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既往无家可归作为严重精神疾病康复的一个风险因素。

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

作者信息

Castellow Jennifer, Kloos Bret, Townley Greg

机构信息

Department of Psychology, University of South Carolina, 1512 Pendleton Street, Columbia, SC, 29208, USA,

出版信息

Community Ment Health J. 2015 Aug;51(6):674-84. doi: 10.1007/s10597-014-9805-9. Epub 2015 Jan 8.

Abstract

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.

摘要

本文认为,无家可归的经历本质上具有创伤性,因此有可能影响精神疾病的表现。与无家可归相关的经历可能成为特殊且独特的脆弱性来源。本研究纳入了424名被诊断患有严重精神疾病且居住在南卡罗来纳州支持性住房项目中的人员。三项分层回归分析测量了无家可归对三种类型结果的影响,结果如下:(1)曾经经历过无家可归以及无家可归的时长与更高水平的精神痛苦相关,(2)曾经经历过无家可归与更高水平的报告饮酒量相关,(3)无家可归的总时长与更低的精神疾病康复感知相关。这些发现表明,经历无家可归可能导致心理社会层面易出现负面心理健康结果。有必要开展进一步调查,研究因无家可归导致的这种风险和脆弱性概念。

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