Evidence map›Paper›PMID 39616458›Full record

ArticleThe American journal of psychiatry2024

Pathways to Homelessness: Childhood Maltreatment and Psychiatric Symptoms Increase Risk of Homelessness.

Cathy Spatz Widom, Kellie Courtney, Hang Heather Do

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The American journal of psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Cathy Spatz WidomPsychology Department, John Jay College, City University of New York, New York.
Kellie CourtneyPsychology Department, John Jay College, City University of New York, New York.
Hang Heather DoPsychology Department, John Jay College, City University of New York, New York.

Funding

THIRTY YEAR FOLLOW-UP OF NEGLECTED CHILDRENR01HD040774 · NICHD · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI WIDOM, CATHY SPATZ · 2000 to 2009
$8.7M
Child Maltreatment and Risk for Mild Cognitive Impairment and Alzheimer's DiseaseR01AG058683 · NIA · JOHN JAY COLLEGE OF CRIMINAL JUSTICE · PI WIDOM, CATHY SPATZ · 2018 to 2022
$7.6M
CHILDHOOD VICTIMIZATION AND LIFETIME REVICTIMIZATIONR01MH058386 · NIMH · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI WIDOM, CATHY SPATZ · 1999 to 2003
$2.8M
CHILD ABUSE AND ALCOHOL ABUSER21AA011108 · NIAAA · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI WIDOM, CATHY SPATZ · 1997 to 1998
–
LONGTERM MENTAL OUTCOMES OF CHILD ABUSE &NEGLECTR01MH049467 · NIMH · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI WIDOM, CATHY SPATZ · 1992 to 1994
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CHILD ABUSE, RISK, AND PROTECTIVE FACTORS--DRUG ABUSER01DA010060 · NIDA · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI WIDOM, CATHY SPATZ · 1996 to 1997
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CHILDHOOD VICTIMIZATION AND RISK FOR ALCOHOL PROBLEMSR03AA009238 · NIAAA · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI WIDOM, CATHY SPATZ · 1992 to 1993
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NIAAA NIH HHS R03 AA009238NIAAA NIH HHS R21 AA011108NIA NIH HHS R01 AG058683NICHD NIH HHS R01 HD040774NIDA NIH HHS R01 DA010060NIMH NIH HHS R01 MH049467NIMH NIH HHS R01 MH058386
6 · The paper itself

Abstract

objectiveHomelessness is a serious and increasing public health concern. Childhood maltreatment and psychiatric problems have been associated with homelessness as risk factors; however, reliance on cross-sectional studies introduces ambiguity into interpreting previous findings. This study seeks to understand whether psychiatric symptoms in part explain the relationship between childhood maltreatment and homelessness.

methodsThe authors used data from a prospective cohort design study in which individuals with documented histories of childhood maltreatment (ages 0-11 years) and a demographically matched group of children without those histories (N=1,196) were followed up into middle adulthood and interviewed. Psychiatric symptoms (anxiety, depression, post-traumatic stress disorder [PTSD], antisocial personality disorder [ASPD], and alcohol and drug use) were assessed at mean age 29. Homelessness was assessed at mean ages 29, 39, 41, and 47 years. Structural equation modeling was used to test mediation.

resultsTwice as many individuals with histories of childhood maltreatment reported ever being homeless (25.6% vs. 12.3%, AOR=2.54, 95% CI= 1.86-3.50) and past year homelessness (5.5% vs. 2.5%, AOR=2.09, 95% CI=1.31-3.43) at age 29, compared to controls. Controlling for past homelessness, psychiatric symptoms predicted future homelessness at mean ages 41 and 47. Three significant paths from childhood maltreatment to future homelessness were identified through depression, PTSD, and ASPD.

conclusionsThis longitudinal study with documented cases of childhood maltreatment found that psychiatric symptoms earlier in life predict homelessness. Depression, PTSD, and ASPD represent pathways through which childhood maltreatment increases homelessness risk and warrant greater attention.

Indexed as

Adult Survivors of Child AbuseIll-Housed PersonsStress Disorders, Post-TraumaticSubstance-Related DisordersAdolescentAdultAntisocial Personality DisorderChildChild AbuseChild, PreschoolDepressionFemaleHumansInfantMaleMental DisordersPersonality DisordersPosttraumatic Stress Disorder (PTSD)Substance-Related and Addictive Disorders

Identifiers

PMID39616458
PMCPMC11611070

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.