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

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...

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Veröffentlicht in:Journal of urban health 2018-04, Vol.95 (2), p.141-148
Hauptverfasser: Hagan, Brian O., Wang, Emily A., Aminawung, Jenerius A., Albizu-Garcia, Carmen E., Zaller, Nickolas, Nyamu, Sylviah, Shavit, Shira, Deluca, Joseph, Fox, Aaron D.
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container_end_page 148
container_issue 2
container_start_page 141
container_title Journal of urban health
container_volume 95
creator Hagan, Brian O.
Wang, Emily A.
Aminawung, Jenerius A.
Albizu-Garcia, Carmen E.
Zaller, Nickolas
Nyamu, Sylviah
Shavit, Shira
Deluca, Joseph
Fox, Aaron D.
description 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  
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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  &lt; 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.</description><identifier>ISSN: 1099-3460</identifier><identifier>EISSN: 1468-2869</identifier><identifier>DOI: 10.1007/s11524-017-0138-1</identifier><identifier>PMID: 28281161</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Confinement ; Dependent variables ; Epidemiology ; Health care ; Health Informatics ; Independent variables ; Medicine ; Medicine &amp; Public Health ; Mental disorders ; Mental health ; Post traumatic stress disorder ; Primary care ; Prisoners ; Prisons ; Public Health ; Solitary confinement</subject><ispartof>Journal of urban health, 2018-04, Vol.95 (2), p.141-148</ispartof><rights>The New York Academy of Medicine 2017</rights><rights>Journal of Urban Health is a copyright of Springer, (2017). 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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. 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subjects Confinement
Dependent variables
Epidemiology
Health care
Health Informatics
Independent variables
Medicine
Medicine & Public Health
Mental disorders
Mental health
Post traumatic stress disorder
Primary care
Prisoners
Prisons
Public Health
Solitary confinement
title History of Solitary Confinement Is Associated with Post-Traumatic Stress Disorder Symptoms among Individuals Recently Released from Prison
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