Life course adversity in the lives of formerly homeless persons with serious mental illness: context and meaning.

Life course adversity in the lives of formerly homeless persons with serious mental illness: context and meaning.
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患有严重精神疾病的前无家可归者生活中的生命历程逆境:背景和意​​义。

DOI:
10.1111/j.1939-0025.2012.01159.x
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发表时间:
2012-07
期刊:
The American journal of orthopsychiatry
影响因子:
--
通讯作者:
Tiderington E
Tiderington E
中科院分区:
其他
文献类型:
--
作者:
Padgett DK;Smith BT;Henwood BF;Tiderington E

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本定性研究评估的频率和主观意义的不良经验,采用个案研究分析的访谈与38个以前无家可归的成年人共同发生的严重精神疾病(SMI)和药物滥用的历史。使用Lloyd和Turner(2008)的41项检查表对不良生活事件进行了盘点。参与者平均发生8.8起不良事件,其中约三分之一经历过监禁(37%),自杀(32%),父母一方或双方遗弃(30%)和母亲死亡(34%)。跨案例分析产生了3个主题:由于死亡和疏远造成的社会损失;慢性压力源和急性事件的重要性;以及逆境的累积终身性质。调查结果表明,除了精神压力指数、药物滥用和无家可归之外,一生中的创伤和失落经历对该人群的生活产生累积影响。在这种情况下,心理健康康复运动应该解决在这一人群中除了共病诊断之外的既往不良经历。(PsycInfo数据库记录(c)2020阿帕,保留所有权利)
This qualitative study assessed the frequency and subjective meaning of adverse experiences using case study analyses of interviews with 38 formerly homeless adults with co-occurring serious mental illness (SMI) and substance abuse histories. Adverse life events were inventoried using an adaptation of Lloyd and Turner’s (2008) 41-item checklist. Participants averaged 8.8 adverse events, with approximately one-third having experienced incarceration (37%), suicidality (32%), abandonment by one or both parents (30%), and death of their mother (34%). Cross-case analyses yielded 3 themes: social losses because of death and estrangement; the significance of chronic stressors as well as acute events; and the cumulative lifetime nature of adversity. Findings suggest that life course experiences of trauma and loss have a cumulative influence in the lives of this population in addition and in relation to SMI, substance abuse, and homelessness. In this context, the mental health recovery movement should address prior adverse experiences beyond comorbid diagnoses in this population.(PsycInfo Database Record (c) 2020 APA, all rights reserved)
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