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

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Issue Date
2018-07-01Author
Scanlon, Faith A.
Scheidell, Joy D.
Cuddeback, Gary S.
Samelsohn, Darcy
Wohl, David A.
Lejuez, Carl W.
Latimer, William W.
Khan, Maria R.
Publisher
SAGE Publications
Type
Article
Article Version
Scholarly/refereed, publisher version
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Show full item recordAbstract
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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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
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