Factors Associated with Money Mismanagement Among Adults with Severe Mental Illness and Substance Abuse.

Factors Associated with Money Mismanagement Among Adults with Severe Mental Illness and Substance Abuse.
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DOI:
10.1007/s11469-015-9625-3
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发表时间:
2016-08
影响因子:
8
通讯作者:
Rosen MI
Rosen MI
中科院分区:
医学4区
文献类型:
--
作者:
Moore BA;Black AC;Rosen MI

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患有严重精神疾病的人往往有金钱管理不善的实质性问题,例如损失或借钱给其他人,以及冲动或不必要的购买,包括毒品和酒精。金钱管理不善反过来影响病人的健康和社会功能,并可能导致无家可归和其他伤害。这项横断面研究评估了SSI/SSDI接受者中资金管理不善的人口统计学和临床预测因素。SSI/SSDI受益人(N = 95)与最近使用可卡因启动临床试验进行了评估,在摄入人口统计学,认知,精神,社会/家庭,药物滥用和财务措施。在多元回归分析中,精神功能和药物依赖诊断是自我报告的金钱管理不善的独立预测因素。即使在最近都使用可卡因的人中,那些有药物依赖和精神疾病的人也更难管理他们的资金。未来的研究可能会确定减少药物使用和精神疾病的人是否会更好地管理他们的资金。
People with severe mental illness often have substantial problems with money mismanagement such as losing or lending money to other people and making impulsive or unnecessary purchases, including drugs and alcohol. Money mismanagement in turn affects patients’ health and social functioning, and can lead to homelessness and other harm. This cross-sectional study evaluated demographic and clinical predictors of money mismanagement among SSI/SSDI recipients. SSI/SSDI beneficiaries (N = 95) with recent cocaine use initiating a clinical trial were assessed at intake with demographic, cognitive, psychiatric, social/family, substance abuse, and financial measures. In multivariate regression analyses, psychiatric functioning and drug dependence diagnosis were independent predictors of self-reported money mismanagement. Even within individuals whom all had recently used cocaine, those with drug dependence and those with more psychiatric symptomatology had more difficulty managing their funds. Future studies might determine whether people who reduce their drug use and psychiatric symptomatology go on to better manage their funds.
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