Impact on Quality of Life in Incarcerated Individuals: A Theoretical
Reflection from the Cognitive Perspective of COVID-19
ANA MARÍA LOZANO HURTADO, GUSTAVO ADOLFO GUTIÉRREZ PUERTA,
ISABELA GUTIÉRREZ RIVERA, CRISTIAN DAVID GAVIRIA GIRALDO,
VALERIA CÁRDENAS PARRA
Faculty of Law and Human Sciences, Program of Psychology,
Unidad Central del Valle del Cauca,
Carrera 27A, Salida Sur # 48 -144, Tuluá, Valle del Cauca,
COLOMBIA
Abstract: - The bibliographic review addresses studies conducted concerning incarcerated individuals and how
their cognitive conditions have been affected by factors influencing their quality of life. The experience they
underwent with regard to COVID-19 is particularly significant. While the pandemic affected individuals in
normal living conditions, its impact on incarcerated individuals was even more pronounced, given the
suboptimal psychological, mental, emotional, legal, and physiological conditions within the Colombian prison
system.
Key-Words: - Pandemic, Prison, Mental Impact, Emotions, Legal Systems, quality of life
Received: May 14, 2022. Revised: July 21, 2023. Accepted: August 16, 2023. Published: September 20, 2023.
1 Introduction
Currently, the panorama brought about by COVID-
19 has reflected a discouraging progression marked
by alarming and radical measures, [1], accompanied
by governmental decisions that prevented more
disastrous consequences in populations where,
nonetheless, the virus saw exponential growth, [2].
Moreover, there exists scientific evidence of the
issues that have unfolded since the virus's arrival,
including evidence of its effects on various human
systems, leading to diverse emotional reactions, [3],
[4].
Thus, the world cannot remain indifferent to
how incarcerated individuals have been affected on
psychological, mental, emotional, legal, and
physiological levels. Considering that the COVID-
19 pandemic intensified the manifestation of
symptoms related to isolation, environmental and
social factors for incarcerated individuals, as greater
restrictions and limitations on social interactions
were imposed as preventive measures to curb
contagion, [5].
Mitigating and reducing the risk of COVID-19
transmission within prison environments poses a
significant challenge for public health, [6]. Indeed,
detainees face a higher susceptibility to infection,
transmission, and fatal consequences related to
COVID-19 due to factors such as dormitory and cell
crowding, congested circulation conditions within
correctional facilities, and the high prevalence of
chronic diseases. Furthermore, characteristics of
infection and the massive spread of this infectious
disease were observed within the incarcerated
population, [7], amplified by the flow of
contamination resulting from overcrowding,
vulnerability under insufficient surveillance and
sanitary control, or precarious and unsanitary
conditions, [8].
Furthermore, the World Health Organization,
[9], outlines several factors that render incarcerated
individuals vulnerable in terms of mental health
impact: overcrowding, social isolation, lack of
privacy, and absence of meaningful activities. It is
established that the onset of the pandemic caused by
the SARS-CoV-2 virus in penitentiary institutions
resulted in diminished cognitive potential and
greater behavioral implications, [5], [10].
From this point onward, the foundational
propositions of humanistic approaches by Abraham
Maslow and those aligned with the tenets of Max-
Neef emphasize that humans possess fundamental
needs that must be fulfilled, not only from a
hierarchical perspective, but also from the viewpoint
of being, having, doing, and being present, [11],
[12].
Undoubtedly, preexisting challenges were
exacerbated by the issues caused by the COVID-19
pandemic, given the high levels of overcrowding in
Colombian prisons and deficiencies in health and
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DOI: 10.37394/23208.2023.20.9
Ana María Lozano Hurtado, Gustavo Adolfo Gutiérrez Puerta,
Isabela Gutiérrez Rivera, Cristian David Gaviria Giraldo,
Valeria Cárdenas Parra
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sanitation systems, [13]. It was reasonable to
assume that the introduction of the virus would
significantly intensify the crisis within the
penitentiary sphere, [14]. However, while
overcrowding heightens the chances of COVID-19
contraction among incarcerated individuals (IIs), it
is not the sole risk factor associated with detention
facilities, [15].
While it is true that overpopulation situations in
Latin America have particularly severe impacts on
the occurrence and spread of coronavirus infections
within penitentiary institutions, [16], the inherent
infrastructure and health conditions present in
detention facilities globally also hinder the
implementation of actions aimed at preventing
disease expansion, [17]. For this reason, penitentiary
and correctional establishments internationally have
assumed a pivotal role in efforts to control pandemic
spread, [18], as they inevitably exhibit three
conditions highly conducive to contagion: enclosed
environments, overcrowding, and limited
ventilation, [15].
Understanding the incarcerated population's
vulnerability to potential virus effects necessitates
contributing to the understanding of human
behaviors within prison communities, deeply rooted
and influenced by global circumstances. In this case,
these behaviors are particularly relevant in response
to the virus's consequences and the establishment of
coping strategies aimed at mitigating adverse effects
on the well-being and health of individuals at higher
risk due to the potential for rapid spread, confined
spaces, and overcrowding, [19], [20], [21], [22]. In
this regard, the IACHR has highlighted that
overcrowding emerges as a primary challenge
concerning deprivation of liberty in the Americas.
Moreover, it underscores that this leads to various
severe risks to the life and personal well-being of
those detained. In conclusion, the Commission has
directed its focus toward the notable consequences
that overcrowding has on the health of those in
detention, especially during the evolution of the
COVID-19 pandemic, [23].
The psychosocial perspective based within the
penitentiary context revisits the term "privatization,"
according to authors, [24], [25], as the transition and
changes evident in physical and mental health,
validating cognitive, emotional, sexual factors, and
adaptive reaction within the context of freedom
deprivation. In accordance with the presented
definition, a close relationship is identified with the
diverse psychosocial effects developed within this
research population.
When a person is compelled to confront and
adapt to their incarcerated status, a reference point is
established that entails alterations in physical,
psychological, and social aspects. Throughout this
process, physical separation from support networks
is experienced, along with radical transformations in
social, familial, and work dynamics, resulting in a
significant impact on the individual's life, [26].
Additionally, imprisonment escalates tension levels,
brings about emotional problems, reduces family
income, and inflicts detrimental consequences on
children, [27].
The described exploration of the interplay
between social circumstances and the cognitive
domains of incarcerated individuals can lead to a
legitimate and preventive interpretation from
psychology, enabling a rational distinction between
stressors and their resultant factors, [28], [29].
