This study aimed to assess the feasibility of conducting a nutrition trial in adult male prisoners. Adult male prisoners were recruited for a 16-week randomised control trial comparing the effect of ingestion of omega-3 long chain polyunsaturated fatty acids (n-3 LCPUFA) and multivitamin supplements versus placebo on aggressive behaviour. The baseline and post-intervention assessments from the participant blood samples were the erythrocyte n-3 LCPUFA levels as well as measures of aggressive behaviour determined through institutional records of misconduct (IRM), the Inmate Behaviour Observation Scale (IBOS), and questionnaires. A total of 136 adult male prisoners consented to the study with a retention rate of 60%, and 93% of blood samples were successfully collected. The IRM and IBOS scores were collected for 100% of participants, whilst 82–97% of participants completed the questionnaires. From the baseline data, the Odds Ratio shows that prisoners are 4.3 times more likely to have an IBOS >2 if they are below the 6% cut off on the omega-3 index. Both groups improved across all outcome measures and, at the current sample size, no significant differences were seen between them. A power calculation suggests a total sample size of 600 participants is required to detect the effects of this dietary supplementation, and that this supplementation study is feasible in a Correctional Centre. Important criteria for the exclusion and consideration of logistics and compliance are presented.
Aggressive and violent behaviour is often associated with a diagnosis of attention-deficit hyperactivity disorder (ADHD). This article investigates the relationship between adult attention deficit disorder (ADD) and aggressive cognitions. The Aggression Questionnaire and the Brown Attention-Deficit Disorder Scales were administered to two samples: a “low-risk sample” comprising university students (n = 60), and a “high-risk sample” of prison inmates (n = 117). The prevalence of “probable ADD” was found to be higher in the prison sample (33%), compared with the university sample (20%). There were moderate correlations >r = .5 (p < .01) between total ADHD and Aggression Questionnaire scores in both groups. There were also moderate to strong correlations between subscales of both measures, including cognitive processes such as attention and memory and various forms of aggression, which were particularly apparent in the prison sample. The relationship between ADHD and aggressive behaviour suggests that the treatment of adult ADHD may aid in the management of aggressive behaviour.
[This corrects the article DOI: 10.1371/journal.pone.0120220.].