Lying awake in forensic hospitals: a multicenter, cross-sectional study on the prevalence of insomnia and contributing factors in forensic psychiatric patients

Insomnia has a negative impact on mental health and is potential risk factor for impulsive problematic behavior. This multicenter, cross-sectional study investigated the prevalence of insomnia underlying maintaining factors in group forensic psychiatric inpatients (N = 281). severity, subjective sleep quality, hygiene erroneous cognitions about were measured with Severity Index, Pittsburgh Sleep Quality Hygiene questionnaire Dysfunctional Beliefs Attitudes Sleep, respectively. Impulsivity was derived from assessment instruments routinely completed by trained professionals. Almost half patients (48.7%) appeared to suffer insomnia. Particularly moderate-severe (26.7%) significantly associated worse poorer hygiene, stronger endorsement dysfunctional higher impulsivity scores. It can be concluded that rather common patients. appears related various behaviors sleep-related cognitions, probably also diverse situational environmental as well lack autonomy. Cognitive behavioral therapy insomnia, some adjustments specific this population, may an effective intervention, ameliorating problems possibly emotional dysregulation.