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Erschienen in: Journal of Urban Health 2/2018

09.03.2017

History of Solitary Confinement Is Associated with Post-Traumatic Stress Disorder Symptoms among Individuals Recently Released from Prison

verfasst von: Brian O. Hagan, Emily A. Wang, Jenerius A. Aminawung, Carmen E. Albizu-Garcia, Nickolas Zaller, Sylviah Nyamu, Shira Shavit, Joseph Deluca, Aaron D. Fox, Transitions Clinic Network

Erschienen in: Journal of Urban Health | Ausgabe 2/2018

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Abstract

This study assessed the relationship between solitary confinement and post-traumatic stress disorder (PTSD) symptoms in a cohort of recently released former prisoners. The cross-sectional design utilized baseline data from the Transitions Clinic Network, a multi-site prospective longitudinal cohort study of post-incarceration medical care. Our main independent variable was self-reported solitary confinement during the participants’ most recent incarceration; the dependent variable was the presence of PTSD symptoms determined by primary care (PC)-PTSD screening when participants initiated primary care in the community. We used multivariable logistic regression to adjust for potential confounders, such as prior mental health conditions, age, and gender. Among 119 participants, 43% had a history of solitary confinement and 28% screened positive for PTSD symptoms. Those who reported a history of solitary confinement were more likely to report PTSD symptoms than those without solitary confinement (43 vs. 16%, p < 0.01). In multivariable logistic regression, a history of solitary confinement (OR = 3.93, 95% CI 1.57–9.83) and chronic mental health conditions (OR = 4.04, 95% CI 1.52–10.68) were significantly associated with a positive PTSD screen after adjustment for the potential confounders. Experiencing solitary confinement was significantly associated with PTSD symptoms among individuals accessing primary care following release from prison. Larger studies should confirm these findings.
Literatur
3.
Zurück zum Zitat Donley S, Habib L, Jovanovic T, et al. Civilian PTSD symptoms and risk for involvement in the criminal justice system. J Am Acad Psychiatry Law. 2012; 40(4): 522–529.PubMedPubMedCentral Donley S, Habib L, Jovanovic T, et al. Civilian PTSD symptoms and risk for involvement in the criminal justice system. J Am Acad Psychiatry Law. 2012; 40(4): 522–529.PubMedPubMedCentral
4.
Zurück zum Zitat Arrigo BA, Bullock JL. The psychological effect of solitary confinement on prisoners in supermax units—reviewing what we know and recommending what should change. Intl J Offender Ther Comp Criminol. 2008; 52(6): 622–640.CrossRef Arrigo BA, Bullock JL. The psychological effect of solitary confinement on prisoners in supermax units—reviewing what we know and recommending what should change. Intl J Offender Ther Comp Criminol. 2008; 52(6): 622–640.CrossRef
5.
Zurück zum Zitat Beck AJ. Use of restrictive housing in US prisons and jails, 2011–12. Washington DC: Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2015. Beck AJ. Use of restrictive housing in US prisons and jails, 2011–12. Washington DC: Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2015.
6.
Zurück zum Zitat Williams B, Ahalt C. Reforming solitary-confinement policy—heeding a presidential call to action. N Engl J Med. 2016; 347(18): 1704–1706. Williams B, Ahalt C. Reforming solitary-confinement policy—heeding a presidential call to action. N Engl J Med. 2016; 347(18): 1704–1706.
7.