In accordance with the aforementioned, the
objective of this article is founded upon establishing
a contemporary theoretical and conceptual
foundation concerning the cognitive effects of
SARS-CoV-2 (COVID-19) on the incarcerated
population. Through a bibliometric review
methodology derived from the PRISMA guidelines,
an examination of the relationship between the
influence of cognitive impairments associated with
SARS-CoV-2 (COVID-19) on the conditions and
ways of life of incarcerated individuals is
conducted, aimed at enhancing the quality of life
and mental health. This delineation involves a
review of articles available in the Spanish language
relating to the quality of life among incarcerated
individuals and the adverse cognitive effects of
COVID-19.
For information retrieval, keywords pertaining
to the pertinent variables within the study were
identified and subsequently validated through
verification against the UNESCO Thesaurus.
Drawing from these, searches were conducted
across diverse databases including Scielo, PubMed,
Dialnet, university repositories, Scopus, and others.
The search was structured using the Boolean
formula pandemic AND prison, pandemic AND
mental effect, prison AND mental effect, prison
AND quality of life, prison AND legal systems.
Initially, prison AND quality of life, 160 articles
were identified; however, guided by inclusion and
exclusion criteria such as the publication years
between 2018 and 2022, relevance to the studied
variables, and a global origin with a preference for
national contributions, a final selection of 40 articles
was made.
In conclusion, notwithstanding the prominent
emphasis on the cataclysmic effects of the global
pandemic, not solely confined to the incarcerated
population, within this demographic, the
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DOI: 10.37394/23208.2023.20.9
Ana María Lozano Hurtado, Gustavo Adolfo Gutiérrez Puerta,
Isabela Gutiérrez Rivera, Cristian David Gaviria Giraldo,
Valeria Cárdenas Parra
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psychological ramifications were more profound
than mere contagion, but intricately linked to the
adaptation to incarceration, [28], [29], [30].
2 Problem Statement
Considering the typical structure of a bibliographic
review methodology, it is understood as a scientific
and academic product that synthesizes, analyzes,
argues, discusses, and compiles information in
general terms about a given topic. Within this
method of academic literature, it enables the
incorporation of thematic and critical exercises on
the studied phenomenon as a complement and
theoretical-conceptual support for the discussion,
[31].
Thus, it is important to recognize the distinction
between the two purposes that a compilation of
scientific information serves, primarily in terms of
academia and research, as pertains to the
phenomenon addressed in this writing, touching on
related elements concerning the trajectory and
progression of the SARS-CoV-2 virus globally. In
addition to these premises, the concept of the state
of the art is linked, understood as the most recent
advances in science and research itself. This is in
relation to the set of academically relevant
experimental procedures, seeking the correlation of
variables related to the topic under consideration, a
thesis reflected within the framework of this article,
especially concerning aspects of cognitive nature,
mental health stability, quality of life, and
incarcerated individuals, [32].
This review was developed by means of a
systematic scheme using the existing literature from
various information sources, including university
repositories (Universidad del Quindio, Universidad
Pontificia Javeriana, PUCESA, Universidad del
Valle, Universidad Distrital, UNAL, UNSA, UTA,
UNAC, UPF) and other databases such as PubMed,
Scielo, Scopus, Coursehero, ScienceDirect,
UNODC, and Lancet (Table 1). A base terminology
was employed, along with the combination of
different keywords, such as COVID-19, Personas
Privadas de la Libertad(incarcerated individuals),
Calidad de Vida” (quality of life), Efecto
cognitive (cognitive effects), Problemática
Social (social issues), and Contexto jurídico
(legal context). Additionally, the Google Scholar
platform was used as a secondary source of
information, always respecting the criteria and
terminologies adopted for this literature review.
Chronologically, the search task began in early
April 2022 and ended in the first days of August
2022. This date is consistent with the start of
knowledge construction, which began with
approximately 160 information sources as a
significant part of the literary analysis, and in
accordance with the research selection criteria
(Figure 1).
Table 1. Consulted sources
Database
%
University repositories
39,21%
Dialnet
21,56%
PubMed
15,68%
SciELO
5,88%
Organizations and United Nations Offices (UN - WHO - UNODC)
5,88%
Internet Archive Scholar
3,92%
ScienceDirect
1,96%
Lancet
1,96%
Scopus
1,96%
Coursehero
1,96%
Academia.edu
1,96%
Medigraphic
1,96%
Infomed- Rev Panorama
1,96%
Authors' own elaboration
Total
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Ana María Lozano Hurtado, Gustavo Adolfo Gutiérrez Puerta,
Isabela Gutiérrez Rivera, Cristian David Gaviria Giraldo,
Valeria Cárdenas Parra
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Fig. 1: Flowchart of search, selection, and exclusion of articles.
Source: Authors' own elaboration
Particularly, within this article, the search
included documents such as literature reviews,
scientific articles with qualitative and quantitative
designs, products from foreign and local university
repositories, experimental research, reports,
professional thesis papers, books, and information
or communication databases. The search and
selection of documentary sources were
independently carried out by the group of
researchers, with the data extraction from each
article being grouped according to the determined
results, thus being consistent with what was
established in the problem statement.
Meanwhile, the selection criteria considered are
based on a document review approach on studies
determining cognitive aspects in relation to prison
stay during the confinement period by COVID-19.
These studies are constituted according to
qualitative, quantitative, or mixed methodologies
and from cross-sectional or longitudinal designs.
On the other hand, according to what is stated in
Figure 1, in the first phase of this review, around
160 bibliographic resources were found, considering
filters of information such as Spanish and English
languages, complete texts or important fragments,
and primary or secondary research. The exclusion of
documents was carried out based on topics different
from the described variables, thus the consolidation
of the database comprised 58 articles, 7 of which
were refined in a second phase due to their
theoretical contents, leaving a total of 51 that
include concrete results of research and other
academic reflections that met the aforementioned
requirements (Figure 1). Lastly, with the intention
of taking the most up-to-date data, the third
information filter was reduced to the reference
sections of the last 5 years of academic evolution
(Table 2).
However, this review, according to the
territorial classification of bibliographic references,
extends across the continents of Asia and Europe,
reaching Central America and Latin America, all the
while supporting the considerations of international
and/or global entities such as the World Health
Organization, the Pan American Health
Organization, among others (Table 3).
Table 2. The final result of 40 selected articles according to the year of publication.
Year
Quantity
%
2018
2
5%
2019
6
15%
2020
16
40%
2021
12
30%
2022
4
10,00%
Total
40
Authors' own elaboration.
