North Wales Clinical Psychology Programme, Bangor University, Bangor, UK.
Betsi Cadwaladr University Health Board, Bangor, UK.
J Sleep Res. 2022 Dec;31(6):e13677. doi: 10.1111/jsr.13677. Epub 2022 Jul 5.
Insomnia is a public health concern with several associated negative health-related outcomes. Risk factors for insomnia place the prison population at an increased risk of inadequate sleep. This paper systematically reviewed the literature reporting on the prevalence of insomnia and poor sleep quality in the prison population. Following a comprehensive database search and screening process, 12 studies were eligible for inclusion in this review. Six studies provided prevalence rates for insomnia and nine for poor sleep quality. Varied prevalence rates were found for insomnia (i.e. 26.2%-72.5%) and poor sleep quality (i.e. 42.8%-88.2%). Evaluation of the prevalence rates revealed varied measurement of sleep quality, inconsistent parameters of standardised measures, and methodological heterogeneity. Other considerations were given to geographical differences, the use of self-report data, gender difference, environmental factors and comorbidities of insomnia. The review highlighted an increase in the quantity of studies and some improved quality; although the findings were highly variable, in the main, inadequate sleep amongst prisoners was higher than the general population. Limitations of the review and implications for further research are discussed.
失眠是一个公共卫生关注点，与多种负面健康相关结果有关。导致失眠的风险因素使监狱人群面临睡眠不足的风险增加。本文系统地综述了报告监狱人群失眠和睡眠质量差的流行情况的文献。经过全面的数据库搜索和筛选过程，有 12 项研究符合本综述的纳入标准。其中 6 项研究提供了失眠的患病率，9 项研究提供了睡眠质量差的患病率。失眠的患病率差异很大（即 26.2%-72.5%），睡眠质量差的患病率也差异很大（即 42.8%-88.2%）。对患病率的评估表明，睡眠质量的测量方法各不相同，标准化测量的参数不一致，方法学也存在差异。还考虑了地理位置差异、使用自我报告数据、性别差异、环境因素和失眠的合并症等因素。本综述强调了研究数量的增加和部分质量的提高；尽管结果差异很大，但总体而言，囚犯的睡眠不足率高于一般人群。讨论了本综述的局限性和对进一步研究的影响。
