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刑满释放 homeless men 的抑郁症状相关因素分析。

Correlates of depressive symptoms among homeless men on parole.

机构信息

University of California, Los Angeles, School of Nursing, Los Angeles, California 90095, USA.

出版信息

Issues Ment Health Nurs. 2011;32(8):501-11. doi: 10.3109/01612840.2011.569111.

Abstract

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.

摘要

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。

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