Third analysis
Second analysis
First analysis
Search in databases
Selected
articles
N= 160
Selected
articles
N= 58
Selected
articles
N= 51
Selected
articles
N= 40
Excluded
articles
N= 11
Excluded
articles
N= 7
Excluded
articles
N= 102
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Ana María Lozano Hurtado, Gustavo Adolfo Gutiérrez Puerta,
Isabela Gutiérrez Rivera, Cristian David Gaviria Giraldo,
Valeria Cárdenas Parra
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That stated, this review, according to the territorial
classification of the bibliographic references,
extends across the continents of Asia and Europe,
reaching Central America and Latin America, all
while supporting the considerations of international
and/or global entities such as the World Health
Organization, the Pan American Health
Organization, among others (Table 3).
With clear purposes and guidelines for the
review, an information classification scheme was
developed according to the selected topics and
sources consulted from the methodological
approach of this article, with emphasis on
Incarcerated Individuals and, in descending
frequency order: COVID-19 as a global health
emergency, followed by cognitive implications,
quality of life and mental health, then the
importance of the emotional aspect of human
beings, and lastly, the legal and constitutional
approach to human rights (Table 4 Appendix and
Table 5).
Table 3. Selected articles according to the country of publication
Country
Quantity
%
Colombia
13
32,50%
Spain
9
22,50%
Ecuador
5
12,50%
Peru
3
7,50%
Iran
1
2,50%
Cuba
2
5,00%
China
2
5,00%
Japan
1
2,50%
England
1
2,50%
Pakistan
1
2,50%
Chile
1
2,50%
Mexico
1
2,50%
Total
40
Source. Authors' own elaboration.
Table 5. Frequency of Variables in the reviewed articles
Variable
Quantity
%
Quality of Life (QoL)
6
15%
Cognition (CG)
7
18%
Emotionality (E)
5
13%
Mental Health (MH)
6
15%
Covid-19 (C19)
25
63%
Incarcerated Individuals (II)
28
70%
Human Rights (HR)
1
3%
Total number of articles = 40
Authors' own elaboration
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Ana María Lozano Hurtado, Gustavo Adolfo Gutiérrez Puerta,
Isabela Gutiérrez Rivera, Cristian David Gaviria Giraldo,
Valeria Cárdenas Parra
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3 Problem-solving
3.1 Epidemiological Chronology
Diseases that have disrupted human life at various
points in history have paved an endless societal
trajectory, considering all those viruses and/or
related elements that, at some juncture, caused
distress and mortality. Therefore, the central focus
of the arguments in this section will be anchored in
diseases such as the Black Death, [33], the H1N1
flu, [34], (influenza / H1N1), [35], and the recent
and catastrophic global pandemic of COVID-19.
With this historical backdrop in mind, the Black
Death, which emerged around 1348, wrought a
profound impact on the European population and
its environs. The most effective transmission routes
were established through commercial channels
between Europe and Asia. However, historical
records also demonstrate that the impact of this
disease extended beyond exposure and contagion.
The high mortality rates were exacerbated by the
vulnerability of the population, given the economic
and agricultural crises of the era. These crises
ushered in an extended period of famine, [33].
This virus, according to its pathological
classification, was mainly transmitted by animals
and produced by the Yersinia Pestis bacterium,
which usually settled on fleas in animals, and it was
through the coexistence with humans that
contagion became possible. Given the ease of
contagion, this endemic disease became one of the
most devastating phenomena known in history,
with outbreaks occurring every few years for two
centuries. The deadliest outbreak was in 1347,
followed by 1362 and 1364 in Europe, and later
years in the Mediterranean. All these appearances
of the black plague became less deadly and violent
over time until they eventually “disappeared”, [33].
Centuries later (20th century), harmful viruses
for human life emerged, such as variations of the
influenza or H1N1 flu (H1N1), a family of
orthomyxoviruses (RNA viruses grouped into five
subtypes), including influenza types A, B, C, [34],
and two other genera, namely Isavirus and
Thogotovirus, [35], all of these viruses
consolidated around 1918 as another great
pandemic in human history, permeated by the
climate of World War I and renamed at the time as
Spanish flu or influenza, mainly because Spain was
the country with the first outbreak of press
coverage on the high mortality rates of the disease
itself. Subsequently, there were outbreaks of this
virus in 1957, known that year as the Asian flu
(N2N2), and in 1968 as the Hong Kong flu
(H3N2), [36], [37]. Both cases left mortality
estimates reaching 4 million and 1.5 million,
respectively, even though the origins of these
mentioned variations of this virus are not entirely
clear, [38].
Now, this virus has had other outbreaks, such
as the case of 2009, where contagion of this A
(H1N1) flu was evident; however, its incidence was
not recognized as a significant public health risk
because, despite the mild and moderate symptoms,
the recovery process was increasingly quick and
favorable. Even in prisons where there were cases,
treatment was reduced to attention within the
penitentiary establishments due to the good
receptivity of individuals to treatment, [39].
Subsequently, it is worth mentioning COVID-19, a
phenomenon classified as the disease caused by
coronavirus 2 or SARS-CoV-2, of which little was
known about its implications until the outbreak in
Wuhan, China at the end of 2019. It became a
global health emergency given its spread and
contagion throughout the world. This virus, like the
previous ones mentioned, has caused high levels of
death, changes to human life, and a direct impact
on the overall quality of life, [1]. The brief
transmission process of the disease led the WHO to
declare it an international public health emergency,
taking into account the virus's impact on less
developed countries in terms of healthcare
infrastructure. As of April 10, 2020, approximately
182 positive cases of COVID-19 had been reported,
along with 1,563,857 confirmed cases and 95,044
fatalities, resulting in a fatality rate of 6.08%, [9].
3.2 Quality of Life as a Concept
According to the World Health Organization
(WHO), quality of life is understood as an
individual's perception of their existence, based on
the correlation between expectations, norms,
concerns, and objectives that cover the global
population, while also integrating their
psychological state, autonomy in the formation of
interpersonal relationships, and physical health,
[40]. However, Liebling and Arnold's postulates,
[41], emphasize two aspects of this theme: the
material conditions that encompass the physical
structure of correctional facilities, and the morality
and ethics within these institutions, constituted by
considerations such as dignity, respect, and
humanity. All the above suggests, in one way or
another, that pre-existing interpersonal
relationships within these spaces are one of the
elements that protect and establish the quality of
life of incarcerated individuals (II).
