Insomnia in places of detention: a review of the most recent research findings
Insomnia in places of detention: a review of the most recent research findings
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DOI：
10.1258/rsmmsl.47.3.191
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发表时间：
2007-07-01
影响因子：
1.5
通讯作者：
Elger, Bernice S.
中科院分区：
文献类型：
--
作者：
Elger, Bernice S.
在普通内科门诊，多达40%的囚犯因睡眠问题而寻求医疗咨询。本文通过对非拘留患者的研究，简要概述了失眠及其治疗的已知情况，并讨论了自由研究的结果与监狱卫生保健的相关性。介绍了监狱失眠的临床和伦理问题，总结了监狱失眠的现有研究。报告的研究结果表明，拘留场所的失眠不应被简化为与药物滥用和精神疾病有关的次要问题，因为它似乎是一个独立的情景问题。惩教保健医生对失眠的评估不足。药物处方对一些病人很有效，但对另一些病人的失眠缓解效果有限。显然需要对监狱卫生保健专业人员进行失眠评估和管理方面的教育。应更频繁地在监狱保健环境中使用额外的非药物治疗。监狱保健服务部门应根据有关失眠的研究证据制定明确的指导方针，其中载有基于拘留场所内外保健同等原则的治疗建议。
Up to 40% of prisoner patients in a general medicine outpatient service seek medical consultation for sleep problems. This paper provides a brief overview of what is known about insomnia and its treatment from studies on non-detained patients and discusses the relevance of the findings from studies in liberty for prison health care. The clinical and ethical issues of insomnia in prison are described, followed by a summary of the existing studies on insomnia in prison.The results of the reported studies show that insomnia in places of detention should not be reduced to a secondary problem related to substance abuse and mental illness, as it appears to be an independent situational problem. Correctional health care physicians' evaluation of insomnia is insufficient. Drug prescription works well in some patients, but has a limited effect on insomnia relief in others.A clear need exists for the education of prison health care professionals on insomnia evaluation and management. Additional non-pharmacological treatment in the prison health care setting should be used more frequently. Prison health care services should develop clear guidelines based on research evidence about insomnia and which contain treatment recommendations based on the principle of equivalence of health care outside and inside places of detention.