Change in neurocognition by housing type and substance abuse among formerly homeless seriously mentally ill persons
Change in neurocognition by housing type and substance abuse among formerly homeless seriously mentally ill persons
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DOI：
10.1016/j.schres.2005.11.013
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发表时间：
2006-03-01
影响因子：
4.5
通讯作者：
Seidman, LJ
中科院分区：
文献类型：
--
作者：
Caplan, B;Schutt, RK;Seidman, LJ
目的：为了测试生活在集体住房而不是独立公寓中对患有严重精神疾病的前无家可归者的执行功能、言语记忆和持续注意力的影响，并确定药物滥用是否会改变这种影响。方法：在波士顿大都市，112名精神卫生部收容所的人被随机分配到集体之家（“不断发展的消费者家庭”，有项目主持人、小组会议、居民决策）或独立公寓。都是个案管理。在基线、18个月（时间2）和48个月（时间3）时分别进行神经心理学成套测试，随访率分别为81%和59%。分层线性模型应用于执行功能评估与威斯康星州卡片分类测试（执着）-逻辑记忆故事回忆，和听觉持续性能测试（CPT）的持续注意。受试者的特点controlled.Results：当移动到组家园，没有终身药物滥用史的主题改善的执着，而那些谁搬到独立的公寓恶化的执着。在两个住房条件下，受试者表现出没有变化的执着，但改善石油逻辑记忆故事回忆和CPT.Conclusions：类型的住房安置可以影响认知功能，值得注意的是，社会孤立的住房与执行功能减弱。药物滥用大大减少了对环境的影响。这些都是在安置住房和随后的治疗中要考虑的重要因素。(c)2005 Elsevier B. V.保留所有权利。
Objective: To test the effect of living in group housing rather than independent apartments on executive functioning, verbal memory and sustained attention among formerly homeless persons with serious mental illness and to determine whether substance abuse modifies this effect.Method: In metropolitan Boston, 112 persons in Department of Mental Health shelters were randomly assigned to group homes ("Evolving Consumer Households", with project facilitator, group meetings, resident decision-making) or independent apartments. All were case managed. A neuropsychological test battery was administered at baseline, at 18 months (Time 2), with an 81% follow-up rate, and at 48 months (Time 3), with a 59% follow-up rate. Hierarchical Linear Modeling was applied to executive functioning-assessed with the Wisconsin Card Sorting Test (Perseverations)-Logical Memory story recall, and an auditory Continuous Performance Test (CPT) for sustained attention. Subject characteristics were controlled.Results: When moved to group homes, subjects without a lifetime substance abuse history improved on Perseverations, while those who moved to independent apartments deteriorated on Perseverations. Across the two housing conditions, subjects showed no change in Perseverations, but improved oil Logical Memory story recall and the CPT.Conclusions: Type of housing placement can influence cognitive functioning; notably, socially isolating housing is associated with weakened executive functioning. Substance abuse significantly diminishes environmental effects. These are important factors to consider in housing placement and subsequent treatment. (c) 2005 Elsevier B.V. All rights reserved.