Abstract:
:This study compared demographic and diagnostic characteristics of a sample of homeless outpatient mental health clinic attenders with a domiciled comparison group from the same clinic. Data on demographic variables and DSM-III-R psychiatric diagnoses were collected over a two-year period on a consecutive sample of 166 homeless and 117 nonhomeless clinic attenders. Data on demographics and psychiatric diagnoses of the homeless clinic attenders were further compared with data collected systematically from 900 homeless individuals in the same city. In the clinic, homeless subjects were more often members of ethnic minorities, and homeless women were significantly younger and better educated than their nonhomeless counterparts. Rates of schizophrenia, bipolar disorder, and somatization disorder were not significantly different between homeless and nonhomeless groups. Major depression was about four times as prevalent in nonhomeless men as in homeless men. Homeless men were significantly more likely than nonhomeless men to qualify for a diagnosis of alcohol use disorder, and homeless women were more likely than other women to qualify for a diagnosis of drug use disorder. Both homeless men and women were significantly more likely than their domiciled counterparts to meet criteria for antisocial personality disorder. Personality disorder other than antisocial was more prevalent in nonhomeless men than in homeless men. Combined rates of personality disorder were significantly higher among homeless than nonhomeless women, but not men. Homeless clinic attenders were demographically and diagnostically very similar to a general homeless population in the same city. The only diagnosis that was more prevalent in the homeless clinic than in the homeless community was antisocial personality disorder. We concluded that because of difference in diagnostic prevalence, homeless and nonhomeless individuals in mental health clinics need to be considered independently. Clinicians treating homeless outpatients may benefit from having special facility in diagnosis and management of antisocial personality disorder and substance abuse, along with expertise in other psychiatric disorders in this population.
journal_name
Soc Psychiatry Psychiatr Epidemioljournal_title
Social psychiatry and psychiatric epidemiologyauthors
North CS,Thompson SJ,Pollio DE,Ricci DA,Smith EMdoi
10.1007/BF00788244subject
Has Abstractpub_date
1997-05-01 00:00:00pages
236-40issue
4eissn
0933-7954issn
1433-9285journal_volume
32pub_type
杂志文章abstract::It has been suggested that the short-term clinical outcome of schizophrenia may be better in developing than in industrialised countries. Little is known of the social outcome of the disorder in the medium term in developing societies. In a study of 120 clinically stable outpatients in a clinic in Nigeria, we examined...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 临床试验,杂志文章
doi:10.1007/s001270050126
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:The aim of the present study was to examine the impact of the Rehabilitation Law 2000 in Israel (which provides a basket of rehabilitation services for every mentally disabled patient) on the survival in the community of a population of long-stay psychiatric patients released from psychiatric hospitals. MET...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-005-0008-0
更新日期:2006-02-01 00:00:00
abstract:PURPOSE:This study investigates attitudes and social distance towards the mentally ill in a post-conflict, low-income country. METHODS:A cross-sectional community survey (n = 1,200) was conducted in South Sudan. Associations between various sociodemographic variables and attitudes toward/social distance from the menta...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-013-0775-y
更新日期:2014-05-01 00:00:00
abstract:PURPOSE:Understanding the needs of individuals transitioning to the community following a psychiatric hospitalization can inform community service planning. This study is among the first to examine the needs of a sample of psychiatric inpatients approaching discharge in a large urban area in the USA. METHODS:Represent...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-019-01817-4
更新日期:2020-01-02 00:00:00
abstract:BACKGROUND:The last decade of the twentieth century has seen an unprecedented increase in the number of reports in the psychiatric literature documenting increased rates of psychotic illness among migrants in a range of European countries. In countries where high rates of immigration have been long-standing such as Bri...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,评审
doi:10.1007/s00127-004-0766-0
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVES:To measure the prevalence of common mental disorder (CMD) by occupation in a representative sample of Great Britain and to identify occupations with increased and decreased risk of CMD. METHODS:A cross-sectional interview-based survey was carried out including 5,497 working male and female respondents, 16-6...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0173-7
