D'Sa Saskia, Foley Deirdre, Hannon Jessica, Strashun Sabina, Murphy Anne-Marie, O'Gorman Clodagh
Department of Paediatrics and Neonatology, University Hospital Limerick (UHL), Limerick, Ireland.
Department of Paediatrics and Neonatology, University Maternity Hospital Limerick (UHML), Limerick, Ireland.
Ir J Med Sci. 2021 Feb;190(1):411-417. doi: 10.1007/s11845-020-02256-w. Epub 2020 Jun 1.
In August 2019, 3848 children in Ireland were faced with emergency homelessness [1]. In recent years, lack of affordable housing, unemployment and shortage of rental properties have been the primary driving factors for the potentially devastating impact of familial homelessness in our society [1]. Our aim was to evaluate current knowledge on the psychological impact of homelessness in children. Using the PRISMA model, we performed a review of the currently available literature on the psychological impact of homelessness on children. This concept was explored under two different categories-'transgenerational' and 'new-onset homelessness'. Hidden homelessness was also explored. Our literature review revealed several psychological morbidities which were unique to children. This includes developmental and learning delays, behavioural difficulties and increased levels of anxiety and depression [66, 77, 40, 81, 42]. This has been demonstrated by poorer performance in school testing and increased levels of aggression. Anxiety in children within this cohort has been shown to peak at time of dispersion from their stable home environment [67]. Our study highlights violence, aggression and poor academic learning outcomes to be just some of the key findings in our review of homelessness in childhood, worldwide. Unfortunately, there has been minimum research to date on paediatric homelessness within the context of the Irish population. We anticipate this review to be the first chapter in a multipart series investigation to evaluate the psychological morbidity of paediatric homelessness within the Irish Society.
2019年8月，爱尔兰有3848名儿童面临紧急无家可归的状况[1]。近年来，经济适用房短缺、失业以及出租房屋不足一直是家庭无家可归现象给我们社会带来潜在毁灭性影响的主要驱动因素[1]。我们的目的是评估目前关于无家可归对儿童心理影响的认知。我们使用PRISMA模型，对目前现有的关于无家可归对儿童心理影响的文献进行了综述。这一概念在“代际”和“新出现的无家可归”两个不同类别下进行了探讨。还探讨了隐性无家可归问题。我们的文献综述揭示了一些儿童特有的心理疾病。这包括发育和学习迟缓、行为困难以及焦虑和抑郁水平的升高[66, 77, 40, 81, 42]。这已通过学校测试中的较差表现和攻击性行为水平的升高得到证明。该队列中的儿童焦虑在他们从稳定的家庭环境中分散时达到峰值[67]。我们的研究强调，暴力、攻击行为和学业成绩不佳只是我们对全球儿童期无家可归现象综述中的一些关键发现。不幸的是，迄今为止，在爱尔兰人口背景下对儿童无家可归问题的研究极少。我们预计这篇综述将成为多部分系列调查的第一章，以评估爱尔兰社会中儿童无家可归的心理疾病情况。