Zurück zum Zitat Frost NA, Monteiro CE. Administrative segregation in US prisons. Washington, DC: Department of Justice, Office of Justice Programs, National Institute of Justice; 2016. Frost NA, Monteiro CE. Administrative segregation in US prisons. Washington, DC: Department of Justice, Office of Justice Programs, National Institute of Justice; 2016.
8.
Zurück zum Zitat Grassian S. Psychopathological effects of solitary confinement. Am J Psychiatry. 1983; 140: 1450–1454.CrossRefPubMed Grassian S. Psychopathological effects of solitary confinement. Am J Psychiatry. 1983; 140: 1450–1454.CrossRefPubMed
9.
Zurück zum Zitat Haney C. Mental health issues in long-term solitary and “supermax” confinement. Crime Delinq. 2003; 49: 124–156.CrossRef Haney C. Mental health issues in long-term solitary and “supermax” confinement. Crime Delinq. 2003; 49: 124–156.CrossRef
10.
Zurück zum Zitat O’Keefe K, et al. A longitudinal study of administrative segregation. J Am Acad Psychiatry Law. 2013; 41(1): 49–60.PubMed O’Keefe K, et al. A longitudinal study of administrative segregation. J Am Acad Psychiatry Law. 2013; 41(1): 49–60.PubMed
11.
Zurück zum Zitat Kaba F, Lewis A, Glowa-Kollisch S, et al. Solitary confinement and risk of self-harm among jail inmates. Am J Public Health. 2014; 104(3): 442–447.CrossRefPubMedPubMedCentral Kaba F, Lewis A, Glowa-Kollisch S, et al. Solitary confinement and risk of self-harm among jail inmates. Am J Public Health. 2014; 104(3): 442–447.CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.CrossRef American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.CrossRef
13.
Zurück zum Zitat Brewin CR, Andrews B, Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000; 68(5): 748–766.CrossRefPubMed Brewin CR, Andrews B, Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000; 68(5): 748–766.CrossRefPubMed
14.
Zurück zum Zitat Anderson RE, Geier TJ, Cahill SP. Epidemiological associations between posttraumatic stress disorder and incarceration in the National Survey of American Life. Crim Behav Ment Health. 2015, Wiley Online Library. 26(2): 110–123. Anderson RE, Geier TJ, Cahill SP. Epidemiological associations between posttraumatic stress disorder and incarceration in the National Survey of American Life. Crim Behav Ment Health. 2015, Wiley Online Library. 26(2): 110–123.
15.
Zurück zum Zitat Wang EA, Hong CS, Samuels L, et al. Transitions clinic: creating a community-based model of health care for recently released California prisoners. Public Health Rep. 2010; 125: 171–177.CrossRefPubMedPubMedCentral Wang EA, Hong CS, Samuels L, et al. Transitions clinic: creating a community-based model of health care for recently released California prisoners. Public Health Rep. 2010; 125: 171–177.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Fox AD, Anderson MR, Bartlett G, et al. A description of an urban transitions clinic serving formerly incarcerated people. J Health Care Poor Underserved. 2014; 25(1): 376–382.CrossRefPubMedPubMedCentral Fox AD, Anderson MR, Bartlett G, et al. A description of an urban transitions clinic serving formerly incarcerated people. J Health Care Poor Underserved. 2014; 25(1): 376–382.CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Freedy JR, Steenkamp MM, Magruder KM, et al. Post-traumatic stress disorder screening test performance in civilian primary care. Fam Pract. 2010; 27: 615–624.CrossRefPubMed Freedy JR, Steenkamp MM, Magruder KM, et al. Post-traumatic stress disorder screening test performance in civilian primary care. Fam Pract. 2010; 27: 615–624.CrossRefPubMed
18.
