Segal Steven P, VanderVoort Debra J
Mental Health and Social Welfare Group, University of California at Berkeley and as an Editorial Board Member, Adult Residential Care Journal.
University of Hawaii, Hilo.
Adult Resid Care J. 1996 Spring;10(1):54-65.
The present study investigated the daily hassles of a severely mentally ill population in sheltered care facilities in California. The results show that financial problems, loneliness, boredom, crime, accomplishments, verbal and written expression, and health were their most frequent concerns, reflecting the life-style of a low income, socially isolated, population whose disability renders an active, upwardly mobile life difficult. Age, gender, racial, and residential status differences in the most frequent and most severe hassles were found with age differences being the most pronounced. Younger individuals reported more hassles than elderly individuals, the nature of their concerns focus more on social acceptance, while physical health issues were of greater importance for elders. Racial differences were second in prominence, with discrimination issues being high in the minds of minority members of the population. Sheltered care residents were less stressed by problems with crime and declining physical abilities and more stressed by problems with exploitation and confrontation than were community dwellers.
本研究调查了加利福尼亚州庇护性护理机构中重度精神疾病患者的日常烦恼。结果显示,经济问题、孤独感、无聊、犯罪、成就、口头和书面表达以及健康是他们最常关注的问题,反映出这是一个低收入、社会孤立的人群的生活方式,其残疾状况使积极向上、不断进取的生活变得困难。在最常出现和最严重的烦恼方面,发现了年龄、性别、种族和居住状况的差异,其中年龄差异最为显著。年轻人报告的烦恼比老年人更多,他们关注的问题更多集中在社会接纳方面,而身体健康问题对老年人更为重要。种族差异的显著性位居第二,歧视问题在该人群的少数族裔成员心中较为突出。与社区居民相比,庇护性护理机构的居民较少受到犯罪问题和身体能力下降的困扰,而更多受到剥削和冲突问题的困扰。