PDF(Pubmed)
Abstract：
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.
摘要：
无家可归者的人格障碍对医学界和社会构成挑战,需要为这些超级困难的患者提供专门的方法。无家可归人群的人格障碍患病率高于普通人群。然而,在经历无家可归的人中存在关于人格障碍的知识差距，这种缺乏认可的影响是巨大的。本文简要叙述了无家可归者中的人格障碍。这些疾病在该人群中的主要重要性和特异性仍未被探索。我们在2023年2月和11月使用关键词“无家可归”和“人格障碍”搜索了PubMed和WebofScience数据库，并选择了58项研究纳入本文献综述。结果的主要主题是无家可归者的人格障碍和合并症精神病；危险因素和其他心理和行为数据；临床和干预结果；以及与评估相关的挑战，治疗,和干预。无家可归的人口经历显著的诊断变异性和人格障碍的诊断仍在不断发展，导致诊断困难，评估，和治疗。未来的挑战是提高临床意识和优化研究知识，评估，以及对患有精神疾病的无家可归者的人格障碍的干预。
