Journal of the American Geriatrics Society · 2000
The high prevalence of depression and dementia in elder abuse or neglect.
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Dyer C B, Pavlik V N, Murphy K P, Hyman D J
Аннотация
BACKGROUND: The risk factors for mistreatment of older people include age, race, low income, functional or cognitive impairment, a history of violence, and recent stressful events. There is little information in the literature concerning the clinical profile of mistreated older people.
OBJECTIVES: To describe the characteristics of abused or neglected patients and to compare the prevalence of depression and dementia in neglected patients with that of patients referred for other reasons.
DESIGN: A case control study.
SETTING: Baylor College of Medicine Geriatrics Clinic at the Harris County Hospital District (Houston, Texas).
PATIENTS: Forty-seven older persons referred for neglect and 97 referred for other reasons.
INTERVENTION: Comprehensive geriatric assessment.
MEASUREMENTS: Standard geriatric assessment tools.
RESULTS: There was a statistically significant higher prevalence of depression (62% vs 12%) and dementia (51% vs 30%) in victims of self-neglect compared to patients referred for other reasons.
CONCLUSIONS: This is the first primary data study that highlights a high prevalence of depression as well as dementia in mistreated older people. Geriatric clinicians should rule out elder neglect or abuse in their depressed or demented patients.
OBJECTIVES: To describe the characteristics of abused or neglected patients and to compare the prevalence of depression and dementia in neglected patients with that of patients referred for other reasons.
DESIGN: A case control study.
SETTING: Baylor College of Medicine Geriatrics Clinic at the Harris County Hospital District (Houston, Texas).
PATIENTS: Forty-seven older persons referred for neglect and 97 referred for other reasons.
INTERVENTION: Comprehensive geriatric assessment.
MEASUREMENTS: Standard geriatric assessment tools.
RESULTS: There was a statistically significant higher prevalence of depression (62% vs 12%) and dementia (51% vs 30%) in victims of self-neglect compared to patients referred for other reasons.
CONCLUSIONS: This is the first primary data study that highlights a high prevalence of depression as well as dementia in mistreated older people. Geriatric clinicians should rule out elder neglect or abuse in their depressed or demented patients.