The Association Between Parental Incarceration During Childhood and Mental Health Diagnoses in Mid-Life

Introduction: The U.S. has the highest number of incarcerated persons per capita, and individuals who experience parental incarceration (PI) in childhood are at increased risk for internalizing and externalizing behavioral health conditions across the life course. This study explored the relationshi...

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Main Authors: Victoria Ward, Hannah Grace Rew, Berkeley Franz
Format: Article
Language:English
Published: SAGE Publishing 2025-08-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/21501319251362978
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author Victoria Ward
Hannah Grace Rew
Berkeley Franz
author_facet Victoria Ward
Hannah Grace Rew
Berkeley Franz
author_sort Victoria Ward
collection DOAJ
description Introduction: The U.S. has the highest number of incarcerated persons per capita, and individuals who experience parental incarceration (PI) in childhood are at increased risk for internalizing and externalizing behavioral health conditions across the life course. This study explored the relationship between PI and mental health outcomes, including diagnoses of Attention Deficit/Hyperactivity Disorder (ADHD), Post-Traumatic Stress Disorder (PTSD), and depression by mid-life. Methods: Using data from Waves IV and V of the National Longitudinal Study of Adolescence to Adult Health, we assessed whether individuals who experienced PI before age 18 had higher rates of ADHD, PTSD, and depression diagnoses in mid-life and if the gender of the parent and child moderated these outcomes. We used a cross-sectional design which included chi-square tests of independence and logistic regression. Results: Participants who experienced PI had approximately twice the odds of depression (OR = 1.64; 95% CI: 1.30-2.09) or PTSD (OR = 1.70; 95% CI: 1.19-2.42). Parental incarceration was not a significant predictor of ADHD. There was no evidence for a differential impact of PI based on the parent or participant’s gender. Conclusion: PI is associated with negative effects, including higher rates of depression and PTSD, through mid-life. This same relationship did not exist for ADHD and gender did not moderate the relationship between PI and mental health outcomes. These findings extend knowledge on the possible long-term harms of criminal justice involvement, and are especially important for communities disproportionately affected by incarceration in the United States.
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spelling doaj-art-2c00fc7d2f0f40079499d8a21193542b2025-08-26T09:03:38ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272025-08-011610.1177/21501319251362978The Association Between Parental Incarceration During Childhood and Mental Health Diagnoses in Mid-LifeVictoria Ward0Hannah Grace Rew1Berkeley Franz2University of Notre Dame, Notre Dame, IN, USAOhio University, Department of Psychology, Athens, OH, USAOhio University, Heritage College of Osteopathic Medicine, Institute to ADVANCE Health Equity, Athens, OH, USAIntroduction: The U.S. has the highest number of incarcerated persons per capita, and individuals who experience parental incarceration (PI) in childhood are at increased risk for internalizing and externalizing behavioral health conditions across the life course. This study explored the relationship between PI and mental health outcomes, including diagnoses of Attention Deficit/Hyperactivity Disorder (ADHD), Post-Traumatic Stress Disorder (PTSD), and depression by mid-life. Methods: Using data from Waves IV and V of the National Longitudinal Study of Adolescence to Adult Health, we assessed whether individuals who experienced PI before age 18 had higher rates of ADHD, PTSD, and depression diagnoses in mid-life and if the gender of the parent and child moderated these outcomes. We used a cross-sectional design which included chi-square tests of independence and logistic regression. Results: Participants who experienced PI had approximately twice the odds of depression (OR = 1.64; 95% CI: 1.30-2.09) or PTSD (OR = 1.70; 95% CI: 1.19-2.42). Parental incarceration was not a significant predictor of ADHD. There was no evidence for a differential impact of PI based on the parent or participant’s gender. Conclusion: PI is associated with negative effects, including higher rates of depression and PTSD, through mid-life. This same relationship did not exist for ADHD and gender did not moderate the relationship between PI and mental health outcomes. These findings extend knowledge on the possible long-term harms of criminal justice involvement, and are especially important for communities disproportionately affected by incarceration in the United States.https://doi.org/10.1177/21501319251362978
spellingShingle Victoria Ward
Hannah Grace Rew
Berkeley Franz
The Association Between Parental Incarceration During Childhood and Mental Health Diagnoses in Mid-Life
Journal of Primary Care & Community Health
title The Association Between Parental Incarceration During Childhood and Mental Health Diagnoses in Mid-Life
title_full The Association Between Parental Incarceration During Childhood and Mental Health Diagnoses in Mid-Life
title_fullStr The Association Between Parental Incarceration During Childhood and Mental Health Diagnoses in Mid-Life
title_full_unstemmed The Association Between Parental Incarceration During Childhood and Mental Health Diagnoses in Mid-Life
title_short The Association Between Parental Incarceration During Childhood and Mental Health Diagnoses in Mid-Life
title_sort association between parental incarceration during childhood and mental health diagnoses in mid life
url https://doi.org/10.1177/21501319251362978
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