Elder abuse in people with dementia in Northern Ireland : Prevalence and predictors in cases referred to a psychiatry of old age service.
To establish the prevalence of elder abuse in community-dwelling patients with dementia and to test the hypothesis that there is no difference in carer and patient characteristics between the abused and non-abused populations.
A cohort of consecutive referrals was formed and subdivided by the presence or absence of abuse and the two groups compared.
A rural psychiatry of old age service in N. Ireland.
Each case had been newly referred, was 65 years old or over, lived at home, had an identifiable carer and met DSMIII-R criteria for a diagnosis of dementia.
There were 49 such cases ; 38 carers agreed to be interviewed.
Main outcome measures
The General Health Questionnaire 28, the Gilleard Pre-Morbid Relationship Rating Scale and Gilleard's Problem Checklist were administered to the carer and the information/orientation sub scale of the Clifton Assessment Procedure for the Elderly used to measure cognitive impairment in the patient.
Abuse was elicited in 14 (37%) cases ; four (10.5%) of physical and 13 (34%) of verbal abuse.
No cases of abuse by neglect were detected.
A poor premorbid relationship, verbal or physical abuse by the dependant, problem behaviours in the dependant, the carer's level of anxiety and a perception of not receiving help were significantly associated with abuse. (...)
Mots-clés Pascal : Victimologie, Démence sénile, Prévalence, Communauté, Irlande du Nord, Royaume Uni, Europe, Relation soignant soigné, Aidant, Epidémiologie, Vieillard, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Maladie dégénérative, Négligence, Violence verbale
Mots-clés Pascal anglais : Victimology, Senile dementia, Prevalence, Community, Northern Ireland, United Kingdom, Europe, Health staff patient relation, Caregiver, Epidemiology, Elderly, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Degenerative disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0366831
Code Inist : 002B18E. Création : 12/09/1997.