Does Context Matter? Examining the Mental Health Among Homeless People

Fitzpatrick, Kevin M.; Myrstol, Brad A.; Miller, Elizabeth

doi:10.1007/s10597-014-9747-2

Cited by 8 publications

(5 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These characteristics are reflective of the 2015 PIT and similar to other studies that have examined homeless populations outside of a clinical or institutional setting (e.g. Fitzpatrick, Mrystol, Miller 2014;Irwin et al 2008). Noteworthy is of course the high prevalence of depressive symptomatology.…”

Section: Analytic Plansupporting

confidence: 66%

How Positive Is Their Future? Assessing the Role of Optimism and Social Support in Understanding Mental Health Symptomatology among Homeless Adults

Fitzpatrick

2016

Stress and Health

View full text Add to dashboard Cite

Optimism has been noted as a primary protective factor in understanding mental health symptomatology in clinical and non-clinical settings. Any exploration of optimism has been absent in understanding mental health outcomes among homeless people. This study, using intensive interviews with 168 homeless adults in Northwest Arkansas, examines the role that social support and optimism play in lessening the negative impact of homeless circumstances/experiences on mental health symptomatology. Using OLS, findings support a mediating/protective role that social support and optimism play in lowering the negative effects of childhood life experiences on depressive symptoms among homeless persons. Despite the overwhelming conditions of homelessness, persons with higher levels of optimism and social support report lower depression and anxiety symptoms. The findings are discussed paying particular attention to the importance of developing and maintaining the perception of support and resiliency in preserving a positive outlook for the future among homeless persons facing often-debilitating circumstances. Copyright © 2016 John Wiley & Sons, Ltd.

show abstract

Section: Analytic Plansupporting

confidence: 66%

How Positive Is Their Future? Assessing the Role of Optimism and Social Support in Understanding Mental Health Symptomatology among Homeless Adults

Fitzpatrick

2016

Stress and Health

View full text Add to dashboard Cite

show abstract

“…Exposure to ostracism and social exclusion is a common experience for homeless individuals (Carpenter-Song et al, 2016; Van Straaten et al, 2018), as is internalizing psychopathology such as depressive symptoms and anxiety (e.g., Edens et al, 2011; Fitzpatrick et al, 2012, 2015; Cruwys et al, 2014, Fazel et al, 2014, Fitzpatrick, 2017). Nevertheless, relatively little attention has been devoted to exploring the impact of existing psychopathology on the links between perceived ostracism and threats to fundamental needs.…”

Section: Discussionmentioning

confidence: 99%

“…Internalizing represents one of two broad correlated hierarchies (Externalizing being the other) that is characterized by a spectrum of phenomena such as depression, anxiety, and various phobias (Krueger and Markon, 2006a,b; Hankin et al, 2016). The link between homelessness and internalizing psychopathology has been well-documented, as homeless individuals commonly report high symptoms of depression and anxiety (e.g., Edens et al, 2011; Fitzpatrick et al, 2012, 2015; Cruwys et al, 2014; Fazel et al, 2014; Fitzpatrick, 2017). Depressive symptoms, generalized anxiety, and social anxiety also commonly co-occur in adolescence (e.g., Epkins and Heckler, 2011; Waszczuk et al, 2016) and adulthood (e.g., Kessler et al, 2005) in the general population, but research on their co-occurrence in the homeless population is sparse (Hodgson et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Internalizing Profiles of Homeless Adults: Investigating Links Between Perceived Ostracism and Need-Threat

Zalk

Smith

2019

Front. Psychol.

View full text Add to dashboard Cite

Social ostracism among the homeless is a prevailing problem, yet few studies have focused on whether internalizing psychopathology moderates the links between feeling ostracized and perceiving threats to fundamental human needs. This study used a person-oriented approach to identify commonly occurring profiles of internalizing psychopathology characterized by symptoms of social anxiety, generalized anxiety, and depression (Low, Medium, and High Internalizers) among homeless participants residing in London, United Kingdom ( N = 114; age range = 18–74; M age = 46; 25% women). Data on perceived ostracism (feeling ignored and daily discrimination) and need-threat (belonging, self-esteem, meaningful existence, and feelings of control) was also collected. Controlling for the effects of age, living arrangement, gender, and time being homeless, feeling ignored was a significant predictor of need-threat, whereas daily discrimination was not. One significant interaction on the links between daily discrimination and need-threat emerged between Low and Medium Internalizers. For Medium Internalizers, high levels of daily discrimination were associated with high levels of need-threat. The effect was similar for High Internalizers and the opposite for Low Internalizers, though it was not significant within those groups. Taken together, these results indicate that differences in patterns of internalizing psychopathology should be taken into account when attempting to make homeless individuals feel more included in their surroundings.

show abstract

“…Scores range from 0 to 60, with scores greater than 15 indicating depressive symptomatology. This scale has been assessed for reliability and validity in PEH, previously ( Fitzpatrick et al, 2015 ; Nyamathi et al, 2012 ; Wong, 2000 ). Participants with scores of 16 or greater were referred to mental health services.…”

Section: Methodsmentioning

confidence: 99%

Discrimination, Mental Health, and Readiness to Quit Smoking

et al. 2023

View full text Add to dashboard Cite

We conducted a cross-sectional study, examining the mediation effects of depression and anxiety on the association between discrimination and readiness to quit cigarette smoking among African American adult cigarette smokers experiencing homelessness. Using a convenience sample, participants were recruited from a homeless shelter in Southern California. Scores of discrimination, depressive, and anxiety symptoms, and readiness to quit smoking were analyzed using linear regression modeling. We enrolled 100 participants; 58 participants were male. In the final model, discrimination had no association with readiness to quit ( b = 0.02; 95% CI [−0.04, 0.08]; p = 0.47). The indirect effects of depression ( b = 0.04, [0.01, 0.07]; p = 0.02) and anxiety ( b = 0.03; [0.01, 0.05]; p = 0.04) reached statistical significance; the direct effects of depression ( b = −0.01; [−0.09, 0.04]; p = 0.70) and anxiety ( b = −0.00; [−0.09, 0.06]; p = 0.86) did not. Future studies should explore these associations to enhance smoking cessation programs for this population.

show abstract

Does Context Matter? Examining the Mental Health Among Homeless People

Cited by 8 publications

References 14 publications

How Positive Is Their Future? Assessing the Role of Optimism and Social Support in Understanding Mental Health Symptomatology among Homeless Adults

How Positive Is Their Future? Assessing the Role of Optimism and Social Support in Understanding Mental Health Symptomatology among Homeless Adults

Internalizing Profiles of Homeless Adults: Investigating Links Between Perceived Ostracism and Need-Threat

Discrimination, Mental Health, and Readiness to Quit Smoking

Contact Info

Product

Resources

About