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. 1995 Apr;45(393):201–203.

Use of the delusions-symptoms-states inventory to detect psychiatric symptoms in a sample of homeless men.

N J Shanks 1, R G Priest 1, A Bedford 1, S Garbett 1
PMCID: PMC1239202  PMID: 7612322

Abstract

BACKGROUND. Previous research, often using the symptom-sign inventory, had demonstrated a high prevalence of psychiatric disorder among homeless people. The delusions-symptoms-states inventory detects the presence or absence of four classes of psychiatric illness--delusions of disintegration, integrated delusions, neurotic symptoms and dysthymic states. AIM. A study was undertaken to determine the utility of the delusions-symptoms-states inventory in a sample of homeless men, and the prevalence of psychiatric symptoms in this group. METHOD. The inventory was administered to 55 homeless men in a reception centre in Sheffield. RESULTS. Nearly half of the men obtained scores on the inventory suggesting that they had psychiatric symptoms. There was an overlap of syndromes, particularly among those with severe psychiatric illness. For example, seven men had all four classes of psychiatric illness. CONCLUSION. Use of the questionnaire proved satisfactory. The findings support the contention that reception centres and similar accommodation are repositories for homeless mentally ill people.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bedford A., Presly A. S. Symptom patterns among chronic schizophrenic in-patients. Br J Psychiatry. 1978 Aug;133:176–178. doi: 10.1192/bjp.133.2.176. [DOI] [PubMed] [Google Scholar]
  2. Cohen N. L., Putnam J. F., Sullivan A. M. The mentally ill homeless: isolation and adaptation. Hosp Community Psychiatry. 1984 Sep;35(9):922–924. doi: 10.1176/ps.35.9.922. [DOI] [PubMed] [Google Scholar]
  3. Foulds G. A., Bedford A. Hierarchy of classes of personal illness. Psychol Med. 1975 May;5(2):181–192. doi: 10.1017/s0033291700056452. [DOI] [PubMed] [Google Scholar]
  4. Geddes J., Newton R., Young G., Bailey S., Freeman C., Priest R. Comparison of prevalence of schizophrenia among residents of hostels for homeless people in 1966 and 1992. BMJ. 1994 Mar 26;308(6932):816–819. doi: 10.1136/bmj.308.6932.816. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Gilleard E. A cross-cultural investigation of Foulds' hierarchy model of psychiatric illness. Br J Psychiatry. 1983 May;142:518–523. doi: 10.1192/bjp.142.5.518. [DOI] [PubMed] [Google Scholar]
  6. Marshall M. Collected and neglected: are Oxford hostels for the homeless filling up with disabled psychiatric patients? BMJ. 1989 Sep 16;299(6701):706–709. doi: 10.1136/bmj.299.6701.706. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. McPherson F. M., Antram M. C., Bagshaw V. E., Carmichael S. K. A test of the hierarchical model of personal illness. Br J Psychiatry. 1977 Jul;131:56–58. doi: 10.1192/bjp.131.1.56. [DOI] [PubMed] [Google Scholar]
  8. Palmer R. L., Ekisa E. G., Winbow A. J. Patterns of self-reported symptoms in chronic psychiatric patients. Br J Psychiatry. 1981 Sep;139:209–212. doi: 10.1192/bjp.139.3.209. [DOI] [PubMed] [Google Scholar]
  9. Priest R. G. Homeless men. A USA-UK comparison. Proc R Soc Med. 1970 May;63(5):441–445. [PMC free article] [PubMed] [Google Scholar]
  10. Priest R. G., Shariatmadari M. E., Tarighati S. Affective states in schizophrenia. Br J Soc Clin Psychol. 1973 Sep;12(3):283–288. doi: 10.1111/j.2044-8260.1973.tb00069.x. [DOI] [PubMed] [Google Scholar]
  11. Priest R. G. The British candidate for termination of pregnancy: a quantified survey of psychiatric referrals. Br J Psychiatry. 1971 May;118(546):579–580. doi: 10.1192/bjp.118.546.579. [DOI] [PubMed] [Google Scholar]
  12. Priest R. G. The Edinburgh homeless: a psychiatric survey. Am J Psychother. 1971 Apr;25(2):194–213. doi: 10.1176/appi.psychotherapy.1971.25.2.194. [DOI] [PubMed] [Google Scholar]
  13. Priest R. G. The homeless person and the psychiatric services: an Edinburgh survey. Br J Psychiatry. 1976 Feb;128:128–136. doi: 10.1192/bjp.128.2.128. [DOI] [PubMed] [Google Scholar]
  14. Scott J. Homelessness and mental illness. Br J Psychiatry. 1993 Mar;162:314–324. doi: 10.1192/bjp.162.3.314. [DOI] [PubMed] [Google Scholar]
  15. Shanks N. J. Medical morbidity of the homeless. J Epidemiol Community Health. 1988 Jun;42(2):183–186. doi: 10.1136/jech.42.2.183. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Shanks N. J. Previously diagnosed psychiatric illness among inhabitants of common lodging houses. J Epidemiol Community Health. 1989 Dec;43(4):375–379. doi: 10.1136/jech.43.4.375. [DOI] [PMC free article] [PubMed] [Google Scholar]

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