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Depression, Executive Dysfunction, and Prior Economic and Social Vulnerability Associations in Incarcerated African American Men

Scanlon, Faith A.
; 
Scheidell, Joy D.
; 
Cuddeback, Gary S.
; 
Samelsohn, Darcy
; 
Wohl, David A.
; 
Lejuez, Carl W.
; 
Latimer, William W.
; 
Khan, Maria R.
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Abstract
Low executive function (EF) and depression are each determinants of health. We examined the synergy between deficits in EF (impaired cognitive flexibility; >75th percentile on the Wisconsin Card Sorting Test perseverative error score) and depressive symptoms (modified CES-D) and pre-incarceration well-being among incarcerated African American men (N=189). In adjusted analyses, having impaired EF and depression was strongly associated with pre-incarceration food insecurity (OR=3.81, 95% CI: 1.35, 10.77), homelessness (OR=3.00, 95% CI: 1.02, 8.80), concern about bills (OR=3.76, 95% CI: 1.42, 9.95); low significant other support (OR=4.63, 95% CI: 1.62, 13.24), low friend support (OR=3.47, 95% CI: 1.30, 9.26), relationship difficulties (OR=2.86, 95% CI: 1.05, 7.80); and binge drinking (OR=3.62, 95% CI: 1.22, 10.80). Prison-based programs to treat depression and improve problem-solving may improve post-release success.
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Date
2018-07-01
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SAGE Publications
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Sociology Scholarly Works
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Keywords
Depression, Executive function, Incarceration, African Americans, Males
Citation
Faith A. Scanlon, Joy D. Scheidell, Gary S. Cuddeback, Darcy Samuelsohn, David A. Wohl, Carl W. Lejuez, William W. Latimer, Maria R Khan J Correct Health Care. 2018 Jul; 24(3): 295–308. Published online 2018 Jul 1. doi: 10.1177/1078345818782440
URI
https://hdl.handle.net/1808/26730
DOI
10.1177/1078345818782440
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