Tussey Emma J, Perez Gabriela R, Lynch Shannon M
Department of Psychology, Idaho State University, Pocatello, ID, USA.
Sleep Adv. 2024 Feb 14;5(1):zpae012. doi: 10.1093/sleepadvances/zpae012. eCollection 2024.
Given the barriers to good sleep in corrections facilities and the lack of research in this area, the current study aimed to characterize sleep quality and insomnia incidence in women in jail. Furthermore, we aimed to investigate the relation of sleep to depression, posttraumatic stress disorder (PTSD), and trauma exposure in incarcerated women. Lastly, we examined self-reports of environmental and individual factors that impaired sleeping in this population.
Participants included 176 women incarcerated in two jails in southeast Idaho. Participants were randomly selected to complete several self-report questionnaires, including the Pittsburgh Sleep Quality Index and the Insomnia Severity Index, verbally administered by interviewers.
A majority of participants endorsed poor sleep quality (76%) and subthreshold or higher levels of insomnia (70%). Multiple regression analyses found that depressive symptoms and PTSD symptoms were both significantly related to insomnia and poor sleep quality. Excessive noise, poor bedding, and mental health were commonly cited factors that disrupted sleep.
These results are consistent with previous literature that has examined these outcomes in prison populations and incarcerated populations in other countries. Correctional facilities can consider altering environmental factors that impair sleep to not only promote better overall health but also as a way to address common manifestations of poor mental health in their inmate populations. Screening for and treating mental health problems, namely depression and PTSD, is another way these facilities can improve inmate health and promote better sleep.
鉴于惩教设施中良好睡眠存在障碍且该领域研究匮乏，本研究旨在描述监狱中女性的睡眠质量和失眠发生率。此外，我们旨在调查被监禁女性的睡眠与抑郁、创伤后应激障碍（PTSD）及创伤暴露之间的关系。最后，我们考察了该人群中影响睡眠的环境和个人因素的自我报告。
参与者包括爱达荷州东南部两所监狱中的176名女性。参与者被随机挑选出来，完成几份自我报告问卷，包括匹兹堡睡眠质量指数和失眠严重程度指数，由访谈者以口头方式进行询问。
大多数参与者认可睡眠质量差（76%）以及亚阈值或更高水平的失眠（70%）。多元回归分析发现，抑郁症状和PTSD症状均与失眠及睡眠质量差显著相关。过度噪音、劣质寝具和心理健康是扰乱睡眠的常见因素。
这些结果与之前在监狱人群以及其他国家被监禁人群中研究这些结果的文献一致。惩教设施可以考虑改变影响睡眠的环境因素，这不仅能促进整体健康状况的改善，也是解决其 inmate 人群心理健康问题常见表现的一种方式。筛查和治疗心理健康问题，即抑郁和PTSD，是这些设施改善 inmate 健康状况并促进更好睡眠的另一种方式。