Furthermore, the individual performance of
these people becomes one of the causes of the
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Ana María Lozano Hurtado, Gustavo Adolfo Gutiérrez Puerta,
Isabela Gutiérrez Rivera, Cristian David Gaviria Giraldo,
Valeria Cárdenas Parra
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treatment within the correctional facilities, given
that in many cases it becomes dehumanizing during
the process of fulfilling judicial sentences, [42],
due to the subjective and objective material
conditions that seek to shape such sociability, [43],
linking to the positive evaluations that are made,
considering that within these spaces they are
perceived as moral collectivities despite the evident
power imbalance, [42].
3.3 Globality of Quality of Life in Prisons
Starting from the recognition that Colombia is
structurally recognized as a Social Rule of Law
State, [44], safeguards must be prioritized to
protect the healthy exercise of fundamental rights
based on respect and dignity that, from the
correctional facilities, are oriented toward the
rehabilitation and resocialization processes of
incarcerated individuals (hereinafter II), [45].
However, the increase in the prison population
intensifies overcrowding, especially when sharp
and pronounced increases in population occur
within short periods of time. While not all countries
experiencing population growth have prison
overcrowding, Colombia ranks 46th out of 204
countries examined in this regard. Additionally, it
holds the fifth position among South American
countries with the highest levels of prison
overcrowding (Table 6).
Within this entire spectrum, emphasis is placed
on the treatment within these penitentiary
establishments, which, according to some authors
like, [46], should be carried out in accordance with
the principles of respect and human dignity.
However, given the living conditions and minimal
sanitary guarantees, the process of rehabilitation is
not something that is clearly perceived within these
establishments in the country.
This is also due to certain attitudes projected by
custodial agents within the prison centers of the
National Penitentiary and Prison Institute (INPEC,
for its acronym in Spanish), which is why the
figures presented take on an alarming character for
society, as the conditions within the prisons do not
fall outside of dehumanization; a number of
incidents involve the state as a responsible entity
for the exercise and fulfillment of human rights for
all types of populations, [47].
Authors such as, [3], addressed and described
the no satisfaction of such fundamental needs as a
result of the complexity and variability of lifestyles,
as well as the human being as a whole;
understanding the achievement of quality of life as
the set of elements affecting the satisfaction of
basic needs, which allow for the maintenance of
physical and mental health, and which are
somewhat influenced by the social environment
and the individual perception of II, [48].
Now, in directing this academic narrative on
scientific and investigative evidence, Rodríguez,
[28], states the quality of life in prison is a
multivariate concept in which it is relevant to
mention the time within the center and the
regulation of the space that is evidenced within it;
although social relationships formed there also
come into play, comprising a more incident sphere
that can be consolidated as a risk or protective
factor depending on the type of interpersonal bond,
[49].
The above can be understood as a directly
proportional correlation in the quality of life of
inmates, as they feel affectively accepted, they
strengthen their empathy; however, when they are
in a precarious environment, conflict and violence
increase; In relation to this, a study in which the
Measuring the Quality of Prison Life (MQPL)
survey by, [41], was used to mainly look for the
perception of quality of life within prisons, found
that cordiality and coexistence within penitentiary
centers were noted as regular, this due to
shortcomings in the implementation of policies of
humane treatment, which influence in one way or
another in psychosocial areas of II and in criminal
behavior, [29].
Table 6. Intramural Population by Region
Location
Populatio
n
Capacit
y
Overcrowdin
g
CENTRAL
35,673
30,767
15,90%
OCCIDENT
E
18,887
15,301
23,40%
NORTE
9,466
7,391
28,10%
ORIENTE
9,723
7,88
23,40%
NORESTE
11,976
8,196
46,10%
VIEJO
CALDAS
11,576
11,148
3,80%
*Source: Adapted from Statistical Tables - INPEC
(2020)
3.4 Forms of life in Colombian prisons
In this context, if the narrative of this review
focuses on the ways of life of II, particularly in the
Colombian context, with a special interest in the
mental health of these subjects, it is necessary to
take into account some research studies that
mention how the experiences and the permanence
in the prisons of Colombia managed by the
National Penitentiary and Prison Institute (INPEC,
for its acronym in Spanish) have implications for
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personal achievement for this population, involving
here autonomy, self-esteem, self-control, and other
elements that have this same prefix and mainly
involve intrapersonal aspects. This has been
demonstrated by studies that show that life inside
penitentiary and prison centers wears down and
impoverishes these individuals psychologically,
leading to alarming mental health conditions, [5],
[10], [50].
These facts highlight the importance of
identifying the current state of mental health care in
Colombian prisons, in order to initiate solutions
aimed at creating environments conducive to social
health, which could be used to diagnose and predict
conditions and symptoms that could impede the
correct execution of such transformation plans, [5],
[10].
On the other hand, [24], conducted a study that
aimed to analyze sociability among a group of
incarcerated women, which resulted in low scores
precisely in the indicators that generate
interpersonal skills. This finding is of relevance to
the quality of life of II, as understanding the human
being as a rational being who faces constant
processes of decision-making and interaction, they
struggle between good and evil. This is approached
in the article from the perspectives of morality and
social ethics, leaning towards legal actions that
justify the deprivation of liberty in each individual
case, [51].
Up to this point, it has been described how the
satisfaction of needs, as proposed by Maslow, is
limited in Colombian prison facilities, considering
three premises: the physical structure and/or
distribution of space in the penitentiary centers, the
dehumanizing and humiliating treatment that is
evidenced in prisons, and the conflicts that limit
interaction and decrease social contact among II.
From another point of view, the fact that
human beings are born in a condition of absolute
freedom is important to consider, specifically
speaking about the Colombian state according to
articles 20 and 28 of the current Political
Constitution, [44], [52], a person is born free in
terms of thought, opinion, feeling, person, and
family; that freedom ends when social
responsibility is violated and a written order from a
competent judicial authority is issued.
Therefore, it is necessary for the State's
resources to be allocated to improve the conditions
in the penitentiary centers, as this is a forgotten part
of the population that not only receives punishment
for their sentence but also inhumane and degrading
treatment from the State, [6], [15], [53].
In contrast, the study conducted by, [54], arrived at
a somewhat controversial conclusion. They found
that both incarcerated and non-incarcerated men
demonstrate resilience and happiness. This
conclusion is substantiated by the fact that
individuals possess personal capacities and abilities
(independence, decisiveness, invincibility,
empowerment, self-confidence, and ingenuity), as
well as other responses to adversity (adaptability,
equilibrium, perseverance, and flexibility).
