Coping with incarceration: examining the longitudinal relationship between individual coping styles and mental health outcomes

Abstract

Background Experiencing incarceration leads to increased rates of stress that result in a variety of negative physical, mental, and emotional outcomes. However, little research focuses on how individuals vary in their coping responses to stressful life events, like imprisonment. Aims This study extends prior research by examining whether changes in coping styles throughout the first year of incarceration influence mental health symptomology at 6- and 12-months post placement. Methods Using longitudinal data collected via semi-structured interviews with incarcerated men, this study measures changes in coping strategies and their effect on psychological well-being using the SCL-90-R. Ordinary least squares regression models were used to regress mental health symptomology on residual change scores of coping strategies. Results Changes in dysfunctional coping during the first 6- and 12-months of placement were associated with increased levels of adverse mental health symptoms. Changes in emotion- and problem-focused coping were not associated with mental health symptomology. Conclusions This research illustrates the need to continue exploration into individual responses to stressful events, such as initial incarceration, and suggests that prison systems should be designed in ways that decrease the need to adapt in dysfunctional ways, while providing opportunities for incarcerated people to cope in more productive ways.