synthesises challenges encountered, advancements achieved and learnings accumulated over 16 years of the MMPSA treatment pathway from 2009 to 2025 in England and Wales.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Drawing on a programme of mixed-methods research, including cohort studies, case studies, qualitative interviews with patients and professionals and implementation evaluations, this paper seeks to bring together key findings to present a consolidated picture of the research on the MMPSA pathway to date. The focus is on synthesising findings and identifying implications for service delivery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Evaluations of treatment outcomes showed promising results regarding the effectiveness of the MMPSA service. Qualitative analyses and case studies provided insightful details regarding patient and staff concerns that may hinder the efficiency and reach of the treatment pathway. Research with community clinicians highlighted issues regarding the ‘off-label’ use of medication for this purpose.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The MMPSA treatment service is available in a limited number of prisons in England and Wales. Supported by promising service evaluations and existing literature, a larger population could benefit from MMPSA treatment. Furthermore, the MMPSA service would benefit from improvements to create smoother transitions for individuals leaving prison and entering the community, and it should ideally be expanded to ensure that those in the community can also access the MMPSA service.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":"36 2","pages":"79-86"},"PeriodicalIF":1.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147494032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}