Burg, Florijne (2025) Sleep, Guilt, and Motivation in Forensic Psychiatric Patients. Master thesis, Psychology.
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Abstract
The primary objective of treating forensic psychiatric inpatients is to reduce recidivism risk and facilitate their safe reintegration into society. Treatment motivation plays a crucial role in treatment engagement and outcomes. Factors such as sleep quality and feelings of guilt may influence motivation, yet their relationships remain underexplored in forensic psychiatric populations. This study investigates the relationships between these variables using data from 129 patients at Forensisch Psychiatrisch Kliniek Assen, who completed measures of sleep quality, feelings of guilt, and treatment motivation. Analyses included Spearman’s correlations, a simple linear regression, and a mediation model, with an additional exploratory analysis comparing sex offenders and non-sex offenders. The results showed no significant correlation between sleep quality and treatment motivation. However, linear regression indicated a significant relationship between these variables for the full sample. Feelings of guilt were not significantly correlated with treatment motivation, nor did regression analysis reveal a direct relationship. The exploratory analysis yielded the same results. Interestingly, guilt was significantly associated with sleep quality across the full sample, and exploratory analyses indicated that this correlation was present only in the non-sex offender group. Mediation analysis revealed that sleep quality indirectly linked feelings of guilt to treatment motivation; however given the absence of a direct association of guilt and motivation, the relationships with sleep quality should be viewed as separate. These findings do highlight the potential of targeting guilt to improve sleep quality and the potential of targeting sleep quality to improve treatment motivation. Future research should employ intervention studies and objective measures of guilt to deepen the understanding of these complex relationships and inform tailored intervention strategies.
| Item Type: | Thesis (Master) |
|---|---|
| Supervisor name: | Karsten, J. |
| Degree programme: | Psychology |
| Differentiation route: | Clinical Forensic Psychology and Victimology (FP) [Master Psychology] |
| Date Deposited: | 16 Jul 2025 13:47 |
| Last Modified: | 16 Jul 2025 13:47 |
| URI: | http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/5570 |
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