Psychiatric Disorders and Substance Use in Homeless Youth: A Preliminary Comparison of San Francisco and Chicago
Psychiatric Disorders and Substance Use in Homeless Youth: A Preliminary Comparison of San Francisco and Chicago
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DOI：
10.3390/bs2030186
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发表时间：
2012-09-01
影响因子：
2.6
通讯作者：
Karnik, Niranjan S.
中科院分区：
文献类型：
--
作者：
Quimby, Ernika G.;Edidin, Jennifer P.;Karnik, Niranjan S.
在美国，年轻人无家可归是一个日益严重的问题。无家可归的经历似乎有许多不良后果，包括精神和药物使用障碍。这项研究比较了旧金山(N=31)和芝加哥(N=56)无家可归的年轻人(18-24岁)精神障碍的频率，包括药物使用。受试者接受迷你国际神经精神病学访谈(M.I.NI.)。评估DSM-IV-TR诊断和物质使用障碍。87%的旧金山青年和81%的芝加哥青年符合至少一项M.I.N.I.精神疾病诊断的标准。在这两个样本中，近三分之二的年轻人符合情绪障碍的标准。大约三分之一的人符合焦虑症的标准。32%的旧金山样本和18%的芝加哥样本符合反社会人格障碍的标准。大约84%的旧金山青年和48%的芝加哥青年符合物质相关障碍的标准，旧金山青年使用的物质更多。总而言之，无家可归青年中精神障碍的高比率清楚地证明了这一群体的心理健康需求是巨大的。文中还讨论了影响因素。
Youth homelessness is a growing problem in the United States. The experience of homelessness appears to have numerous adverse consequences, including psychiatric and substance use disorders. This study compared the frequencies of psychiatric disorders, including substance use, between homeless youth (18-24 years-old) in San Francisco (N = 31) and Chicago (N = 56). Subjects were administered the Mini International Neuropsychiatric Interview (M.I.N.I.) to assess DSM-IV-TR diagnoses and substance use disorders. Eighty-seven percent of the San Francisco youth, and 81% of the Chicago youth met criteria for at least one M.I.N.I. psychiatric diagnosis. Nearly two-thirds of the youth in both samples met criteria for a mood disorder. Approximately one-third met criteria for an anxiety disorder. Thirty-two percent of the San Francisco sample and 18% of the Chicago met criteria for Antisocial Personality Disorder. Approximately 84% of the San Francisco youth and 48% of the Chicago youth met criteria for a substance-related disorder, and more substances were used by San Francisco youth. In conclusion, the high rate of psychiatric disorders in homeless youth provides clear evidence that the mental health needs of this population are significant. Implications are discussed.