3.5 Covid-19 as a Threat to II and Human
Societies in General
Now, when focusing this review on one of the most
impactful health problems in global societies, the
Sars-CoV-2 virus emerges as a pandemic that
represents effects from macro-systems to micro-
systems, taking into account, along with the
previous thesis, the work of Urie Bronfenbrenner,
[3], including social and economic, as well as
labor, educational, and family fields, taking as a
preventive measure the manifestation of various
behaviors, feelings, and emotions, along with fear
of illness and death, helplessness, loneliness,
sadness, hopelessness, worry, guilt, and others, [4].
In this context, the variable of family in the context
of incarceration and the establishment of social
support networks as a means of promoting mental
health within the prison setting is highlighted. This
is particularly pertinent when considering the
related consequences of the Covid-19 pandemic.
Thus, the results obtained by, [55], stand out,
revealing that the majority of incarcerated
individuals did not maintain any form of romantic
relationship or stable partnership (62.1%). It is
understood that such interpersonal connections
facilitate the cultivation of positive attitudes and
reeducation.
Prison, as an environment, not only subjects
these individuals to family separation but also to
social detachment, both in a drastic manner. This
complex scenario further complicates the process
of adaptation and may potentially hinder coping
mechanisms on behavioral, emotional, and
cognitive levels, [28], [49].
During the evolution of the social crisis caused
by Covid-19, the risk to the quality of life and both
the physical and mental health of II did not go
unnoticed, as the high levels of vulnerability of
these individuals caused Covid-19 to be expected
to have the worst possible impact on them, [22],
this was not only due to deficiencies in health care
and confined spaces within prisons, [20], but also
due to the rapid spread of the virus as an infectious
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disease, which became critical in the second half of
March 2020, [19], [21].
All of this highlighted a latent need within
these centers regarding the reinforcement of their
healthcare teams and preventive measures in
emergency situations, ultimately safeguarding
security and health within these establishments,
[21], [56]. Similarly, the report disseminated by the
United Nations details how the pandemic in the
year 2021 disproportionately affected prison
systems and the global incarcerated population,
which surpasses eleven million individuals.
According to estimates, more than 527,000 inmates
contracted the virus in 122 countries, resulting in
the deaths of over 3,800 individuals across 47 of
those countries, [21].
The conditions within Colombian prisons do
not meet the necessary requirements to uphold
health and dignity during a public health
emergency. There is a significant risk of contagion
within prisons due to confinement, lack of
ventilation, privacy, and overcrowding, [6], [15],
[53]. These conditions were present prior to the
arrival of COVID-19, but their risk level increased
with its emergence, leading to not only evident
physical consequences and an elevated danger of
chronic diseases but also mental health aspects
concerning adaptation, [5], [10], [57].
At the national level, 136 deaths related to
COVID-19 were recorded in penitentiary centers
between April and October of the year 2020. More
than half of these deaths occurred in individuals
over 60 years of age, with 94.9% being male and
5.1% female population (Table 7), [30].
Table 7. Epidemiological situation of COVID-19 by age and sex as of October 31, 2020
Characteristic
Females
Males
Total
% of age group
Tests applied RT-PCR
Total tests
3 542
38 846
42 388
100
< 3 years
2
17
19
0
18-26 years
884
8 100
8 984
21,2
27-59 years
2 447
27 390
29 837
70,4
> 60 years
209
3 339
3 548
8,4
Confirmed cases
Total cases
1 703
15 101
16 804
100
< 3 years
2
11
13
0,1
18-26 years
431
3 040
3 471
20,7
27-59 years
1 201
10 513
11 714
69,7
> 60 years
69
1 537
1 606
9,6
ICU hospitalization
Total deaths
3
77
80
100
18-26 years
0
1
1
1,2
27-59 years
3
29
32
40
> 60 years
0
47
47
58,8
Mortality
Total deaths
7
129
136
100
18-26 years
0
1
1
0,7
27-59 years
4
45
49
36
> 60 years
3
83
86
63,3
*Source: Adapted from Piñeros-Báez, V. H. (2021)
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Such circumstances hold relevance on a global
scale since, despite the social disparities among
nations, the pandemic's effects have similarly and
exponentially strained demands on public
healthcare systems, resulting in new points of
social instability due to resource shortages and
insufficient guarantees for various segments of the
population, [58].
In light of the aforementioned, the statement
made by the Commissioner for Human Rights of
the Council of Europe on April 6, 2020, is
highlighted, which states that individuals within
prisons are part of vulnerable populations in the
face of contagion, according to the high-risk
environment to which they are subjected, [8].
The way of managing such a crisis within the
penitentiary institutions of Colombia has become a
great social challenge, since the protection of
fundamental rights and moral and physical integrity
demand effective and proactive actions from the
country's penitentiary administrations, thus
promoting mental health and quality of life, [59],
although, given the uncertainty stemming from the
health emergency, it was taken into account that,
not having the possibility to adequately respond to
the situation, processes of release or conditional
liberty had to be adopted only if staying in these
establishments posed significant risks to the life
and dignity of these individuals, to the extent
possible, [8].
Within the prisons of the Basque Country, La
Rioja, and Madrid, the first actions that were taken
to prevent the effects of the virus in prisons were to
reduce contact with family and visitors, with the
only exception being through telephone
communication with them. However, this attempt
to mitigate contagion within prisons reached the
point of excluding support staff in these centers,
which could trigger the emergence of risk factors
and the limitation of material and human resources
of primary need in prisons, [49].
From another perspective, the literature shows
that one of the main guarantees during the COVID-
19 pandemic was the advancement of processes
and/or phases of progressive vaccination. However,
considering the incarcerated population, if these
measures to control COVID-19 contagion had been
promptly provided to these individuals, the
probability of containment against the spread of the
virus within prisons would have been low, [60].
According to the European Committee for the
Prevention of Torture (CPT) in its Declaration of
Principles on the Treatment of II during COVID-
19, any restrictive measure allied to prisons should
be proportional to the inherent necessity, respectful
of human dignity, and time-limited. Regarding
visits, the WHO anticipated this issue in its
Provisional Guidance on Preparedness, Prevention,
and Control of COVID-19 in Prisons, but this
directly impacted the increase in anxiety that the
separation of these individuals from the outside
world may have caused, [8].
3.6 Nervous System (NS) and Cognition in
the Context of Covid-19
There is great relevance in cognitive responses
within this discussion, as well as the impact of
these on mental health, also linking individuals'
executive functions (EF), demonstrating an
alteration or change in these depending on the type
of conditions in which the subject operates. Saíz,
[10], argues that to achieve effective cognition that
safeguards stability in mental health, the brain must
be exercised, thereby ensuring that daily tasks and
those involving complex functioning are carried out
fully.
