Correlates of Homelessness Among Adults with Personality Disorder

Dell, Nathaniel A.; Vaughn, Michael G.; Huang, Jin; Mancini, Michael A.; Maynard, Brandy R.

doi:10.1007/s11126-023-10027-w

Cited by 3 publications

(5 citation statements)

References 41 publications

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“…The only diagnosis that was more prevalent in homeless clinics than in communities was antisocial PD ( 28 ). Similarly, Caton ( 30 ) reported a significantly higher number of homeless individuals with a concurrent diagnosis of antisocial PD and borderline PD ( 9 ).…”

Section: Resultsmentioning

confidence: 97%

“…A substantial number of psychiatric disorders are well documented in homeless populations ( 13 ). Homeless people with multiple diagnoses have greater mental health needs and worse general health determinants ( 9 , 13 ). A general synthesis of the prevalence of comorbid psychiatric disorders in homeless patients, according to reports reveals the following figures: psychotic disorders among 4.4%–57% ( 8 , 13 , 14 , 16 ); major depression among 11.4% ( 8 ); bipolar disorders among 11.4%–17.5% ( 8 , 16 ); alcohol dependence among 14.3%–37.9% ( 8 , 13 , 14 , 16 ); drug dependence among 14.3%–34% ( 8 , 13 , 14 , 16 ); acute stress reaction among 23%–24% ( 13 , 14 ); and anxiety disorder among 2.3% ( 16 ).…”

Section: Resultsmentioning

confidence: 99%

“…The prevalence of PD’s is much higher in homeless individuals than in the general population ( 7 – 9 ). A recent systematic review ( 10 ) highlighted that PD is very common in homeless individuals, with frequencies ranging from 64% to 79% for any PD.…”

Section: Introductionmentioning

confidence: 99%

“…A recent systematic review ( 10 ) highlighted that PD is very common in homeless individuals, with frequencies ranging from 64% to 79% for any PD. Some authors ( 9 , 11 , 12 ) have drawn attention specifically to the gap in knowledge about PD in individuals experiencing homelessness based on the absence of reliable and valid PD diagnoses. The implications of this lack of recognition of PD and the limited data about them in homeless populations are substantial ( 8 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

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Homeless people: a review of personality disorders

Henriques-Calado,

Gama Marques

2024

Front. Psychiatry

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Personality disorders in homeless people pose a challenge to the medical community and society, requiring specialized approaches for these super-difficult patients. The prevalence of personality disorders is higher in homeless populations than in the general population. However, there is a knowledge gap regarding personality disorders among people experiencing homelessness, and the implications of this lack of recognition are substantial. This paper provides a brief narrative review of personality disorders among homeless individuals. The primary importance and specificity of these disorders in this population remain unexplored. We searched PubMed and Web of Science databases in February and November 2023 using the keywords ‘homeless’ and ‘personality disorder’, and selected fifty-eight studies to be included in this literature review. The main themes of the results were personality disorders in homeless individuals and comorbid psychiatric disorders; risk factors and other psychological and behavioral data; clinical and intervention outcomes; and challenges linked to assessment, treatment, and intervention. The homeless population experiences significant diagnostic variability and the diagnosis of personality disorders is still evolving, contributing to difficulties in diagnosis, assessment, and treatment. A future challenge is to raise clinical awareness and optimize research knowledge, assessment, and intervention in personality disorders among homeless individuals with comorbid psychiatric disorders.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Homeless people: a review of personality disorders

Henriques-Calado,

Gama Marques

2024

Front. Psychiatry

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“…The prevalence of antisocial personality disorder was reported as being particularly high among people experiencing homelessness in the studies included our review when compared to the general population (26% vs 0.6%-4%) . This finding may be due to common risk factors for homelessness and antisocial personality disorder, such as poverty or early life trauma . In addition, the diagnostic criteria for antisocial personality disorder can include a failure to maintain work and disregard for personal safety, which may be challenging to disentangle from the circumstances in which people experiencing homelessness live unintentionally …”

Section: Discussionmentioning

confidence: 99%

Prevalence of Mental Health Disorders Among Individuals Experiencing Homelessness

Barry,

Anderson,

Tran

et al. 2024

JAMA Psychiatry

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ImportanceSeveral factors may place people with mental health disorders, including substance use disorders, at increased risk of experiencing homelessness and experiencing homelessness may also increase the risk of developing mental health disorders. Meta-analyses examining the prevalence of mental health disorders among people experiencing homelessness globally are lacking.ObjectiveTo determine the current and lifetime prevalence of mental health disorders among people experiencing homelessness and identify associated factors.Data SourcesA systematic search of electronic databases (PubMed, MEDLINE, PsycInfo, Embase, Cochrane, CINAHL, and AMED) was conducted from inception to May 1, 2021.Study SelectionStudies investigating the prevalence of mental health disorders among people experiencing homelessness aged 18 years and older were included.Data Extraction and SynthesisData extraction was completed using standardized forms in Covidence. All extracted data were reviewed for accuracy by consensus between 2 independent reviewers. Random-effects meta-analysis was used to estimate the prevalence (with 95% CIs) of mental health disorders in people experiencing homelessness. Subgroup analyses were performed by sex, study year, age group, region, risk of bias, and measurement method. Meta-regression was conducted to examine the association between mental health disorders and age, risk of bias, and study year.Main Outcomes and MeasuresCurrent and lifetime prevalence of mental health disorders among people experiencing homelessness.ResultsA total of 7729 citations were retrieved, with 291 undergoing full-text review and 85 included in the final review (N = 48 414 participants, 11 154 [23%] female and 37 260 [77%] male). The current prevalence of mental health disorders among people experiencing homelessness was 67% (95% CI, 55-77), and the lifetime prevalence was 77% (95% CI, 61-88). Male individuals exhibited a significantly higher lifetime prevalence of mental health disorders (86%; 95% CI, 74-92) compared to female individuals (69%; 95% CI, 48-84). The prevalence of several specific disorders were estimated, including any substance use disorder (44%), antisocial personality disorder (26%), major depression (19%), schizophrenia (7%), and bipolar disorder (8%).Conclusions and RelevanceThe findings demonstrate that most people experiencing homelessness have mental health disorders, with higher prevalences than those observed in general community samples. Specific interventions are needed to support the mental health needs of this population, including close coordination of mental health, social, and housing services and policies to support people experiencing homelessness with mental disorders.

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