Lifetime and 12‐month prevalence of DSM‐III‐R mental disorders among the homeless in Madrid: a European study using the CIDI

Vázquez, Carmelo; Muñoz, Manuel; Fernández, Jesús Sanz

doi:10.1111/j.1600-0447.1997.tb10141.x

Cited by 65 publications

(79 citation statements)

References 25 publications

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“…The results obtained with these instruments has also been published in other studies (Muñoz, Vázquez, & Cruzado, 1995;Muñoz, Vázquez, Bermejo, Vázquez, & Sanz, 1996;Vázquez et al, 1997). …”

Section: Instrumentssupporting

confidence: 69%

“…These events, which are now considered as possible etiological factors and aids in maintaining homelessness, center around unemployment, economic loss, accidents and physical illnesses, mental illness, drug and alcohol abuse, marriage or family problems (i.e., divorce, being orphaned, etc. ), removal from usual environment, and problems with the law and/or institutionalization (Wright & Weber, 1987;Rossi, 1989;North, Smith, & Spitznagel, 1994;Vázquez, Muñoz, and Sanz, 1997;Koegel, Melamid, & Burnam, 1995). Even though at first glance the principle cause of the appearance and maintenance of homelessness would seem to be solely economic, other factors-such as family problems, loss of social support, or sickness (either mental or physical and including drug and alcohol abuse)-appear to play an important role either as initiators or maintainers of homelessness (Milburn & D'Ercole, 1991;Daly, 1993).…”

mentioning

confidence: 98%

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Stressful life events among homeless people: Quantity, types, timing, and perceived causality

Muñoz

Vázquez

Bermejo

et al. 1999

J. Community Psychol.

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Section: Instrumentssupporting

confidence: 69%

mentioning

confidence: 98%

Stressful life events among homeless people: Quantity, types, timing, and perceived causality

Muñoz

Vázquez

Bermejo

et al. 1999

J. Community Psychol.

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“…Entretanto, o nosso achado de agravo cognitivo foi superior ao de estudos nacionais, como o de Heckert et al (1999) e Lovisi et al (2003), que encontraram 9,6% e 15%, e de estudos internacionais, como os de Vásquez et al (1997) e Kovess e Lazarus (1999), que encontraram 6% e 10%, respectivamente.…”

Section: Discussionunclassified

Avaliação de déficits cognitivos em moradores com mais de 65 anos de um albergue público

Sousa

Lovisi²

2007

Rev. psiquiatr. clín.

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Avaliação de déficits cognitivos em moradores com mais de 65 anos de um albergue públicoThe appraisal of cognitive impairment in homeless people aged 65 years or over admitted to a public hostel Resumo Contexto: Há uma escassez de estudos nacionais que tenham avaliado déficits cognitivos em população idosa em situação de rua. Propôs-se o presente estudo para avaliar esses transtornos em uma população moradora de um albergue público da cidade do Rio de Janeiro. Métodos: Avaliou-se uma amostra aleatória de 64 pessoas com mais de 65 anos, moradoras de um albergue público do Rio de Janeiro, por uma entrevistadora treinada em instrumentos com aspectos sociodemográfico, cognitivo, nutricional e cotidiano. Resultados: A idade média foi de 72,9 anos (desvio-padrão = 6,03 anos). A maior parte da amostra foi do sexo masculino (71,9%), solteira (90,6%), oriunda do Rio de Janeiro (71,9%), analfabeta (60,9%) e desempregada no momento (82,8%). A freqüência de déficits cognitivos foi de 20,3%. Da amostra, 15,6% relataram internações psiquiátricas anteriores, 12,5% apresentaram desnutrição, 39,1% não apresentaram autonomia/independência e 37,5% relataram uso abusivo de álcool estando associado estatisticamente com síndrome demencial provável (37,5% vs. 20,3%; X 2 = 4,6; p = 0,03). Conclusões: Deve-se implementar ações específicas nos albergues, no intuito de trabalhar a equipe de saúde para receber o morador e desenvolver nele competências e habilidades perdidas ou escondidas. Sousa, R.G.; Lovisi, G.M. / Rev. Psiq. Clín 34 (5); 205-209, 2007Palavras-chave: Déficits cognitivos, idoso, população de rua. AbstractBackground: Knowledge of the extent of cognitive impairment among old age homeless people is very useful for policy-makers and mental health professionals. As there are few studies of this issue in Brazil, a cross-sectional study was carried among homeless people aged 65 years or over from Rio de Janeiro, Brazil. Methods: Data were collected on a random sample of 64 homeless people aged 65 years or over residents in a public hostel from Rio de Janeiro. Full data were collected by a trained researcher, using the Community Screening Instrument for Dementia (SCI-D) to appraise cognitive impairment, and The Mini Nutritional Assessment (MNA) to evaluate nutritional status. Results: The mean age was of 72.9 years (SD = 6,03 years). Most of the sample was male (71.9%), single (90.6%), from Rio de Janeiro (71.9%), illiterates (60.9%), unemployed (82.8%). The frequency of cognitive deficits was of 20.3%. 15.6% reported previous psychiatric admission, 12.5% presented malnutrition, 37.5% reported alcohol abuse/dependence. Conclusions: Specific measures should be implemented in the hostels. An example might be the creation of a multidisciplinary team to work specifically with old age homeless people in the hostels.