更新日期:2011-02-01 00:00:00
abstract:PURPOSE:Serious psychological distress (SPD) is an understudied health topic. When studied, estimates for minority groups are compared to that of non-Hispanic whites. Non-Hispanic whites are heterogeneous, and comprise individuals from Europe, North Africa or the Middle East. The objectives of this study are to estimat...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-013-0703-1
更新日期:2013-12-01 00:00:00
abstract::The health care system in the United States is expensive but fails large groups of its citizens, particularly those with serious mental illness. This paper examines the resource implications of adequate treatment for depression. An analysis of the various tasks necessary for a proper treatment program is used to indic...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00789060
更新日期:1995-08-01 00:00:00
abstract:PURPOSE:We assessed the relationship of self-reported racial discrimination with illicit drug use among US Blacks, and whether this differed by socioeconomic position (SEP). METHODS:Among 6587 Black participants in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (2004-2005), we used multi...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-016-1174-y
更新日期:2016-04-01 00:00:00
abstract:PURPOSE:To investigate the validity of risk factors and established risk measures in predicting community violence in an acute mental health sample up to 20 weeks post-discharge. METHOD:Prospective cohort follow-up study conducted between January 2006 and August 2007. Baseline assessments were conducted while particip...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-011-0366-8
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:The diagnosis of schizophrenia by clinicians is not always accurate in terms of operational diagnostic criteria despite the fact that these diagnoses form the basis of case registers and routine statistics. This poses a challenge to psychiatric research. We studied the reasons for diagnostic discordance betw...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-003-0638-z
更新日期:2003-06-01 00:00:00
abstract::On the basis of a representative survey carried out in Germany in the Autumn of 1990, hypotheses about the effect of diagnostic labelling on lay beliefs regarding schizophrenic disorders were tested. As expected, labelling the disorder as schizophrenia increased the likelihood that biological factors were considered t...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00783419
更新日期:1996-11-01 00:00:00
abstract:PURPOSE:The number of antidepressants prescribed in the UK has been increasing over the last 25 years; however, the reasons for this are not clear. This study examined trends in antidepressant prescribing in the UK between 1995 and 2011 according to age, sex, and drug class, and investigated reasons for the increase in...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-016-1306-4
更新日期:2017-02-01 00:00:00
abstract:PURPOSE:The purpose of this study is to review longitudinal findings on adolescent mental health from the 'ROOTS study', and provide directions and recommendations for future longitudinal research. To do this, we discuss relevant findings from the ROOTS study, and review its strengths and limitations. METHODS:We exami...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,评审
doi:10.1007/s00127-015-1150-y
更新日期:2016-02-01 00:00:00
abstract:PURPOSE:This study compares the frequencies of attempted suicide among immigrants and their hosts, between different immigrant groups, and between immigrants and their countries of origin. METHODS:The material, 27,048 persons, including 4,160 immigrants, was obtained from the WHO/EURO Multicentre Study on Suicidal Beh...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00127-010-0336-6
更新日期:2012-02-01 00:00:00
abstract:PURPOSE:Previous research has shown a link between treatment satisfaction and global psychopathology in different groups of psychiatric patients. However, neither the relationship between treatment satisfaction and the sub-syndromes of global psychopathology nor their temporal ordering have been explored. METHODS:Part...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-010-0236-9
更新日期:2011-08-01 00:00:00
abstract:PURPOSE:The purpose of this study was to examine the prevalence, correlates, and symptom profiles of depressive disorders in men with a history of military service. METHODS:Data were obtained from the 2006 Behavioral Risk Factor Surveillance System survey. Multivariable logistic regressions were used to identify corre...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-010-0226-y
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Previous studies have shown an association between the rates of suicide employing certain types of medications and the availability of those drugs. During recent years, prescription patterns of psychoactive drugs commonly used in suicides have undergone some major changes. This study examines whether altered...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s001270050182
更新日期:1999-11-01 00:00:00
