无家可归的成年人在收容所和不在收容所时,情感和社会交往之间的关系是否有所不同?

Jamie M. Gajos, Jason A. Oliver, Emily T. Hébert, Scott T. Walters, Michael S. Businelle
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引用次数: 0

摘要

与有住所的成年人相比,无家可归的成年人(AEH)中酒精使用障碍的发生率更高。更多接触酗酒者会增加个人酗酒的风险。经历无家可归的成年人有相当长的一段时间在避难所度过,他们报告说,在避难所附近饮酒的压力更大,在避难所附近饮酒的负面影响也更大。目前还不清楚,当 AEH 在避难所与不在避难所时,情绪与(1)与人交往和(2)靠近 AEH 以前一起饮酒的人之间的关系是否有所不同。报告酗酒的 AEH(n = 72,Mage = 47,85% 为男性,68% 为非白人)在 28 天内完成了五次基于智能手机的每日生态瞬间评估。广义多层次建模显示,当 AEH 与他们以前一起喝酒的人互动时,他们在庇护所的积极情感(b = -0.17,p = 0.05)明显低于不在庇护所时(b = 0.00,p = 0.99)。在庇护所期间,AEH 很可能会与之前的饮酒伙伴发生互动。在这种情况下,提供针对情感的实时治疗信息以及提供减少饮酒/戒酒信息可能非常重要。
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Does the relationship between affect and social interactions among adults experiencing homelessness differ during moments when at a shelter versus not?

The prevalence of alcohol-use disorders is higher amongst adults experiencing homelessness (AEH) compared with domiciled adults. Greater exposure to heavy drinkers increases personal risk for heavy alcohol use. AEH spend substantial periods of time at shelters and report greater pressure to use alcohol when near shelter locations, as well as greater negative affect when near a shelter. It is unclear if the relationship between affect and (1) interacting with people and (2) being near someone AEH drank alcohol with before differs when AEH are at a shelter versus not. AEH reporting alcohol misuse (n = 72, Mage = 47, 85% male, 68% non-White) completed five daily smartphone-based ecological momentary assessments over 28 days. Generalized multilevel modeling revealed that when AEH were interacting with someone they drank with before, they had significantly lower positive affect when at a shelter (b = −0.17, p = 0.05) versus when not (b = 0.00, p = 0.99). AEH are likely to interact with previous drinking partners while at shelters. It may be important to deliver real-time treatment messages targeting affect in these moments, as well as deliver alcohol reduction/abstinence messages.

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