However, this author also mentions that factors
such as sleep, and mood state also have a
determining influence on cognitive well-being.
Therefore, it can be concluded that stimulation of
physical and mental activity improves performance
in attention, memory, thinking, executive function,
and reaction speed, and likewise promotes healthy
cognitive aging, [5].
On the other hand, in situating this literary
discussion on the participation of the nervous
system (NS) and its multiple neurological
manifestations given the spread of the Sars-CoV-2
virus, the information that can be gathered is
limited, supported by the fact that less than a
quarter of patients with positive diagnoses of
Covid-19 presented evidence of neural or nervous
system involvement. However, other authors have
stated that a subject with pre-existing
cerebrovascular pathologies may encode a higher
risk factor and negative prognosis against the
contagion of this virus, [61], [62].
The main manifestations that underlie the
central nervous system (CNS) due to the presence
of SARS-CoV-2 are encephalopathies, headaches,
cerebrovascular accidents, myelitis, and
dyskinesias. These effects in relation to COVID-19
patients were not uniformly described in different
studies, however, among all, neuralgia, anosmia,
dysgeusia, Guillain-Barré Syndrome (GBS), and a
variety of implications on the musculoskeletal
system can be highlighted, [63].
Focusing the discussion on the neurological
field, particularly regarding the repercussions
stemming from Covid-19, it could be mentioned
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that, [64], observed that few patients presented with
cerebrovascular difficulties and seizures,
unfortunately resulting in the absence of
specialized sampling and recording, as these could
have been crucial procedures in the neurological
invasion brought about by Covid-19, while also
enabling the identification of causal factors in the
presence of respiratory failure upon SARS-CoV-2
infection in some patients but not others, [64].
Within the statistics of recovery and survival of
people who suffered from COVID-19, [65],
understanding the non-specific cortical and
subcortical injuries or alterations presented by these
individuals, [66], along with other discoveries that
have been reported to date, considering executive
functions, [67], allows for the identification of two
particular aspects. Firstly, the absence of a clear
neuropsychological functioning pattern in relation
to COVID-19, and secondly, the fact that the global
population faced an alarming condition with a
direct impact on mental health, involving
psychologists, neuropsychologists, and other
behavioral professionals in this scenario.
For this reason, the pandemic and its effects are
not limited to executive involvement, but initially
permeate phylogenetic, ontogenetic, and epigenetic
correlates, with the latter two encompassing all
aspects related to individuals' personality and their
development in processes of socialization,
desocialization, and resocialization. The third is a
key stance defended by penitentiary and prison
centers, which has been emphasized within this
document, [68].
Globally, in neuroscientific research, varying
sensitivity in detecting cognitive impairment was
observed during applications in screening tests,
[61], as an example, how the Mini-Mental State
Examination (MMSE) was shown to be less
sensitive than MoCA in detecting cognitive
impairment at the moderate level within each
sample.
This phenomenon is evidenced primarily
through comparative research conducted among
focus groups consisting of asymptomatic
individuals and control groups, where significant
differences were not as pronounced when using the
Montreal Cognitive Assessment (MOCA).
However, contrasting results emerged during the
administration of specific subtests of this
assessment, where levels of cognitive deterioration
were indeed detected. This led the authors to
conclude that individuals might have been
experiencing difficulties not adequately addressed
by standardized tests, [68].
On the other hand, another issue found in different
studies that associate COVID-19 with cognitive
functioning is linguistic, specifically emphasizing
language fluency as an executive function. This
also includes naming difficulties, anomia, aphasia,
and problems with written language, finding that
difficulties with attention and concentration were
mostly related to cognition and memory, [68]. In
summary, the most severe implications during the
pandemic were underlined as affecting executive
functioning and verbal learning, according to some
authors, [69].
3.7 Cognitive Deterioration as a Result of a
Sentence
When discussing the cognitive functioning of
incarcerated individuals in penitentiary and
correctional institutions, it is necessary to start by
examining the process of entering these
establishments because of being convicted for
committing a criminal act. This event can lead to a
decline in certain cognitive functions as a result of
confinement and the challenge of adapting to a
new, unfamiliar situation. This process of
adaptability can compromise the cognitive abilities
and skills of individuals, due to dissatisfaction with
physiological and social needs, which can result in
memory failure, attention loss, temporal-spatial
disorientation, withdrawal, and alterations in eating
and sleeping patterns, [5], [28], [70].
Depending on the way in which individuals
adjust to their new living conditions and the degree
of plasticity in the brain, which seeks to maintain
stability in the face of new circumstances and
environments. These issues are even more
prevalent in incarcerated individuals who are
elderly, as this stage of the life cycle also involves
a need for reflection on their quality of life, [13],
which is inextricably linked to recognition and self-
realization needs that are inhibited within the
prison system, as previously mentioned in this text.
Accordingly, it becomes relevant to consider the
challenges faced by individuals with dementia or
moderate cognitive impairment within prisons
given the situation of confinement and
incarceration, which led to modifications in
established routines and a reduction in sociability
and access to support networks. Meanwhile,
engaging in stimulating, enjoyable activities and
physical exercise was limited and even abolished
within these establishments, directly impacting the
health status of individuals. Confusion,
disorientation, the emergence of mental and
behavioral disorders, and neuropsychiatric
symptoms such as delusions, agitation, and
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hallucinations were constant and emerging effects
of all these changes within prisons, [71], presenting
a much more consistent and riskier incidence
during the COVID-19 pandemic.
4 Limitations
The proposed methodology in this document
presents several limitations that pertain to
constraints or weaknesses encountered during the
information search, review, and processing.
Common limitations include source availability, as
not all instances of online publication
encompassing the foundational terminology adhere
to scientific criteria or meet minimal requirements
for academic consideration. This affects the
integrity and comprehensiveness of the review,
consequently impacting the quality of the drawn
conclusions.
Furthermore, language plays a significant role
during the bibliographic review process. Restricting
the review to a single language can lead to the loss
or omission of pertinent information. Similarly,
biases present in publications, stemming from
various factors such as scientific validation,
instrument endorsement, publication dates, source
quality, keyword scope, researcher personal biases
during selection, and data reliability aspects,
constitute variables that influence the development
and accomplishment of the scope and objectives of
this bibliographic review.
