Stress, Coping, and Mental Health Differences among Homeless People
Stress, Coping, and Mental Health Differences among Homeless People
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DOI：
10.1111/soin.12080
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发表时间：
2015-08-01
影响因子：
1.9
通讯作者：
Lee, Barrett A.
中科院分区：
文献类型：
--
作者：
Lippert, Adam M.;Lee, Barrett A.
据认为，长期无家可归的人比偶尔或新进入的无家可归者有更高的心理健康问题发生率。目前尚不清楚早年生活和当前的压力因素在多大程度上造成了这一劣势。在累积劣势理论和压力研究的指导下，我们分析了一项针对美国无家可归者的全国性研究的数据，以研究整个生命过程中的压力源和应对资源如何与无家可归者在精神疾病和酒精或其他药物滥用疾病方面的差异有关。逻辑回归分析显示，新进入的无家可归者比长期和间歇性无家可归者患当前精神疾病的可能性更低。这是通过童年和成年无家可归期间经历的压力源和应对资源来解释的。酒精和其他药物滥用很常见，但在三种无家可归者类型中具有可比性，并且与选定的压力和应对措施存在关联。研究结果为风险积累的观点提供了可信度，强调了过去和同时的压力因素与无家可归者心理健康的关系。
People who are chronically homeless are assumed to have higher rates of mental health problems than episodically or new-entry homeless individuals. It is unclear to what extent early-life and current stressors account for this disadvantage. Guided by cumulative disadvantage theory and stress research, we analyze data from a national study of the US homeless population to examine how stressors and coping resources throughout the life course are implicated in differences among homeless people in psychiatric disorders and alcohol or other drug abuse disorders. Logistic regression analysis reveals that new-entry homeless persons are less likely than their chronically and episodically homeless counterparts to have current psychiatric disorders. This is explained by stressors and coping resources experienced in childhood and during adult homeless spells. Alcohol and other drug abuse is common but comparable across the three homeless types and shares an association with selected stress and coping measures. Findings lend credibility to an accumulation of risks perspective, highlighting how past as well as contemporaneous stressors are related to the mental health of homeless people.