Association between Multimorbidity and Psychological Distress among Older Adults in India: The Moderating Role of Elder Abuse.

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2024-02-05 DOI:10.1080/07317115.2024.2309942

Sathya Thennavan, Yesuvadian Selvamani, Nagarajan Rangasamy, Mathew Arumai

{"title":"Association between Multimorbidity and Psychological Distress among Older Adults in India: The Moderating Role of Elder Abuse.","authors":"Sathya Thennavan, Yesuvadian Selvamani, Nagarajan Rangasamy, Mathew Arumai","doi":"10.1080/07317115.2024.2309942","DOIUrl":null,"url":null,"abstract":"Objectives: In this study, we examine the association between multimorbidity and psychological distress and to what extent elder abuse mediates the association.Methods: We analyzed cross-sectional nationally representative data from the \"Building Knowledge Base on Population Ageing in India (BKPAI).\" Multivariate logistic regression was used to understand the association between multimorbidity and psychological distress. We used Karlson-Holm- Breen (KHB) method to understand the role of elder abuse in mediating the association between multimorbidity and psychological distress.Results: Older adults who ever experienced abuse (OR = 1.92 95%CI = 1.62, 2.26, p < .001) or in last one month (OR = 2.09 95%CI = 1.65, 2.64, p < .001) reported higher odds of psychological distress. Further, older adults with four or more chronic diseases are thrice more likely to report psychological distress (OR = 3.03 95%CI = 2.38, 3.82, p < .001). The results further suggest the mediating role of abuse on the association between multimorbidity and psychological distress.Conclusions: The results suggest the role of elder abuse on the association between multimorbidity and psychological distress among older population in India.Clinical implications: Creating an environment to reduce the abuse among older adults who have multimorbidity will be essential to reducing the psychological distress among older adults in India.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1235-1245"},"PeriodicalIF":2.4000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Gerontologist","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/07317115.2024.2309942","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/2/5 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: In this study, we examine the association between multimorbidity and psychological distress and to what extent elder abuse mediates the association.

Methods: We analyzed cross-sectional nationally representative data from the "Building Knowledge Base on Population Ageing in India (BKPAI)." Multivariate logistic regression was used to understand the association between multimorbidity and psychological distress. We used Karlson-Holm- Breen (KHB) method to understand the role of elder abuse in mediating the association between multimorbidity and psychological distress.

Results: Older adults who ever experienced abuse (OR = 1.92 95%CI = 1.62, 2.26, p < .001) or in last one month (OR = 2.09 95%CI = 1.65, 2.64, p < .001) reported higher odds of psychological distress. Further, older adults with four or more chronic diseases are thrice more likely to report psychological distress (OR = 3.03 95%CI = 2.38, 3.82, p < .001). The results further suggest the mediating role of abuse on the association between multimorbidity and psychological distress.

Conclusions: The results suggest the role of elder abuse on the association between multimorbidity and psychological distress among older population in India.

Clinical implications: Creating an environment to reduce the abuse among older adults who have multimorbidity will be essential to reducing the psychological distress among older adults in India.

查看原文本刊更多论文

印度老年人的多病症与心理压力之间的关系：虐待老人的调节作用

研究目的在这项研究中，我们探讨了多病症与心理困扰之间的关联，以及虐待老人在多大程度上调解了这种关联：我们分析了 "印度人口老龄化知识库（BKPAI）"中具有全国代表性的横截面数据。多变量逻辑回归用于了解多病症与心理困扰之间的关系。我们使用 Karlson-Holm- Breen（KHB）方法来了解虐待老人在多病症与心理困扰之间的中介作用：曾经遭受虐待的老年人（OR = 1.92 95%CI = 1.62, 2.26, p p p 结论：虐待老人与心理压力之间存在着一定的联系：结果表明，在印度老年人口中，虐待老人与多病症和心理困扰之间存在关联：临床启示：在印度，创造一种环境以减少对患有多病的老年人的虐待，对于减轻老年人的心理压力至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.