Previous Homelessness as a Risk Factor for Recovery from Serious Mental Illnesses

Previous Homelessness as a Risk Factor for Recovery from Serious Mental Illnesses
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DOI:
10.1007/s10597-014-9805-9
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发表时间:
2015-08-01
影响因子:
2.7
通讯作者:
Townley, Greg
Townley, Greg
中科院分区:
医学4区
文献类型:
--
作者:
Castellow, Jennifer;Kloos, Bret;Townley, Greg

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本文认为,无家可归的经验是固有的创伤,从而有可能影响精神疾病的表现。与无家可归有关的经历可能是脆弱性的具体和独特的来源。这项研究包括424名被诊断患有严重精神疾病的人,他们住在南卡罗来纳州的支持性住房项目中。衡量无家可归对三类结果的影响的三项分层回归分析显示:(1)曾经无家可归以及无家可归的时间与较高水平的精神痛苦有关,(2)曾经无家可归与较高水平的饮酒有关,(3)无家可归的总时间与较低的精神疾病康复知觉有关。这些研究结果表明,经历无家可归可能会导致心理社会脆弱性的负面心理健康结果。今后将进行调查,审查无家可归所造成的风险和脆弱性这一概念。
This paper argues that the experience of homelessness is inherently traumatic and thus has the potential to affect the manifestation of mental illness. The experiences related to being homeless might act as specific and unique sources of vulnerability. This study included 424 people diagnosed with serious mental illnesses living in supported housing programs in South Carolina. Three hierarchical regression analyses measuring the impact of homelessness on three types of outcomes revealed the following: (1) ever experiencing homelessness as well as the amount of time spent homeless were related to higher levels of psychiatric distress, (2) ever experiencing homelessness was related to higher levels of reported alcohol use, and (3) total amount of time spent homeless was related to lower perceived recovery from mental illness. These findings suggest that experiencing homelessness might contribute to psychosocial vulnerability to negative mental health outcomes. Future investigations examining this concept of risk and vulnerability as a result of homelessness are in order.