Psychological Assessment in Geriatric Settings

Edelstein, Barry A.; Martin, R. Bruce; Koven, Lesley P.

doi:10.1002/0471264385.wei1017

Cited by 5 publications

(4 citation statements)

References 132 publications

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“…Assessment of mental health problems in late life is complicated by comorbid physical health problems (Edelstein, Martin, & Koven, 2003) and significant logistical barriers. Alternatives to the traditional in-person method may be necessary to enable some older adults to receive services.…”

mentioning

confidence: 99%

Utility of telephone assessments in an older adult population.

Senior

Kunik

Rhoades

et al. 2007

Psychology and Aging

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Telephone assessments are commonly used in mental health research and may be especially beneficial in older populations. The current study assessed the psychometric properties of the Penn State Worry Questionnaire (T. J. Meyer, M. L. Miller, R. L. Metzger, & T. D. Borkovec, 1990) and the Beck Depression Inventory--II (A. T. Beck, R. A. Steer, & G. K. Brown, 1996), when administered over the telephone in an older adult population. Results indicate no differences in mean symptom level or internal consistency across two modes of administration. Correlations between the in-person and telephone-administered measures and diagnostic categories suggest adequate validity of the telephone-administered measures. With this demonstrated evidence, the telephone assessment method can be applied in a variety of research and clinical settings.

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confidence: 99%

Utility of telephone assessments in an older adult population.

Senior

Kunik

Rhoades

et al. 2007

Psychology and Aging

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“…Lo señalado evidencia la necesidad de un cambio de cultura, ya que la transición demográfica ha superado la visón del personal de salud, en el cual se encuentra ausente la perspectiva gerontológica, este proceso necesariamente pasará por una redefinición del significado social de la vejez y de las formas de integración social y cultural de los adultos mayores 41 .…”

Section: Discussionunclassified

Estereotipos negativos de la vejez en personal de salud de un Hospital de la Ciudad de Querétaro, México

S¹,

R²,

D³

et al. 2010

Rev. méd. Chile

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Prevalence of negative stereotypes towards old age among personnel of a general hospital Background: Social representations are value systems. Social stereotypes are a social consensus of traits associated with a specific group. Stereotypes about older subjects, generally have negative connotations. Aim: To assess the prevalence of negative stereotypes towards older subjects among health care personnel. Material and Methods: A questionnaire about stereotypes towards old age, with Likert-type questions that included health, social motivations and personality-character domains, was applied to 52 doctors, 12 residents, 80 general nurses, 36 auxiliary nurses, four social workers and 10 medical assistants, working at a general hospital. Results: The mean age of the professionals who answered the questionnaire was 38 years (95% confidence intervals (CI) 37-39 years) and 78% were women. The prevalence of a Global negative stereotype was 65.0%(95% CI: 59.5-70.5). The figure for the health domain was 64.5% (IC95%; 59.0-70.0), for the social motivation domain was 60%(5%CI: 54.3-65.7) and for the character-personality domain was 64% (95%CI: 58.4-69.6). Conclusions: There is a high prevalence of a negative stereotype towards old age among health care personnel.

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“…The current professional climate also focuses on time and cost efficiency, with an increase in accountability and decisions made less on clinical judgment and more on empirically derived decisions (Hunsley & Mash, 2008). Edelstein, Martin, and Koven (2003) identified two principal assessment paradigms with older adults: traditional and behavioral. Although there is overlap, in general, the traditional paradigm focuses on trait-oriented personality characteristics, intelligence, and diagnosis; dispositional characteristics are inferred from self-reports of feelings, attitudes, and behaviors as well as observations.…”

Section: Interdisciplinary Approachmentioning

confidence: 99%

Psychological assessment with older adults.

Vacha‐Haase¹

2013

APA Handbook of Testing and Assessment in Psychology, Vol. 2: Testing and Assessment in Clinical and Counseling Psychology.

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Everyone ages, albeit in an individual and unique way, with varying degrees of cognitive decline, emotional distress, and decreased physical functioning. Similar to other developmental stages across the life span, those over the age of 65 can be described on a continuum-from successful, to normal, to pathological. The later years of life for some older adults appear easy as they experience good health, maintain their cognitive functioning, and cope with emotional distress. At the other end of the spectrum, another subgroup will experience "pathological" levels of cognitive deficits, emotional turmoil, and poor physical health that will negatively affect their quality of life. Although many older adults will experience obstacles, the majority do not develop psychological disorders (Scott et al., 2008) and fall within the "normal" range of the aging process (Ayis, Paul, & Ebrahim, 2010).Whether for research purposes or for diagnostic and treatment planning, the assessment goal is to increase understanding of the older adult's affect, behavior, personality traits, general functioning, and overall well-being. Unfortunately, this can prove to be quite difficult. Perhaps the challenge of psychological assessment with older adults can be attributed to the heterogeneity of the population as well as the rates of comorbidity of cognitive, physical, emotional, and functional aspects of this population.Although not synonymous with age, older adults are at increased risk for medical conditions (Centers for Disease Control and Prevention, 2007). This may directly affect the testing session, as well as present a more complicated medical history, that may (or may not) be a contributing (or unknown) factor. Differential diagnosis becomes increasingly important regarding questions of delirium or dementia as well as the degree of physical, psychological, chronic, situational, or environmental symptoms.Another obstacle may be the relatively low numbers of assessment instruments that include norms for those over 65 years of age, and even fewer that are developed specifically for older adults. Years ago, Butler (1975) described the area of aging as "the neglected stepchild of the human life cycle" (p. 126). Today, with the relatively limited assessment measures available for those in their later years, perhaps geriatric assessment can best described as a recently added stepchild of the assessment area. The future holds great promise, however, as a quick review of the PsycINFO database suggests that when compared with earlier years, the previous decade brought about almost twice the number of publications in the area of psychological assessment with an older adult population. ASSESSMENT APPROACH WITH OLDER ADULTSPsychological assessment with older adults builds on the principles and techniques required in general assessment. The referral questions must be clarified, followed by the selection of tests, with thought given to psychometric adequacy, relevance, incremental validity, and complementary functions. Issues of integration of data...

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Psychological Assessment in Geriatric Settings

Cited by 5 publications

References 132 publications

Utility of telephone assessments in an older adult population.

Utility of telephone assessments in an older adult population.

Estereotipos negativos de la vejez en personal de salud de un Hospital de la Ciudad de Querétaro, México

Psychological assessment with older adults.

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