abstract:PURPOSE:Adolescent depression is associated with a range of interpersonal adversities. We hypothesized that depressed adolescents are at subsequent increased risk of problems related to intimate relationships and childbearing in adulthood, and used longitudinal data to examine this. METHOD:A population-based investiga...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-010-0238-7
更新日期:2011-08-01 00:00:00
abstract::The effectiveness of short-term interventions to reduce caregiver 'burden' has not been clearly demonstrated. This study assessed the value of six weekly sessions of counselling for key relatives of patients with schizophrenia. The counselling had educational and problem-solving components and was conducted in the fam...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/BF00785761
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND:There is a dearth of methodological studies critically evaluating reliability, validity and feasibility of measures of common mental disorders (CMD) in low-income countries. METHODS:Test-retest and inter-rater reliability of categorisation of CMD caseness, according to locally agreed criteria using the Comp...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-008-0342-0
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:The current debate on organisation of the mental health care raises a question whether to prioritise specialisation of clinical teams or personal continuity of care. The article explores the experiences of patients and clinicians regarding specialisation (SC) and personal continuity (PCC) of care in five Eur...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-019-01757-z
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:This study examined the relationship between discrepancies in beliefs about schizophrenia and Expressed Emotion (EE) in family dyads. METHOD:Illness beliefs were assessed in patients with a diagnosis of schizophrenia and their relatives (N=49 dyads). The degree and the direction of discrepancy were calculat...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-005-0993-z
更新日期:2006-01-01 00:00:00
abstract:PURPOSE:Worldwide, concern has grown over the expansion of gambling among adolescents, who have an increased likelihood of developing risk-taking behaviors. This study aimed to increase knowledge of problem gambling among adolescents in seven European countries and to assess the effect of demographic and lifestyle fact...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-019-01706-w
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVES:To investigate continuity and change of self-reported physical and psychological complaints in young adults over a period of 20 years. STUDY DESIGN AND SETTING:The Zurich Study--a long-term panel survey in psychiatric epidemiology--is based on a stratified sample of 591 subjects born in 1958 (women) and 195...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-006-0111-x
更新日期:2006-11-01 00:00:00
abstract:PURPOSE:Despite the availability of efficacious treatments, few individuals with a new-onset mental disorder access treatment in a timely manner. While barriers to mental health treatment have been studied among prevalent cases, few studies have focused specifically on incident cases. The purpose of the current study w...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-014-0975-0
更新日期:2015-05-01 00:00:00
abstract:PURPOSE:There is inconsistent evidence for social differentials in the risk of depression in youth, and little is known about how education at this age influences the risk. We assess how parental socioeconomic position (SEP) and education predict depression from late adolescence to early adulthood, a time of major educ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-016-1296-2
更新日期:2017-01-01 00:00:00
abstract::Causal attributions of 152 Turkish non-psychotic psychiatric out-patients for the development of their psychological problems were examined by using a 31-item attributions for psychological problems questionnaire (APP). The factor analysis of the responses to the APP yielded seven factors, which were: attributions to ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00795910
更新日期:1993-11-01 00:00:00
abstract:BACKGROUND:There is a well-established but poorly understood association between tobacco use and psychotic illness. The aim of this study was to determine whether tobacco use is associated with an earlier age at onset of psychotic illness. METHODS:Peer-reviewed publications in English reporting the age at onset of psy...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,meta分析
doi:10.1007/s00127-011-0431-3
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:Patient's language, tradition, conventions, and customs may all determine integration into a society and are also part of the doctor-patient relationship that influences diagnostic and therapeutic outcome. Language barrier and sociocultural disparity of Eastern and Southern European patients may hamper recove...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0036-2
更新日期:2010-01-01 00:00:00