在精神疾病无家可归者中,心理社会干预和功能性的有效性
K Janaki Raman1, D Muralidhar1, E Aravind Raj1
1Department of Psychiatric Social Work, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
The International journal of social psychiatry
|December 23, 2024
概括
心理社会干预显著减少了精神疾病无家可归者的残疾. 这种方法改善了功能,并显示了残疾和收入之间的负相关性,突出了需要支持系统的需要.
科学领域:
- 社会科学 社会科学 社会科学
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 无家可归会对所有年龄段的身体和精神健康产生负面影响.
- 精神疾病和无家可归是相互关联的问题,影响个人和社区的运作.
- 无家可归对儿童发展,学业成功和家庭稳定构成挑战.
研究的目的:
- 评估精神疾病无家可归者心理社会干预措施的有效性.
- 评估干预措施对残疾水平和功能性的影响.
- 探索这一群体中残疾和收入之间的关系.
主要方法:
- 准实验性设计 (没有对照组的测试前/测试后).
- 城市康复中心设置随机抽样.
- 使用世卫组织残疾评估计划 (WHODAS 2.0) 和半结构面试.
- 统计分析包括t测试,奇平方和相关性.
主要成果:
- 大多数参与者年龄在20-40岁 (60%),男性 (73.3%),以前失业 (56.7%).
- 心理社会干预显著减少了平均残疾人从52.7 (±17.8) 降至30.9 (±16.4) (p < .001).
- 在残疾和收入之间发现了显著的负相关性 (r = -.48,p < .01).
结论:
- 心理社会干预对于提高精神疾病无家可归者的功能至关重要.
- 干预措施改善了自我帮助,社会技能和社区融入.
- 减少残疾与收入增加有关,强调支持系统的重要性.
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