Maestrelli Luiz Gustavo, Sousa Martins Silva Anderson, de Azevedo-Marques Périco Cintia, Torales Julio, Ventriglio Antonio, Castaldelli-Maia João Maurício
Health Secretariat of São Bernardo do Campo, São Bernardo do Campo.
Department of Psychiatry, School of Medical Sciences, National University of Asunción, Asunción, Paraguay.
J Nerv Ment Dis. 2022 May 1;210(5):380-389. doi: 10.1097/NMD.0000000000001453.
The present systematic review aimed to summarize data on the prevalence and treatment of depressive symptoms among homeless people. We referred to the PubMed and Google Scholar databases to identify relevant studies on the topic. Among the 43 included studies, we found great variability in the prevalence of depressive symptoms among homeless people (ranging from 9.9% to 77.5%). Comparative studies among the homeless versus nonhomeless population showed that rates of depressive symptoms are 5 to 14 times higher in the homeless population. Similar differences were also found for suicidal ideation. The lack of research and treatment plans for this specific population further encourages more evidence and special therapeutic intervention. Although little has been found in the literature, a substantial improvement in the quality of life and reduction in depressive symptoms was demonstrated when therapeutic interventions were performed among homeless people (i.e., housing, nursing, access to community care and effective services and supports programs, mindfulness, pharmacological treatment).
本系统评价旨在总结关于无家可归者抑郁症状患病率及治疗的数据。我们查阅了PubMed和谷歌学术数据库以识别该主题的相关研究。在纳入的43项研究中，我们发现无家可归者抑郁症状的患病率差异很大（从9.9%至77.5%）。无家可归者与非无家可归者人群的比较研究表明，无家可归者人群中抑郁症状的发生率要高5至14倍。自杀意念方面也发现了类似差异。针对这一特定人群缺乏研究和治疗计划，这进一步促使人们寻求更多证据和特殊治疗干预。尽管文献中发现的内容不多，但对无家可归者进行治疗干预（如提供住房、护理、获得社区护理以及有效的服务和支持项目、正念、药物治疗）时，生活质量有显著改善，抑郁症状也有所减轻。
