Abstract
Many inmates do not respond favorably to standard treatments routinely offered in prison. Executive cognitive functioning and emotional regulation may play a key role in treatment responsivity. During intake into treatment, inmates (N = 224) were evaluated for executive functioning, emotional perception, stress reactivity (salivary cortisol), IQ, psychological and behavioral traits, prior drug use, child and family background, and criminal histories and institutional behavior. Outcome measures included program completion, treatment readiness, responsivity and gain, and the Novaco Reaction to Provocation Questionnaire. Relative deficits in behavioral inhibition significantly predicted treatment outcomes, more so than background, psychological, or behavioral variables, and other neurocognitive and emotional regulatory measures. Future replications of these results have potential to improve assessment and treatment of offenders who are otherwise intractable.
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Notes
The saliva samples were stored at −20oC until processing. They were then centrifuged to remove particulate matter and extracted with hexane: ethyl acetate. Aliquots of the extract were evaporated to dryness in a rotary evaporator. The dried extract was redissolved in buffer and the cortisol content was determined using a highly sensitive RIA procedure with, 125I-radiolabeled cortisol. Sensitivity of the method is 0.05 mg/dl using 0.2 ml of saliva (Esoterix Inc., Austin, TX).
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Acknowledgments
This research was funded by the National Institute of Justice, Grant No. 2002-MU-BX-0013. We thank the Maryland Department of Correction, their Social Work and Correctional Office staff for their full cooperation and assistance in conducting this study.
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Fishbein, D., Sheppard, M., Hyde, C. et al. Deficits in Behavioral Inhibition Predict Treatment Engagement in Prison Inmates. Law Hum Behav 33, 419–435 (2009). https://doi.org/10.1007/s10979-008-9163-7
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DOI: https://doi.org/10.1007/s10979-008-9163-7