
J Neuropsychiatry Clin Neurosci 10:210-215, May 1998
© 1998 American Psychiatric Press, Inc.
Subtle Neurological Deficits and Psychopathological Findings in Substance-Abusing Homeless and Non-Homeless Veterans
Richard Douyon, M.D.,
Paul Guzman, M.D.,
Gerard Romain, M.D.,
Susan J. Ireland, Ph.D.,
Lourdes Mendoza, M.D.,
Marino Lopez-Blanco, M.S.W. and
Fernando Milanes, M.D.
Received January 31, 1997; revised June 21, 1997; accepted July 1, 1997. From the Miami Veterans Affairs Medical Center and the Department of Psychiatry and Behavioral Sciences, University of Miami School of Medicine, Miami, Florida. Address correspondence to Dr. Douyon, University of Miami School of Medicine, Department of Psychiatry at Miami Veterans Affairs Medical Center (116A), 1201 NW 16th Street, Miami, FL 33125.
This study evaluated the hypothesis that homeless individuals would display higher levels of neurological deficits than non-homeless individuals, particularly in frontal lobe or executive functions. Eighteen acutely homeless, 15 chronically homeless, and 20 non-homeless individuals admitted to an inpatient psychiatric service received a battery of neurological and psychosocial measures. In comparison to non-homeless subjects with comparable levels of psychopathology, homeless individuals showed higher levels of hostility, prior criminal activity, and family history of psychiatric illness, but lower levels of depression. A positive relationship between hostility and neurological soft signs was observed among chronically homeless subjects. These results suggest that a substantial subset of nonpsychotic homeless veterans suffers from "occult" neurological deficits.
Key Words: Substance Abuse Frontal Lobe Homelessness
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