5 Discussion and Conclusion
The Covid-19 pandemic as a global health
emergency, undoubtedly brought about alterations
in various spheres of life for the global population,
and in terms of the focus of this writing, imminent
repercussions for the quality of life and mental
health. However, when emphasizing the living
conditions of II within penitentiary and prison
establishments, this context generates uncertainty
from an academic standpoint, as factors within
prisons that affect the lives of these individuals
overlap with affective, perceptual, cognitive,
emotional, behavioral, and social imbalances,
mainly due to constant situations of tension. It is
agreed that II are prone to developing
symptomatology related to mental disorders such as
stress, anxiety, and depression, as well as other
affective implications such as low levels of self-
esteem, interaction, and adaptation, among others.
Some of these ideas are similar to those expressed
by Andrea Catalina Lobo, a legal psychologist,
lawyer, and professor at the Pontificia Universidad
Javeriana for the PESQUISA journal of the same
institution.
Particularly, by focusing attention on emotional
aspects as determining elements of the human
being, it can be said that under "normal" conditions
within prisons, there is a prevalence of II with
symptoms of anxiety and depression, as, [72],
demonstrates in a study where a sample of
incarcerated women was analyzed, it was
determined that more than half of them ingested
oral medication to inhibit the aforementioned
symptoms, along with other similar psychological
disorders, which, according to this research, arise
from the condition of isolation due to the state of
imprisonment or deprivation of liberty.
In this regard, incarcerated individuals (II) in
Colombia develop adaptation and survival
strategies during their stay in a correctional facility
that involves denial, inhibition, and suppression of
those emotions that, according to Daniel Goleman's
classification of primary emotions, [73], they are
part of primary emotions since they are controlled
by the brain in one way or another and can generate
survival responses in hostile environments, [14].
Initially, these behaviors may be considered
maladaptive due to the harsh context of a
correctional institution, yet they are a product of
the brain's restructuring proposed by Damasio
through exposure to new stimuli and experiences,
[74]. Descriptive research findings demonstrate that
these behavioral reactions may represent low levels
of quality of life within prisons, proposing that
coping responses oriented toward cognitive areas
reflect better quality of life, with logical analysis
standing out as the process that enables mental
preparation for stressors and their consequential
factors, [75].
As a complement to the previous arguments,
the position of, [76], stands out, who points out that
the longer the time in a situation of deprivation of
liberty, the higher the levels of emotional
symptoms may be, with the most common ones
being stress, anxiety, and depression. On the other
hand, according to, [77], ,1 in 25 incarcerated
individuals suffered some kind of emotional
disturbance in the last year, in this case taking into
account common factors such as pathologies such
as adaptive disorder, bipolar affective disorder,
panic, and generalized anxiety. [50], establish fear
as the main emotion of uncertainty towards the
future, which appears when thinking about re-entry
into correctional facilities, feeling of not being
heard, and social isolation, problems that arise in
prison include defending oneself from others and
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the inability to live freely and autonomously.
Moreover, certain nosological possibilities such as
depression are mentioned as a clear product of the
aforementioned aspects, repercussions of these
problems are greater as age advances and sensory
and cognitive-affective deficiencies become more
evident, [78],
When discussing the COVID-19” pandemic,
various authors and health entities defend the idea
that overcrowding is the main factor associated
with the high degree of transmission of contagious
diseases within Colombian prisons, [62]. In these
contexts, it is natural that the immediate reactions
include fear of the unknown, of not having the
minimum and necessary healthy conditions to face
the situation, and of not understanding why, in
critical and risky moments, contact with loved ones
is either impossible or reduced, while at the same
time, emotional and material security guarantees
are not provided, [79]. Amidst the fear and
uncertainty brought about by the COVID-19
pandemic in conditions of confinement, the neglect
of unsanitary living conditions that these
individuals endured also comes to light. Coupled
with the absence of a minimal support network for
these individuals, this only contributes to the
violation of constitutional rights and the
deterioration of the physical and mental health and
quality of life of those II, [79].
Based on the aforementioned fact, it could be
argued that such living conditions support the
emergence of symptomatology related to
depression, as well as an increasing trend or
worsening of this mental disorder if there is no
adequate professional follow-up, [80] or at least a
minimal mental health service that safeguards it
among II, as well as their overall quality of life in
different areas of development, [5].
All these emotional and cognitive effects
cannot be viewed as a separate element from what
has been discussed throughout the article regarding
the COVID-19 pandemic. This situation led to the
emergence of new health issues related not only to
physical health, but also to self-esteem, stress,
anxiety, depression, fear, and distress, as well as
cognitive factors such as memory problems,
attention, and abstraction. Both scenarios are
associated with neurobiological and psychosocial
correlates, and they exponentially configure
behavioral responses to new adaptation scenarios in
which there is a radical decrease in external
communication with support networks. Social
isolation or preventive confinement became the
means by which people deprived of liberty saw
their mental health deteriorate during COVID-19,
even when pre-existing difficulties regarding their
living conditions within prisons were already
present, [56].
All of this makes evident the gaps in the
functioning of these establishments in terms of
resocialization processes, due to adverse situations
such as the precariousness in which these spaces
are found, the lack of conditions for educational
spaces, overcrowding that can generate difficulties
in terms of cleanliness, climate, lack of possibilities
for medical assistance, which are understood as key
characteristics that hinder the purpose of
resocialization, [62]. From this point on, prevention
exercises on violence, abuse, and harassment and
promotion of human rights, mental health, and
quality of life within prison environments are
required, essential aspects for a dignified life and
integral health according to what is established in
the Colombian political constitution in sections of
fundamental rights, applying such
conceptualizations to a type of governmentally
forgotten population such as the (II) within the
Colombian territory.
In conclusion, the undertaken review of
literature encompassed an exhaustive exploration
of various authors' works, amalgamating a
compendium of research materials germane to the
subject matter. This assemblage of scholarly
resources delved into explicating the studied
phenomenon while furnishing historical
antecedents pertaining to the emotional, cognitive,
and physical ramifications consequent to the
management of pandemic events, [81]. This
approach engendered the cultivation of a more
comprehensive apprehension of the milieu,
multifarious perspectives, and preexisting
theoretical constructs germane to the pivotal
subject of this bibliographical review.
This analysis contributes to the understanding
that while the COVID-19 pandemic has produced
critical effects worldwide, the mental effects and
quality of life problems were already present
among the incarcerated population regardless of the
virus's arrival, attributed to changes in lifestyle and
the dissatisfaction with needs associated with a
prison sentence, [28], [29].
The mental effects on incarcerated individuals,
specifically in the Colombian context, stem from
extreme situations due to the conditions in which
the majority of this population finds itself, with a
current overcrowding rate of 24.95%, [82].
