创伤性脑损伤退伍军人的神经认知、精神症状和终身无家可归情况。
Neurocognition, psychiatric symptoms, and lifetime homelessness among veterans with a history of traumatic brain injury.
机构信息
Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, CA 92161, USA; Department of Psychiatry, University of California, San Diego, La Jolla, CA 92093, USA.
San Diego State University / University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA 92120, USA.
出版信息
Psychiatry Res. 2019 Jan;271:167-170. doi: 10.1016/j.psychres.2018.11.049. Epub 2018 Nov 20.
We retrospectively investigated archival clinical data, including correlates of lifetime homelessness, in 503 Veterans with a history of traumatic brain injuries (86.5% mild) who completed neuropsychological evaluations and passed performance validity tests. The 471 never-homeless and 32 ever-homeless Veterans were compared on demographic factors, TBI severity, psychiatric diagnosis, subjective symptoms, and neuropsychological functioning. Homelessness history was significantly associated with unemployment, lower disability income, more severe depressive, anxiety, posttraumatic stress disorder, and postconcussive symptoms, and lower performances on two of fifteen neurocognitive tests. In a multiple logistic regression model, current unemployment and substance use disorder remained significantly associated with lifetime homelessness.
我们回顾性地调查了 503 名有创伤性脑损伤病史的退伍军人（86.5%为轻度）的档案临床数据，这些退伍军人完成了神经心理学评估并通过了绩效有效性测试。将 471 名从未无家可归和 32 名曾经无家可归的退伍军人在人口统计学因素、TBI 严重程度、精神科诊断、主观症状和神经心理学功能方面进行了比较。无家可归史与失业、残疾收入较低、更严重的抑郁、焦虑、创伤后应激障碍和脑震荡后症状以及十五项神经认知测试中的两项表现较差显著相关。在多因素逻辑回归模型中，当前失业和物质使用障碍与终生无家可归显著相关。
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