Indicators of elder abuse: A crossnational comparison of psychiatric morbidity and other determinants in the Ad-HOC Study

Cooper, C. and Katona, C. and Finne-Soveri, H. and Topinkova, E. and Carpenter, G.I. and Livingston, G. (2006) Indicators of elder abuse: A crossnational comparison of psychiatric morbidity and other determinants in the Ad-HOC Study. American Journal of Geriatric Psychiatry, 14 (6). pp. 489-497. ISSN 1064-7481. (The full text of this publication is not available from this repository)

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Official URL
http://dx.doi.org/10.1097/01.JGP.0000192498.18316....

Abstract

Objective: The objective of this study was to determine crossnationally the prevalence of indicators of elder abuse and their relationship to putative risk factors, particularly depression, dementia, and lack of service provision. Method: Nearly 4,000 people aged 65+ receiving health or social community services in 11 European countries were interviewed using the minimum dataset homecare (MDS-HC) interview, which includes an abuse screen used previously in elder abuse studies and questions about demographic, physical, psychiatric, cognitive, and service factors. Results: One hundred seventy-nine (4.6%) people assessed had at least one indicator of abuse. The proportion screening positive increased with severity of cognitive impairment, presence of depression, delusions, pressure ulcers, actively resisting care, less informal care, expressed conflict with family or friends, or living in Italy or Germany, but not with having a known psychiatric diagnosis. Conclusion: Severity of cognitive impairment, depression, and delusions predicted screening positive for abuse in older adults, but having a known psychiatric diagnosis did not, indicating that screening for psychiatric morbidity might be rational strategies to combat elder abuse. People in Italy and Germany were most likely to screen positive for indicators of abuse, and the authors suggest that this might relate to higher levels of dependency in the participants looked after at home in these countries as a result of cultural and service provision differences.

Item Type: Article
Uncontrolled keywords: elder abuse, prevalence, dementia, services, depression
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HM Sociology
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Paula Loader
Date Deposited: 01 Sep 2008 10:58
Last Modified: 16 Jul 2012 14:37
Resource URI: http://kar.kent.ac.uk/id/eprint/5625 (The current URI for this page, for reference purposes)
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