Correlates of depression in self-neglecting older adults: A cross-sectional study examining the role of alcohol abuse and pain in increasing vulnerability

Abstract

Purpose Self-neglect among older adults results in increased morbidity and mortality rates. Depression is strongly linked to self-neglect and when untreated severely complicates management of health and functional outcomes. The study aims to identify factors correlated with depression to inform approaches to service recruitment and retention that improve long-term outcomes. Methods The sample included urban community-dwelling older adults (n=96), 65-years of age and older with Adult Protective Services substantiated self-neglect. All participants completed a range of validated cognitive, functional and self-report demographic and clinical measures around health and mental health functioning. Results A secondary data analysis using multivariable logistic regression revealed that a positive screen for alcohol abuse, low self-rated health, and higher self-reported pain were associated with significantly higher odds of self-reported depression. Implications Further research is needed to understand the temporality between these correlates and depression and to inform prevention and intervention practices for self-neglecting older adults.

Medication Regimen Complexity and Low Adherence in Older Community-Dwelling Adults With Substantiated Self-Neglect

“…All participants included in the primary intervention met the following criteria: Participants (a) were at least 65 years of age, (b) spoke English or Spanish, (c) were community-dwelling, (d) had APS-substantiated self-neglect, (e) were taking medications for a chronic disease, (f) demonstrated capacity to give informed consent, and (g) were within a 1-h driving distance of Houston, Texas. A three-step recruitment process, successfully used previously to enroll over 300 older adults with APS-substantiated self-neglect in interventional studies, was used for the primary study and has been described elsewhere (Hansen, Flores, Coverdale, & Burnett, 2016). Written informed consent was obtained in the homes of all participants using a process reviewed and approved by the Committee for the Protection of Human Subjects at the University of Texas Health Science Center at Houston and the Texas Department of Family and Protective Services, Division of Adult Protective Services (Approval Number HSC-MS-12-0758).…”

Análisis de la autonegligencia en las personas mayores [Analysis of elder self-neglect]

“…La autonegligencia debería ser considerada un grave problema sociosanitario debido no solo a la frecuencia con la que parece producirse, sino también por las graves consecuencias que se han asociado a la misma. Las investigaciones han relacionado la autonegligencia con problemas de salud; con el incremento del riesgo de mortalidad, especialmente el año siguiente a la detección y notificación (6 veces más y 15 más en los casos de autonegligencia severa); con la utilización de servicios de cuidados paliativos y con estancias más cortas en los mismos antecediendo a la defunción; con la utilización de servicios de urgencias, hospitalizaciones e ingreso en residencias; con sufrir malos tratos (negligencia, explotación económica, maltrato físico); y convertirse en una persona sin hogar (Day et al, 2015;Dong y Simon, 2013;Hansen et al, 2016). Además, los estudios han encontrado que la gravedad de los comportamientos autonegligentes se relaciona con la gravedad de las consecuencias producidas (Dong et al, 2012).…”

Göz Ardı Edilen Bir Durum: Yaşlı istismarı ve etkileyen faktörler

“…İstismara uğramış yaşlı bireylerin özellikleri incelendiğinde, psikolojik sıkıntının artan yaşlı istismarı riski ile ilişkili olduğu tespit edilmiştir. Bu sonuçlar, depresyonun yaşlı istismar ve ihmali ile ilişkili önemli bir risk faktörü olduğunu göstermekte 2,14,16,17,[19][20][21][22] , depresyon bildiren yaşlı bireylerin istismara maruz kalma riskinin diğer bireylere oranla daha fazla olduğu bildirilmektedir 13,23 . Özellikle psikososyal istismarın, depresyon belirtileri ile pozitif olarak ilişkili olduğu belirtilmiştir [22][23][24] .…”

“…Bu bulgular, depresyonun yaşlı istismarı ve ihmali ile ilişkili önemli bir risk faktörü olduğunu düşündürmektedir 17 . İstismara maruz kalan ve kalmayan bireylerin karşılaştırıldığı bir çalışmada hem kadınların hem de erkeklerin depresyon düzeylerinin daha yüksek olduğu belirlenmiştir 21 . Başka bir çalışmada ise yaşlı istismarında depresyonun, kadınlar için risk faktörüyken, erkekler için risk oluşturmadığı saptanmıştır 23 .…”