Zurück zum Zitat Spoont MR, Williams JW, Kehle-Forbes S, Nieuwsma JA, Mann-Wrobel MC, Gross R. Does this patient have posttraumatic stress disorder? Rational clinical examination systematic review. JAMA: Ration Clin Exam. 2015; 314(5): 501–510.CrossRef Spoont MR, Williams JW, Kehle-Forbes S, Nieuwsma JA, Mann-Wrobel MC, Gross R. Does this patient have posttraumatic stress disorder? Rational clinical examination systematic review. JAMA: Ration Clin Exam. 2015; 314(5): 501–510.CrossRef
19.
Zurück zum Zitat Bliese PD, Wright KM, Adler AB, Cabrera O, Castro CA, Hoge CW. Validating the primary care posttraumatic stress disorder screen and posttraumatic stress disorder checklist with soldiers returning from combat. J Consult Clin Psychol. 2008; 76(2): 272–281.CrossRefPubMed Bliese PD, Wright KM, Adler AB, Cabrera O, Castro CA, Hoge CW. Validating the primary care posttraumatic stress disorder screen and posttraumatic stress disorder checklist with soldiers returning from combat. J Consult Clin Psychol. 2008; 76(2): 272–281.CrossRefPubMed
20.
Zurück zum Zitat Hanley J, de Roon-Cassini T, Brasel K. Efficiency of a four-item posttraumatic stress disorder screen in trauma patients. J Trauma Acute Care Surg. 2013; 75(4): 722–7.CrossRefPubMed Hanley J, de Roon-Cassini T, Brasel K. Efficiency of a four-item posttraumatic stress disorder screen in trauma patients. J Trauma Acute Care Surg. 2013; 75(4): 722–7.CrossRefPubMed
21.
Zurück zum Zitat Goff A, Rose E, Rose S, Purves D. Does PTSD occur in sentenced prison populations? A systematic literature review. Crim Behav Ment Health. 2007; 17: 152–162.CrossRefPubMed Goff A, Rose E, Rose S, Purves D. Does PTSD occur in sentenced prison populations? A systematic literature review. Crim Behav Ment Health. 2007; 17: 152–162.CrossRefPubMed
22.
Zurück zum Zitat Andersen HS, Sestoft D, Lillebaek T, Gabrielsen G, Hemmingsen R, Kramp P. A longitudinal study of prisoners on remand: psychiatric prevalence, incidence and psychopathology in solitary vs. non-solitary confinement. Acta Psychiatr Scand. 2000; 102: 19–25.CrossRefPubMed Andersen HS, Sestoft D, Lillebaek T, Gabrielsen G, Hemmingsen R, Kramp P. A longitudinal study of prisoners on remand: psychiatric prevalence, incidence and psychopathology in solitary vs. non-solitary confinement. Acta Psychiatr Scand. 2000; 102: 19–25.CrossRefPubMed
23.
Zurück zum Zitat Glowa-Kollisch S, Kaba F, Waters A, Leung YJ, Ford E, Venters H. From punishment to treatment: the “Clinical Alternative to Punitive Segregation” (CAPS) program in New York City jails. Int J Environ Res Public Health. 2016; 2: 13(2). Glowa-Kollisch S, Kaba F, Waters A, Leung YJ, Ford E, Venters H. From punishment to treatment: the “Clinical Alternative to Punitive Segregation” (CAPS) program in New York City jails. Int J Environ Res Public Health. 2016; 2: 13(2).
24.
Zurück zum Zitat Kupers TA. What to do with the survivors? Coping with the long-term effects of isolated confinement. Crim Just Behav. 2008; 35: 1005–1016.CrossRef Kupers TA. What to do with the survivors? Coping with the long-term effects of isolated confinement. Crim Just Behav. 2008; 35: 1005–1016.CrossRef
Metadaten
Titel
History of Solitary Confinement Is Associated with Post-Traumatic Stress Disorder Symptoms among Individuals Recently Released from Prison
verfasst von
Brian O. Hagan
Emily A. Wang
Jenerius A. Aminawung
Carmen E. Albizu-Garcia
Nickolas Zaller
Sylviah Nyamu
Shira Shavit
Joseph Deluca
Aaron D. Fox
Transitions Clinic Network
Publikationsdatum
09.03.2017
Verlag
Springer US
Erschienen in
Journal of Urban Health / Ausgabe 2/2018
Print ISSN: 1099-3460
Elektronische ISSN: 1468-2869
DOI
https://doi.org/10.1007/s11524-017-0138-1

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