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 |
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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%,
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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.</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 & 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). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-3a4d1d6ab8a01dd36f1911c303f2baf2e539d8edcb8521e5157896e5a9bee05c3</citedby><cites>FETCH-LOGICAL-c503t-3a4d1d6ab8a01dd36f1911c303f2baf2e539d8edcb8521e5157896e5a9bee05c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11524-017-0138-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11524-017-0138-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28281161$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hagan, Brian O.</creatorcontrib><creatorcontrib>Wang, Emily A.</creatorcontrib><creatorcontrib>Aminawung, Jenerius A.</creatorcontrib><creatorcontrib>Albizu-Garcia, Carmen E.</creatorcontrib><creatorcontrib>Zaller, Nickolas</creatorcontrib><creatorcontrib>Nyamu, Sylviah</creatorcontrib><creatorcontrib>Shavit, Shira</creatorcontrib><creatorcontrib>Deluca, Joseph</creatorcontrib><creatorcontrib>Fox, Aaron D.</creatorcontrib><creatorcontrib>Transitions Clinic Network</creatorcontrib><title>History of Solitary Confinement Is Associated with Post-Traumatic Stress Disorder Symptoms among Individuals Recently Released from Prison</title><title>Journal of urban health</title><addtitle>J Urban Health</addtitle><addtitle>J Urban Health</addtitle><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
< 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><subject>Confinement</subject><subject>Dependent variables</subject><subject>Epidemiology</subject><subject>Health care</subject><subject>Health Informatics</subject><subject>Independent variables</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Post traumatic stress disorder</subject><subject>Primary care</subject><subject>Prisoners</subject><subject>Prisons</subject><subject>Public Health</subject><subject>Solitary confinement</subject><issn>1099-3460</issn><issn>1468-2869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kd9qFDEUxgdRbK0-gDcS8Mab0ZxkksncCGVr7ULB4tbrkJ1ktikzyZqTqewr-NTNsrX-AS9CDpzf-c75-KrqNdD3QGn7AQEEa2oKbXlc1fCkOoZGqpop2T0tNe26mjeSHlUvEG8pBdm07Hl1xBRTABKOq58XHnNMOxIHsoqjz6bUixgGH9zkQiZLJKeIsfcmO0t--HxDriLm-jqZeTLZ92SVk0MkZx5jsi6R1W7a5jghMVMMG7IM1t95O5sRyVfXF81xV4rRGSyCQ4oTuUplNrysng0Fcq8e_pPq2_mn68VFffnl83Jxeln3gvJcc9NYsNKslaFgLZcDdAA9p3xgazMwJ3hnlbP9WgkGToBoVSedMN3aOSp6flJ9POhu5_VUuHJRMqPeJj8V8zoar__uBH-jN_FOi45K3rZF4N2DQIrfZ4dZTx57N44muDijBtXKprBCFfTtP-htnFMo9jSjTCquWAOFggPVp4iY3PB4DFC9T1ofktYlab1PWu9n3vzp4nHiV7QFYAcASytsXPq9-v-q91fOt3I</recordid><startdate>20180401</startdate><enddate>20180401</enddate><creator>Hagan, Brian O.</creator><creator>Wang, Emily A.</creator><creator>Aminawung, Jenerius A.</creator><creator>Albizu-Garcia, Carmen E.</creator><creator>Zaller, Nickolas</creator><creator>Nyamu, Sylviah</creator><creator>Shavit, Shira</creator><creator>Deluca, Joseph</creator><creator>Fox, Aaron D.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7T2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180401</creationdate><title>History of Solitary Confinement Is Associated with Post-Traumatic Stress Disorder Symptoms among Individuals Recently Released from Prison</title><author>Hagan, Brian O. ; Wang, Emily A. ; Aminawung, Jenerius A. ; Albizu-Garcia, Carmen E. ; Zaller, Nickolas ; Nyamu, Sylviah ; Shavit, Shira ; Deluca, Joseph ; Fox, Aaron D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-3a4d1d6ab8a01dd36f1911c303f2baf2e539d8edcb8521e5157896e5a9bee05c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Confinement</topic><topic>Dependent variables</topic><topic>Epidemiology</topic><topic>Health care</topic><topic>Health Informatics</topic><topic>Independent variables</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Post traumatic stress disorder</topic><topic>Primary care</topic><topic>Prisoners</topic><topic>Prisons</topic><topic>Public Health</topic><topic>Solitary confinement</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hagan, Brian O.</creatorcontrib><creatorcontrib>Wang, Emily A.</creatorcontrib><creatorcontrib>Aminawung, Jenerius A.</creatorcontrib><creatorcontrib>Albizu-Garcia, Carmen E.</creatorcontrib><creatorcontrib>Zaller, Nickolas</creatorcontrib><creatorcontrib>Nyamu, Sylviah</creatorcontrib><creatorcontrib>Shavit, Shira</creatorcontrib><creatorcontrib>Deluca, Joseph</creatorcontrib><creatorcontrib>Fox, Aaron D.</creatorcontrib><creatorcontrib>Transitions Clinic Network</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of urban health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hagan, Brian O.</au><au>Wang, Emily A.</au><au>Aminawung, Jenerius A.</au><au>Albizu-Garcia, Carmen E.</au><au>Zaller, Nickolas</au><au>Nyamu, Sylviah</au><au>Shavit, Shira</au><au>Deluca, Joseph</au><au>Fox, Aaron D.</au><aucorp>Transitions Clinic Network</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>History of Solitary Confinement Is Associated with Post-Traumatic Stress Disorder Symptoms among Individuals Recently Released from Prison</atitle><jtitle>Journal of urban health</jtitle><stitle>J Urban Health</stitle><addtitle>J Urban Health</addtitle><date>2018-04-01</date><risdate>2018</risdate><volume>95</volume><issue>2</issue><spage>141</spage><epage>148</epage><pages>141-148</pages><issn>1099-3460</issn><eissn>1468-2869</eissn><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.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28281161</pmid><doi>10.1007/s11524-017-0138-1</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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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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