Physical, Psychological, Social, and Existential Symptoms in Older Homeless-Experienced Adults: An Observational Study of the Hope Home Cohort

Patanwala, Maria; Tieu, Lina; Ponath, Claudia; Guzman, David; Ritchie, Christine S.; Kushel, Margot

doi:10.1007/s11606-017-4229-1

Cited by 42 publications

(39 citation statements)

References 59 publications

(66 reference statements)

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“…Another five journal articles failed to report the required data. We reached to all corresponding authors and we received required data from Patanwala et al (2017) and Roley et al (2015). The remaining three publications (Ellens et al, 2017;Korenromp, Page-Christiaens, van den Bout, Mulder, & Visser, 2009;Rouhani et al, 2016) could not be included due to missing replies.…”

Section: Study Selectionmentioning

confidence: 99%

If only… a systematic review and meta-analysis of social, temporal and counterfactual comparative thinking in PTSD

Hoppen

Heinz-Fischer

Morina

2020

European Journal of Psychotraumatology

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Comparative thinking is ubiquitous in human cognition. Empirical evidence is accumulating that PTSD symptomatology is linked to various changes in social, temporal and counterfactual comparative thinking. However, no systematic review and meta-analysis in this line of research have been conducted to this date. We searched titles, abstracts and subject terms of electronic records in PsycInfo and Medline from inception to January 2019 with various search terms for social, temporal and counterfactual comparative thinking as well as PTSD. Journal articles were included if they reported a quantitative association between PTSD and social, temporal and/or counterfactual comparative thinking in trauma-exposed clinical or sub-clinical samples. A total of 36 publications were included in the qualitative synthesis. The number of publications on the association between PTSD and social and temporal comparative thinking was too scarce to warrant a meta-analytic review. A narrative review of available literature suggests that PTSD is associated with distortions in social and temporal comparative thinking. A meta-analysis of 24 independent samples (n = 4423) assessing the association between PTSD and the frequency of counterfactual comparative thinking yielded a medium to large positive association of r =.464 (p <.001, 95% CI =.404; .520). Higher study quality was associated with higher magnitude of association in a metaregression. Most studies collected data cross-sectionally, precluding conclusions regarding causality. Overall, study quality was found to be moderate. More longitudinal and experimental research with validated comparative thinking measures in clinical samples is needed to acquire a more sophisticated understanding of the role of comparative cognitions in the aetiology and maintenance of PTSD. Comparative thinking might be a fruitful avenue for a better understanding of posttraumatic reactions and improving treatment.

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Section: Study Selectionmentioning

confidence: 99%

If only… a systematic review and meta-analysis of social, temporal and counterfactual comparative thinking in PTSD

Hoppen

Heinz-Fischer

Morina

2020

European Journal of Psychotraumatology

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“…In contrast, multi-morbidity increases the risk for functional decline among community-dwelling older adults [15]. While several factors may explain this difference, homeless people experience a disproportionate burden of symptoms that are related to chronic illness and may impact function, such as joint pain from arthritis [58]. Our findings may reflect transient improvements in such symptoms.…”

Section: Discussionmentioning

confidence: 93%

Trajectories of functional impairment in homeless older adults: Results from the HOPE HOME study

et al. 2019

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Difficulty performing activities of daily living (“functional impairment”) is common in homeless adults aged 50 and older. However, little is known about the trajectory of these impairments, nor the extent to which these trajectories are similar to those of older adults in the general population. We identified trajectories of functional impairment in homeless adults aged 50 and older, and risk factors for differing trajectories. We conducted a prospective cohort study of 350 homeless adults, aged 50 and older, recruited via population-based sampling in Oakland, California and interviewed at 6-month intervals for up to 3 years. We assessed functional trajectories based on self-reported difficulty performing 5 activities of daily living. We used multivariable multinomial logistic regression to identify baseline risk factors for each trajectory. At baseline, participants’ mean age was 58 years (SD, 5.3), 24.1% were women, 80.9% were African American, and 38.6% had difficulty performing 1 or more activities of daily living. We identified 4 distinct functional trajectories: minimal impairment in 136 participants (41.1%); persistent impairment in 81 (25.4%); partial improvement in 74 (23.5%); and decline in 28 (10.0%). Risk factors for persistent impairment included falls in the 6 months before baseline, depressive symptoms, and low physical performance. Although functional impairment improved in some homeless adults, it persisted or worsened in many others. These findings suggest that, similar to older adults in the general population, functional impairment among older homeless persons is not a transient phenomenon, but instead a chronic issue requiring long-term solutions.

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“…Anecdotal sources cite a significant rise in shelter use as a result of the recent legalization of marijuana in the state in which the study was conducted (Larson, 2014;McGhee, 2014). Recent research across the United States demonstrates marijuana as one of the most used substances of individuals who wind up in homeless shelters (Carmona, Slesnick, Guo, Murnan, & Brakenhoff, 2017;Patanwala et al, 2018;Stringfellow et al, 2016).…”

Section: Personal Substance Abusementioning

confidence: 99%

A picture of the older homeless female veteran: A qualitative, case study analysis

Kenny

Yoder

2019

Archives of Psychiatric Nursing

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Background: Homelessness among female veterans is increasing and expected to rise further as more women enter the military. Very few studies qualitatively describe female homeless veterans' needs from their own perspective. Purpose: Homeless female veterans' perceptions of their homelessness and what they believe is needed for independence and self-sustenance was examined. Methods: OA qualitative interpretive interview design was used and findings are reported as a case study. Results: A definitive picture emerged of a homeless female veteran, bounded by several factors they all had in common including age, family upheaval, mental health diagnoses, substance abuse, trauma, and need for information and networking. Administration (VA) numbers.

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Physical, Psychological, Social, and Existential Symptoms in Older Homeless-Experienced Adults: An Observational Study of the Hope Home Cohort

Cited by 42 publications

References 59 publications

If only… a systematic review and meta-analysis of social, temporal and counterfactual comparative thinking in PTSD

If only… a systematic review and meta-analysis of social, temporal and counterfactual comparative thinking in PTSD

Trajectories of functional impairment in homeless older adults: Results from the HOPE HOME study

A picture of the older homeless female veteran: A qualitative, case study analysis

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