Depp Colin A, Vella Lea, Orff Henry J, Twamley Elizabeth W
*Department of Psychiatry, University of California, San Diego; †Psychology Service, VA San Diego Healthcare System, California; ‡San Diego State University/University of California, San Diego, Joint Doctoral Program in Clinical Psychology; and §Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, California.
J Nerv Ment Dis. 2015 Feb;203(2):126-31. doi: 10.1097/NMD.0000000000000248.
Homeless people experience elevated rates of risk factors for cognitive impairment. We reviewed available peer-reviewed studies reporting data from objective measures of cognition in samples identified as homeless. Pooled sample-weighted estimates of global cognitive screening measures, full-scale intelligence quotient (IQ), and premorbid IQ were calculated, in addition to pooled sample characteristics, to understand the representativeness of available studies. A total of 24 unique studies were identified, with 2969 subjects. The pooled estimate for the frequency of cognitive impairment was 25%, and the mean full-scale IQ score was 85, 1 standard deviation below the mean of the normal population. Cognitive impairment was found to be common among homeless adults and may be a transdiagnostic problem that impedes rehabilitative efforts in this population. Comparatively little data are available about cognition in homeless women and unsheltered persons.
无家可归者认知障碍风险因素的发生率较高。我们回顾了已发表的同行评审研究,这些研究报告了从被认定为无家可归者样本的认知客观测量中获得的数据。除了汇总样本特征外,还计算了全球认知筛查测量、全量表智商(IQ)和病前IQ的汇总样本加权估计值,以了解现有研究的代表性。共确定了24项独特的研究,涉及2969名受试者。认知障碍发生率的汇总估计值为25%,全量表IQ平均得分为85,比正常人群平均值低1个标准差。研究发现,认知障碍在无家可归的成年人中很常见,可能是一个跨诊断问题,阻碍了对这一人群的康复努力。关于无家可归女性和无住所者认知情况的数据相对较少。