Psychological stressors of imprisonment and coping of older incarcerated persons: a qualitative interview study

Abstract Background Imprisonment has a major impact on a person’s psychological well-being. The proportion of older imprisoned persons is dramatically increasing worldwide, and they are likely to have greater physical and mental health needs compared to younger persons in prisons. However, there is...

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Main Authors: Stuart McLennan, Leila Meyer, Tenzin Wangmo, Jens Gaab, Bernice Elger, Helene Seaward
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21452-w
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author Stuart McLennan
Leila Meyer
Tenzin Wangmo
Jens Gaab
Bernice Elger
Helene Seaward
author_facet Stuart McLennan
Leila Meyer
Tenzin Wangmo
Jens Gaab
Bernice Elger
Helene Seaward
author_sort Stuart McLennan
collection DOAJ
description Abstract Background Imprisonment has a major impact on a person’s psychological well-being. The proportion of older imprisoned persons is dramatically increasing worldwide, and they are likely to have greater physical and mental health needs compared to younger persons in prisons. However, there is currently a lack of research on the psychological stressors and the coping strategies of older imprisoned persons. This study therefore aims to explore the key psychological stressors experienced by older imprisoned persons and their coping strategies. Methods Individual semi-structured qualitative interviews were conducted between April 2017 and December 2018 with a purposive sample of 79 participants from 2 different groups in Switzerland: older imprisoned persons (n = 50) and mental health professionals (n = 29) with experience working in prisons. Transcripts were analysed using conventional content analysis. Results This study has identified various ways in which the prison environment not only undermines older incarcerated persons´ psychological well-being, but also their ability to manage the stress they are experiencing. Two overarching psychological stressors identified were a lack of physical and emotional closeness in social relationships (with prison staff, with other incarcerated persons, and outside of prison), and the loss of autonomy in prison. Participants reported five main ways that older incarcerated persons coped with the psychological stressors in prison: 1) recognising a lack of control over situation, 2) withdrawing and isolating, 3) self-improvement, 4) staying connected to the outside world, and 5) self-expression. Conclusions To improve the psychological well-being of older incarcerated persons, there is a need for: specialised training of prison staff regarding hardships that elderly persons can face in prison relationships, encouragement and enablement of social contacts with the outside world, and increasing possibilities for autonomy, new challenges, and thus stimuli within a limited setting.
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spelling doaj-art-cac0a7b7bde340e0a195fab2f6e208ec2025-02-02T12:46:26ZengBMCBMC Public Health1471-24582025-01-0125111010.1186/s12889-025-21452-wPsychological stressors of imprisonment and coping of older incarcerated persons: a qualitative interview studyStuart McLennan0Leila Meyer1Tenzin Wangmo2Jens Gaab3Bernice Elger4Helene Seaward5Institute for Biomedical Ethics, University of BaselInstitute for Biomedical Ethics, University of BaselInstitute for Biomedical Ethics, University of BaselDivision of Clinical Psychology and Psychotherapy, Faculty of Psychology, University of BaselInstitute for Biomedical Ethics, University of BaselInstitute for Biomedical Ethics, University of BaselAbstract Background Imprisonment has a major impact on a person’s psychological well-being. The proportion of older imprisoned persons is dramatically increasing worldwide, and they are likely to have greater physical and mental health needs compared to younger persons in prisons. However, there is currently a lack of research on the psychological stressors and the coping strategies of older imprisoned persons. This study therefore aims to explore the key psychological stressors experienced by older imprisoned persons and their coping strategies. Methods Individual semi-structured qualitative interviews were conducted between April 2017 and December 2018 with a purposive sample of 79 participants from 2 different groups in Switzerland: older imprisoned persons (n = 50) and mental health professionals (n = 29) with experience working in prisons. Transcripts were analysed using conventional content analysis. Results This study has identified various ways in which the prison environment not only undermines older incarcerated persons´ psychological well-being, but also their ability to manage the stress they are experiencing. Two overarching psychological stressors identified were a lack of physical and emotional closeness in social relationships (with prison staff, with other incarcerated persons, and outside of prison), and the loss of autonomy in prison. Participants reported five main ways that older incarcerated persons coped with the psychological stressors in prison: 1) recognising a lack of control over situation, 2) withdrawing and isolating, 3) self-improvement, 4) staying connected to the outside world, and 5) self-expression. Conclusions To improve the psychological well-being of older incarcerated persons, there is a need for: specialised training of prison staff regarding hardships that elderly persons can face in prison relationships, encouragement and enablement of social contacts with the outside world, and increasing possibilities for autonomy, new challenges, and thus stimuli within a limited setting.https://doi.org/10.1186/s12889-025-21452-wPrisonsPsychological StressorCoping SkillsPsychological Well-BeingElderly persons in prisonOlder persons in prison
spellingShingle Stuart McLennan
Leila Meyer
Tenzin Wangmo
Jens Gaab
Bernice Elger
Helene Seaward
Psychological stressors of imprisonment and coping of older incarcerated persons: a qualitative interview study
BMC Public Health
Prisons
Psychological Stressor
Coping Skills
Psychological Well-Being
Elderly persons in prison
Older persons in prison
title Psychological stressors of imprisonment and coping of older incarcerated persons: a qualitative interview study
title_full Psychological stressors of imprisonment and coping of older incarcerated persons: a qualitative interview study
title_fullStr Psychological stressors of imprisonment and coping of older incarcerated persons: a qualitative interview study
title_full_unstemmed Psychological stressors of imprisonment and coping of older incarcerated persons: a qualitative interview study
title_short Psychological stressors of imprisonment and coping of older incarcerated persons: a qualitative interview study
title_sort psychological stressors of imprisonment and coping of older incarcerated persons a qualitative interview study
topic Prisons
Psychological Stressor
Coping Skills
Psychological Well-Being
Elderly persons in prison
Older persons in prison
url https://doi.org/10.1186/s12889-025-21452-w
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