Abstract

The reformulated learned helplessness model proposes that people who tend to make internal, stable, and global attributions in response to uncontrollable aversive events are more likely to develop depression. The present study sought to investigate the nature of the relationship between attributional style and depression in a male prison sample. One hundred and one adult male prisoners from four medium security prisons in Ireland completed the Attributional Style Questionnaire and measures of depression (BDI-II) and anxiety (BAI). Severity of self-reported depressive symptoms in the present sample was comparable to other prison and clinical samples, but higher than community samples. Participants were more severely affected by depressive symptoms than anxiety. The original attributional dimensions (i.e. internal, stable, and global) predicted a significant amount of variance in depression, but the model was not significant after controlling for anxiety. A subsequent regression model, comprising attributional dimensions for both negative events and positive events including a measure of ‘uncontrollability’, accounted for 35% of the variance in depression and the model retained significance while controlling for anxiety. An attributional model of depression may be relevant to the prison population and could provide a valid insight into the development and treatment of depressive symptoms in prisoners. The findings are interpreted in relation to previous research and implications for theory, clinical practice, and rehabilitation are discussed.

Highlights

  • The prevalence and severity of mental health problems is higher in prison populations than in community populations [1], [2]

  • 37.6% of the sample reported moderate to severe levels of depressive symptoms, with 29.7% reporting moderate to severe levels of anxiety symptoms

  • The results reported suggest that attributional style may be an important cognitive variable associated with depressive symptoms in prisoners, and that attributional change could help increase resilience

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Summary

Introduction

The prevalence and severity of mental health problems is higher in prison populations than in community populations [1], [2]. A systematic review involving 28,361 male prisoners reported rates of 10.2% for depression and 3.6% for psychosis [3]. In Ireland prevalence rates of 6.3% for major depressive disorders, 5.4% for anxiety disorders, and 3.9% for psychotic disorders were reported in a male prison sample [4]. The severity of self-reported symptoms associated with mental health problems have been examined in prison populations. In one study [5] 8.1% of prisoners reported severe levels of depressive symptoms on the BDI-II, and 2.3%.

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