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“…It is known that in cases of substance use disorder with psychiatric comorbidity, clinical presentation and symptoms are more severe than in patients diagnosed with either substance abuse disorder or another psychiatric disorder only. These cases present more frequently to emergency services (1), a higher proportion of them is unemployed (2), and they more often suffer from legal problems (3)(4)(5). At the same time, it has been reported that these patients are more prone to suffering relapses from present diseases (6) and their compliance with treatment is poorer (7,8).…”

Section: Introductionmentioning

confidence: 99%

Özel bir bağımlılık merkezinde yatarak tedavi gören hastalarda psikiyatrik eş tanının bağımlılığın seyri ile ilişkisi

Darçın¹,

Nurmedov²,

Noyan³

et al. 2015

Dusunen Adam

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Psychiatric comorbidity among inpatients in an addiction clinic and its association with the process of addictionObjective: Epidemiological studies find a high comorbidity of other Axis I and Axis II disorders with substance use disorders among adults. This study examines comorbid Axis I and Axis II disorders in order to investigate their association with sociodemographic variables and relapse among inpatients diagnosed with substance use disorders. Method: Of 403 inpatients hospitalized between January 2012 and December 2013 in an addiction clinic, 323 were enrolled in this retrospective study using their medical records and sociodemographic data. These patients were all diagnosed with alcohol and substance abuse/dependence according to DSM-IV TR by two different psychiatrists, and comorbidities were also diagnosed by two different psychiatrists. Results: Among 323 inpatients with substance use disorder, 240 (74.3%) were diagnosed with another Axis I comorbidity and 238 (73.7%) had an Axis II disorder. No statistical difference was found between patients with and without an Axis I or Axis II comorbidity in terms of age, years of education, marital status, occupation, duration of drug use, rate of relapse in 6 months, and rate of dropout. Comorbidity of an Axis I and/or Axis II disorder raised the number of hospitalizations; comorbid Axis I disorder prolonged the duration of hospitalization, whereas Axis II disorder had an inverse effect. In addition, inpatients with an Axis II comorbidity had more legal issues and shorter duration until first use after treatment than inpatients without comorbidity. Conclusion: Comorbidity of substance use disorders and other Axis I and Axis II disorders is very common. Patients with dual diagnose use health services more often and have more legal issues than patients with substance use disorders only. Comprehensive care and treatment are needed for dual-diagnosed patients. Keywords: Addiction, Axis I, Axis II, comorbidity, substance use disorder ÖZET Özel bir bağımlılık merkezinde yatarak tedavi gören hastalarda psikiyatrik eş tanının bağımlılığın seyri ile ilişkisi Amaç: Epidemiyolojik çalışmalar madde kullanım bozukluğu olan erişkinlerde diğer bir Eksen I ve Eksen II tanısının sıklıkla eştanı olarak bulunduğunu göstermektedir. Bu çalışma yatan madde kullanım bozukluğu hastalarında Eksen I ve Eksen II eştanılarının sosyodemografik değişkenler ile relaps arasındaki ilişkisini araştırmayı amaçlamaktadır. Yöntem: Bu geriye dönük çalışmaya bir bağımlılık kliniğinde Ocak 2012-Aralık 2013 tarihleri arasında ardışık olarak yatarak tedavi gören 403 hasta içerisinden 323'ünün tıbbi kayıtları ve sosyodemografik verileri alınmıştır. Hastalar iki ayrı psikiyatrist tarafından değerlendirilerek DSM IV-TR'ye göre alkol ve madde kötüye kullanımı/ bağımlılığı tanıları almışlar ve yine eştanılar da iki ayrı psikiyatri uzmanınca DSM-IV TR'ye göre konmuştur. Bulgular: Madde kullanım bozukluğu olan 323 hastanın 240'ında (%74.3) diğer bir Eksen I, 238'inde bir Eksen II (%73.7) tanısı bulun...

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Lifetime and 12‐month prevalence of DSM‐III‐R mental disorders among the homeless in Madrid: a European study using the CIDI

Cited by 65 publications

References 25 publications

Stressful life events among homeless people: Quantity, types, timing, and perceived causality

Stressful life events among homeless people: Quantity, types, timing, and perceived causality

Avaliação de déficits cognitivos em moradores com mais de 65 anos de um albergue público

Özel bir bağımlılık merkezinde yatarak tedavi gören hastalarda psikiyatrik eş tanının bağımlılığın seyri ile ilişkisi

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