University of California, Los Angeles, School of Nursing, Los Angeles, California 90095, USA.
Issues Ment Health Nurs. 2011;32(8):501-11. doi: 10.3109/01612840.2011.569111.
This study describes correlates of high levels of depressive symptoms among recently paroled men in Los Angeles who reside in a community substance abuse treatment program and report homelessness. Cross-sectional data were obtained from male residents who were released on parole within the last 30 days (N =157) to assess parental relationship, self-esteem, social support, coping behaviors, drug and alcohol use behaviors, depressive symptoms, and sociodemographic information. Results indicated that 40% of the participants were classified as experiencing high levels of depressive symptoms (CES-D ≥ 10). Results of a logistic regression analysis showed that the following were predictors of depressive symptoms (p <.05): physical abuse in childhood, non-residential alcohol treatment, violent behaviors, low self-esteem, and disengagement coping. Being Mexican-American, Mexican, American Indian, or Asian, and not displaying cognitive problems was inversely related to depressive symptoms in the final model (B =-2.39, p <.05). Findings support proper use of both prison and community assessment services to at-risk individuals eligible for parole to increase self-esteem and coping.
本研究描述了洛杉矶最近获得假释、居住在社区药物滥用治疗项目并报告无家可归的男性中,抑郁症状严重程度的相关因素。对在过去 30 天内刚获假释的男性居民进行了横断面数据分析,以评估其亲子关系、自尊、社会支持、应对行为、药物和酒精使用行为、抑郁症状以及社会人口学信息。结果表明,40%的参与者被归类为患有严重的抑郁症状(CES-D≥10)。逻辑回归分析的结果表明,以下因素是抑郁症状的预测因素(p<.05):儿童期遭受身体虐待、非住院酒精治疗、暴力行为、自尊心低和回避应对。在最终模型中,具有墨西哥裔美国人、墨西哥人、美洲印第安人或亚洲人身份,且无认知问题与抑郁症状呈负相关(B=-2.39,p<.05)。研究结果支持在适当的时候,对有风险的、符合假释条件的个人,充分利用监狱和社区评估服务,以提高其自尊心和应对能力。