The issue of self-neglect among older adults is receiving attention in modern societies where aging is accelerating. To help expand our understanding of this phenomenon, this study identified its different types using latent profile analysis and verified the main variables that distinguish these types from each other. The three profiles that were identified are high self-neglect (HSN: 28.8%), low self-neglect (LSN: 35.6%), and poor personal hygiene (PPH: 35.6%). Interestingly, PPH showed a high rate and was identified as a noticeable type of elder self-neglect. Gender, age group, SES, support size, and suicidal ideation were significant in classifying the types of self-neglect. Men were more likely to be within the HSN group, and late elderly were more likely to be within the PPH group. The higher SES and social support, the higher the probability of being within the LSN group. The higher the suicidal ideation, the higher the possibility of falling under the HSN group. To reduce self-neglect among older adults, this study suggests to older adults vulnerable to self-neglect, expansion of the social support available to them, and provision of mental health services to this population.
Objective: This study is to explore identifiable psychological differences and predictors for the subgroup of refugees who at a very early age moved from a totalitarian country to a westernized democracy, ultimately to improve policies and reduce the maladaptation of refugees to a new society. More specifically, it is to fill in significant gaps in understanding and predicting refugee tendencies toward depression, social withdrawal, aggression, and posttraumatic growth. Method: Latent class analysis was conducted to identify subgroups based on symptom profiles within a sample of 201 North Korean adolescent refugees residing in South Korea. Results: Four subgroups were identified: (a) High growth, (b) Low trauma with high adaptive aggression, (c) Low trauma with high social withdrawal/depression, and (d) High trauma with high comorbidity. Predictors were physical health, self-esteem, peer support, teacher support, and school adjustment. Conclusion: Current refugee policies in South Korea would benefit from refining services to allow customization to the specific needs and characteristics of each adolescent rather than continue the current model of homogeneity.
Clinical Impact StatementDespite similar stressors and traumas during childhood refugee experiences, integration into a new society can be improved by recognizing and addressing the four primary tendencies among refugees who are now adolescents. Customized support and interest based on a target-centered approach would play an effective role in the growth of the North Korean adolescent refugees.
This study examined co-occurring patterns of mental health among disaster victims using latent profile analysis and assessed the difference between sociodemographic factors and protective factors that affect group classification. The data of 2300 disaster victims from 2019 (4th wave) NDMI (National Disaster Management Research Institute) for Long-term Survey on the Change of Life of Disaster Victims were analyzed. The latent profile analysis revealed that three profiles; High comorbid symptom (HCS) (6.2%), Medium comorbid symptom (MCS) (22.6%), and Low symptom (LS) (71.2%). The factors that explain the difference in this divided profile group were the type of disaster, hurt, income, age, elapsed years, resilience, and community resilience in the multinomial logistic regression. When individual resilience and community resilience are high, more effective in making people belong to the low comorbid symptom group. Therefore, there is a need for a strategy that promotes synergy between the two relationships while maintaining a dual focus point of view that fosters resilience at the individual and community level together.
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