Trauma, substance use, and mental health symptoms in transitional age youth experiencing homelessness
Trauma, substance use, and mental health symptoms in transitional age youth experiencing homelessness
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DOI：
10.1111/phn.12727
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发表时间：
2020-05-01
影响因子：
2.1
通讯作者：
Cuca, Yvette P.
中科院分区：
文献类型：
--
作者：
Dawson-Rose, Carol;Shehadeh, Deena;Cuca, Yvette P.
目的本描述性研究探讨了美国旧金山弗朗西斯科无家可归的过渡年龄青年（TAY）的创伤、物质使用和心理健康症状的患病率及其相关性。设计与样本从一个社区组织招募了100名无家可归的TAY，完成一项关于创伤、心理健康症状和物质使用的调查。国家药物滥用研究所（NIDA）-改良酒精，吸烟和物质参与筛选测试（ASSIST），用于物质使用的频率和风险水平; 10项不良儿童经历（ACE），用于创伤的患病率;创伤后应激障碍（PTSD）症状的DSM-5创伤后应激障碍检查表;抑郁症状的流行病学研究中心抑郁量表;结果98名受试者在儿童期至少经历过一次ACE，77%的受试者经历过4次或4次以上ACE。大多数参与者（80%）达到了PTSD的诊断阈值，74%达到了抑郁症的诊断阈值，51%达到了中度焦虑的诊断阈值。创伤后应激障碍，焦虑和抑郁的症状都显着相关的阿片类药物和兴奋剂的使用。结论创伤，并共同发生的物质使用和心理健康问题是普遍存在的无家可归的TAY。需要采取个人和社区一级的干预措施，以解决和改善这一群体的健康问题。
Objective This descriptive study examined the prevalence and correlates of trauma, substance use, and mental health symptoms in homeless transitional age youth (TAY) in San Francisco.Design & Sample One hundred homeless TAY were recruited from a community-based organization to complete a survey on trauma, mental health symptoms, and substance use.Measurements We used these measures: National Institute on Drug Abuse (NIDA)-Modified Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) for frequency and risk level of substance use; the 10-item Adverse Childhood Experiences (ACEs) for prevalence of trauma; the Post-traumatic Stress Disorder Checklist for DSM-5 for post-traumatic stress disorder (PTSD) symptoms; Center for Epidemiologic Studies Depression Scale for depression symptoms; and Generalized Anxiety Disorder 7-item for anxiety symptoms.Results Almost all (n = 98) participants experienced at least one ACE during childhood, and 77% experienced four or more. Most participants (80%) reached the diagnostic threshold for PTSD, 74% for depression, and 51% for moderate anxiety. Symptoms of PTSD, anxiety, and depression were all significantly correlated with use of opioids and stimulants.Conclusion Trauma, and co-occurring substance use and mental health problems are prevalent among homeless TAY. Individual- and community-level interventions are needed to address and improve the health of this population.