Homelessness is an increasingly important problem for individuals with serious mental illness in China. This study sought to identify the characteristics of families that are associated with homelessness among individuals with schizophrenia.

Participants were 1856 homeless individuals with schizophrenia (defined as those who had no place of residence or involved caregivers for 7 consecutive days) and 1728 non-homeless individuals with schizophrenia from Xiangtan, Hunan. The self-completion Family Environment Scale-Chinese Version (FES-CV) was administered to these participants after their acute psychotic symptoms resolved.

Compared to individuals in the non-homeless group, those in the homeless group were older and more likely to be non-locals (i.e., from outside of Xiangtan), be residents of rural (versus urban) communities, have temporary (versus permanent) jobs, be married, and have a low level of education. After controlling for demographic differences using multivariate logistic regression models, homelessness was independently associated higher scores in the FES-CV intellectual-cultural orientation, organization, achievement orientation, and control subscales and with lower scores in the FES-CV cohesion, moral/religious emphasis, independence, and active-recreational orientation subscales.

After controlling for sociodemographic factors, certain aspects of the family environment are associated with being homeless among patients with schizophrenia in China. Further work is needed to identify interventions that can reduce the risk of homelessness in high-risk individuals.

流浪行为逐渐成为中国严重精神疾病患者的一个重要问题。

目的
发现在精神分裂症患者中与流浪行为相关的家庭特征因素。

方法
本研究被试人员都来自湖南省湘潭市，包括1856例具有流浪行为的精神分裂症患者（其定义为连续7天没有地方居住或无照顾者）和1728例无流浪行为的精神分裂症患者。所有被试人员在急性精神病性症状得到缓解后，自行填写中文版家庭环境量表（Family Environment Scale-Chinese Version ，FES-CV）。

结果
与无流浪行为的患者相比，有流浪行为的患者更为年长，并且更可能不是本地人（即从湘潭以外的地方来的），更可能是农村居民（相对于城市），更可能是临时工（相对于固定职业），多为已婚，以及教育程度偏低。本研究采用逻辑回归模型并控制人口学差异，发现流浪行为分别与FES-CV 知识性、组织性、成功性和控制性分量表的较高评分独立相关，并分别与FES-CV 凝聚力、道德宗教观、独立性、和娱乐性分量表的较低评分独立相关。

结论
即使控制了社会人口学因素后，家庭环境的某些方面还是与中国精神分裂症患者的流浪行为相关，并需要进一步研究以确定可以减少高风险人群的流浪行为风险的干预措施。

中文全文
本文全文中文版从2015年08月06日起在http://dx.doi.org/10.11919/j.issn.1002-0829.214162可供免费阅览下载