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.