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.
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.
Authors: Claire E Ramsay; Elizabeth Reisinger Walker; Rachel Ramsay; Michael T Compton; Nancy Thompson Journal: Community Ment Health J Date: 2010-12-04
Authors: Tony Rosen; Cynthia Lien; Michael E Stern; Elizabeth M Bloemen; Regina Mysliwiec; Thomas J McCarthy; Sunday Clark; Mary R Mulcare; Daniel S Ribaudo; Mark S Lachs; Karl Pillemer; Neal E Flomenbaum Journal: J Emerg Med Date: 2017-07-13 Impact factor: 1.484
Authors: Timothy F Platts-Mills; Joseph A Dayaa; Bryce B Reeve; Kayla Krajick; Laura Mosqueda; Jason S Haukoos; Mehul D Patel; Carrie F Mulford; Samuel A McLean; Phil D Sloane; Debbie Travers; Sheryl Zimmerman Journal: J Elder Abuse Negl Date: 2018-04-13