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无家可归者的心理健康以及绝望感、酒精使用障碍和受害经历的作用。

Mental Health of People Experiencing Homelessness and the Role of Hopelessness, Alcohol Use Disorder and Victimisation.

作者信息

Hausam Joscha, Lösel Friedrich, Lehmann Robert J B

机构信息

Institute of Forensic Psychiatry, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Institute of Criminology, University of Cambridge, Cambridge, UK.

出版信息

Crim Behav Ment Health. 2025 Aug;35(4):197-205. doi: 10.1002/cbm.70003. Epub 2025 Jul 22.

Abstract

BACKGROUND

Homelessness is an urgent social issue that is often linked to poor mental health. Despite their vulnerability, people experiencing homelessness remain an understudied group.

AIMS

This study examined the mental health of people experiencing homelessness and its association with victimisation, alcohol use disorder, hopelessness and sociodemographic factors.

METHODS

Data were collected from 112 people experiencing homelessness in Berlin, Germany (40% women, average age 44, homeless for 4 years). Participants completed a set of validated questionnaires (e.g., Symptom Checklist-Revised for mental health problems).

RESULTS

Results indicate significantly elevated levels of mental health problems, hopelessness and alcohol use disorder in the sample, along with high rates of victimisation. Correlational and regression analyses revealed significant associations between mental health and victimisation but not with alcohol use disorder and hopelessness. Associations with sociodemographics suggest that younger people and people with a migration background are particularly affected by mental health problems.

CONCLUSIONS

The findings underscore the urgent need for comprehensive interventions that address social and structural inequalities to improve the mental health of this highly vulnerable population. More research with larger, culturally sensitive samples and longitudinal designs is needed to better understand and address the complex interplay between homelessness and mental health.

摘要

背景

无家可归是一个紧迫的社会问题,常常与心理健康不佳相关。尽管这一群体易受伤害,但对无家可归者的研究仍然不足。

目的

本研究调查了无家可归者的心理健康状况及其与受害经历、酒精使用障碍、绝望感和社会人口学因素之间的关联。

方法

从德国柏林的112名无家可归者中收集数据(40%为女性,平均年龄44岁,无家可归4年)。参与者完成了一系列经过验证的问卷(例如,用于心理健康问题的症状自评量表修订版)。

结果

结果表明,样本中的心理健康问题、绝望感和酒精使用障碍水平显著升高,受害率也很高。相关性和回归分析显示,心理健康与受害经历之间存在显著关联,但与酒精使用障碍和绝望感无关。与社会人口学因素的关联表明,年轻人和有移民背景的人受心理健康问题的影响尤为严重。

结论

研究结果强调迫切需要采取全面干预措施,解决社会和结构不平等问题,以改善这一高度脆弱人群的心理健康。需要开展更多针对更大规模、具有文化敏感性的样本以及纵向设计的研究,以更好地理解和应对无家可归与心理健康之间的复杂相互作用。

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