In conclusion, this current study, through a
systematic review, provides a diagnosis of
knowledge gaps in the area, emphasizing that it's a
correlational case linking a psychometric
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perspective, a medical diagnosis, and a situation of
deprivation of liberty. This study clarifies the
scarcity of significant literature in Spanish
language databases, underscoring the importance of
researching in this area and within the context of
Latin America, which possesses socio-cultural
characteristics distinct from countries with more
available documentation.
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WSEAS TRANSACTIONS on BIOLOGY and BIOMEDICINE
DOI: 10.37394/23208.2023.20.9
Ana María Lozano Hurtado, Gustavo Adolfo Gutiérrez Puerta,
Isabela Gutiérrez Rivera, Cristian David Gaviria Giraldo,
Valeria Cárdenas Parra
E-ISSN: 2224-2902
98
Volume 20, 2023
Appendix
Table 4. Variables found according to the literary interests of the articles
Year
Country
Author(s)
Target
population
QoL
CG
E
MH
C19
II
HR
1
2020
Pakistan
Ahmad I. & Rathore FA.
General
x
2
2020
Peru
Alzamora de los Godos L.
General
x
x
3
2019
Colombia
Arias, G. E.
Prisons
x
4
2020
Iran
Asadi-Pooya AA & Simani
L.
General
x
5
2021
Colombia
Báez, V. H. P.
Prisons
x
x
6
2018
Colombia
Bautista Parra Y. et al.
Prisons
x
x
7
2021
Colombia
Bergonzoli G., & Duque F.
General
x
8
2021
Colombia
Bonilla, M. I. et.al
Prisons
x
x
x
9
2021
Colombia
Bravo, O.A.
Prisons
x
x
10
2021
Spain
Ramírez, F. B. et.al
General
x
x
x
11
2020
England
Callaway E. & Cyranoski D.
General
x
12
2019
Colombia
Forero Mesa D.
Prisons
x
13
2021
Peru
Gaciot Delgado, M.G.A.
Prisons
x
x
14
2022
Spain
García Guerrero J. & Vera
Remartínez E.
Prisons
x
x
15
2022
Cuba
García, L. C. et.al
Prisons
x
16
2020
Colombia
Iturralde, M. et.al
Prisons
x
x
17
2020
Ecuador
Lalama Aguirre J., & Vinicio
Castro A.
Prisons
x
x
18
2020
Colombia
Londoño V., & Rodríguez J.
Prisons
x
x
19
2020
Colombia
López Cantero, E. J.
General
x
x
x
20
2021
Colombia
López Corredor, M. F.
Prisons
x
x
21
2021
Cuba
Lorigados Pedre L., & Pavón
Fuentes N.
General
x
x
22
2020
China
Lu R. et.al
General
x
23
2021
Chile
Manríquez López L., et al.
General
x
x
24
2020
China
Mao L. et.al
General
x
x
25
2021
Spain
Marco, A. et.al
Prisons
x
x
26
2021
Japan
Meissner P.
Prisons
x
x
27
2018
Spain
Menés, J. R. et.al
Prisons
x
x
28
2020
Spain
Monsalve, M.H.
Prisons
x
x
x
29
2022
Colombia
Montaño Rozo M. X. &
Martínez Durán N.
Prisons
x
x
30
2019
Mexico
Reyes, J. A. G.
Prisons
x
x
31
2020
Ecuador
Rodas Castillo, M.
Prisons
x
x
x
32
2019
Spain
Rodríguez, M.
Prisons
x
33
2019
Colombia
Ruiz D. et.al
Prisons
x
x
34
2020
Ecuador
Shugulí Zambrano, C. N.
et.al
Prisons
x
x
x
35
2019
Ecuador
Taipe Culqui M. A.
Prisons
x
x
WSEAS TRANSACTIONS on BIOLOGY and BIOMEDICINE
DOI: 10.37394/23208.2023.20.9
Ana María Lozano Hurtado, Gustavo Adolfo Gutiérrez Puerta,
Isabela Gutiérrez Rivera, Cristian David Gaviria Giraldo,
Valeria Cárdenas Parra
E-ISSN: 2224-2902
99
Volume 20, 2023
36
2020
Spain
Tapia Antolín, V.
Prisons
x
x
37
2022
Ecuador
Valle Vega E. D.
Prisons
x
x
38
2020
Spain
Ventosa P.
Prisons
x
x
39
2020
Spain
Yagüe, C.
Prisons
x
x
40
2021
Peru
Yañez Escalante, T. M., &
Tupa Belizario, R. S.
General
x
x
x
Total
6
7
5
6
25
28
1
Authors' own elaboration
* Quality of Life (QoL), Cognition (CG), Emotionality (E), Mental Health (MH), Covid-19 (C19),
Incarcerated Individuals (II), and Human Rights (HR)
Contribution of Individual Authors to the
Creation of a Scientific Article (Ghostwriting
Policy)
- Ana María Lozano Hurtado contributed to the
study design, organization, data analysis, writing
and revision of the manuscript.
- Cristian David Gaviria Giraldo, Isabela Gutierrez
Rivera contributed in the organization of the
database and statistical analysis.
- Valeria Cárdenas Parra, Cristian David Gaviria
Giraldo, contributed in the writing of manuscript
sessions.
- Gustavo Adolfo Gutiérrez Puerta contributed in
writing manuscript sessions.
The authors contributed equally in the search of the
articles to be analyzed, revision of this article, from
the style to the deepening of the content.
Sources of Funding for Research Presented in a
Scientific Article or Scientific Article Itself
The article was financed by the higher education
institution Unidad Central del Valle del Cauca, by
means of an internal call of the project called
“Neuropsychological characteristics in inmates of
the Penitentiary and Prison Institute of the
Municipality of Tuluá with SARS-Cov-2; and their
relationship with the months of evolution with
number PI-1300-50.2-2021-18
Conflict of Interest
The authors have no conflict of interest to declare.
Creative Commons Attribution License 4.0
(Attribution 4.0 International, CC BY 4.0)
This article is published under the terms of the
Creative Commons Attribution License 4.0
https://creativecommons.org/licenses/by/4.0/deed.e
n_US
WSEAS TRANSACTIONS on BIOLOGY and BIOMEDICINE
DOI: 10.37394/23208.2023.20.9
Ana María Lozano Hurtado, Gustavo Adolfo Gutiérrez Puerta,
Isabela Gutiérrez Rivera, Cristian David Gaviria Giraldo,
Valeria Cárdenas Parra
E-ISSN: 2224-2902
100
Volume 20, 2023