被监禁的非裔美国男性中的抑郁、执行功能障碍以及先前的经济和社会脆弱性关联
Depression, Executive Dysfunction, and Prior Economic and Social Vulnerability Associations in Incarcerated African American Men.
作者信息
Scanlon Faith A, Scheidell Joy D, Cuddeback Gary S, Samuelsohn Darcy, Wohl David A, Lejuez Carl W, Latimer William W, Khan Maria R
机构信息
1 Division of Comparative Effectiveness and Decision Science, Department of Population Health, NYU School of Medicine, New York, NY, USA.
2 School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
出版信息
J Correct Health Care. 2018 Jul;24(3):295-308. doi: 10.1177/1078345818782440. Epub 2018 Jul 1.
Low executive function (EF) and depression are each determinants of health. This study 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 Centers for Epidemiologic Studies-Depression) and preincarceration 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 (odds ratio [ OR] = 3.81, 95% confidence interval [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 postrelease success.
低执行功能（EF）和抑郁症都是健康的决定因素。本研究考察了EF缺陷（认知灵活性受损；威斯康星卡片分类测试持续错误得分高于第75百分位数）与抑郁症状（改良的流行病学研究中心抑郁量表）之间的协同作用，以及被监禁的非裔美国男性（N = 189）入狱前的幸福感。在调整分析中，EF受损和患有抑郁症与入狱前的粮食不安全状况（优势比[OR]=3.81，95%置信区间[CI]=[1.35, 10.77]）、无家可归（OR = 3.00，95% CI [1.02, 8.80]）、担心账单（OR = 3.76，95% CI [1.42, 9.95]）、重要他人支持度低（OR = 4.63，95% CI [1.62, 13.24]）、朋友支持度低（OR = 3.47，95% CI [1.30, 9.26]）、人际关系困难（OR = 2.86，95% CI [1.05, 7.80]）和酗酒（OR = 3.62，95% CI [1.22, 10.80]）密切相关。基于监狱的治疗抑郁症和提高解决问题能力的项目可能会提高出狱后的成功率。
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