{"title":"Self-neglect among older adults admitted to a Chinese comprehensive hospital in the COVID-19 pandemic era: a cross-sectional study.","authors":"Liuqing Xu, Hongyu Sun, Huan Xu, Xiufang Chen, Qiongying Xu, Hao Jiang, Liya Ren, Yuxin Wang, Chaoqun Dong","doi":"10.1080/08946566.2022.2095319","DOIUrl":"https://doi.org/10.1080/08946566.2022.2095319","url":null,"abstract":"<p><p>This study aims to explore the prevalence of self-neglect and associated factors among older adults admitted to the hospital in the COVID-19 pandemic context. The cross-sectional study conducted at a Chinese comprehensive hospital between January and April 2021, 452 older adults were recruited to complete the Abrams Geriatric Self-Neglect Scale, Social Support Rate Scale, FRAIL scale, Barthel index, Patient Health Questionnaire-9, and 10-item Connor-Davidson Resilience Scale. Multivariate logistic regression was used to explore the factors associated with elder self-neglect. The results showed that the prevalence of self-neglect among our sample was 30.3%. Factors that were associated with the risk of elder self-neglect included male, having multiple children (≥4), receiving infrequent visits from children, frailty, and depression. There is a need to screen for self-neglect among older adults admitted to the hospital in the COVID-19 pandemic context. Tailored interventions are warranted to improve the quality of life of older adults.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 4","pages":"241-258"},"PeriodicalIF":1.9,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40408535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bianca Brijnath, Luke Gahan, Briony Dow, Lyndal Hickey, Lisa Braddy, Melinda Collins, Josefine Antoniades
{"title":"When co-design works (sort of): the case of the Australian elder abuse screening instrument.","authors":"Bianca Brijnath, Luke Gahan, Briony Dow, Lyndal Hickey, Lisa Braddy, Melinda Collins, Josefine Antoniades","doi":"10.1080/08946566.2022.2098218","DOIUrl":"https://doi.org/10.1080/08946566.2022.2098218","url":null,"abstract":"<p><p>Applying co-design methodologies is increasingly recommended for engaging diverse end-users and bridging evidence-practice gaps. Yet, one of the ongoing challenges for research using co-design is the lack of evidence as to whether co-design leads to better outcomes than not using co-design. In this article, we outline how, despite adhering to a time and resource intensive co-design process with strong moral and ethical foundations, its implementation by end-users led to mixed outcomes around improved elder abuse screening. We discuss the implications of these ambiguous results, arguing that \"noise\" in our data might be inevitable due to the inherent sensitivities associated with elder abuse screening and offer a polemical recommendation about why the Australian Elder Abuse Screening Instrument (AuSI) should nevertheless be rolled out.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 4","pages":"302-313"},"PeriodicalIF":1.9,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40494831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Difficult: mothering challenging adult children through conflict and change","authors":"G. Anetzberger","doi":"10.1080/08946566.2022.2093811","DOIUrl":"https://doi.org/10.1080/08946566.2022.2093811","url":null,"abstract":"Difficult: Mothering Challenging Adult Children through Conflict and Change by Judith Smith is a nonfiction self-help guide directed at older mothers who find themselves providing long-term support for their difficult adult children, the latter usually struggling with substance abuse, serious mental illness, and/or employment and financial problems. However, the book also has limbs in the genres of academic research and social issues. It is based on an empirical qualitative study undertaken by the author while a PhD researcher at Fordham University. Her methodology is detailed in Appendix B, with collected data resulting in the profiles of thirty-five older mother/difficult adult child relationships scattered throughout the book that serve to underlie its premise and conclusions. The data also demonstrate how frequently these same older mothers are mistreated by their adult children, in so doing evidencing various forms of and risk factors for elder abuse occurrence. Indeed, half of the women profiled were referred by agencies offering services to elder abuse victims, although none of the mothers identified themselves as such. Finally, Difficult has branches in clinical social work practice and feminism, reflecting Smith’s professional background and philosophical leanings respectively. These also inform the interventions she proposes for consideration by older mothers in Part III on “Helping Yourselves,” as these mothers search for ways to deal with the conflict and mistreatment inflicted by dependent adult children. It is easy to understand why Difficult could be a help, even a lifeline, for older mothers struggling with dependent, often abusive, adult children. Its contents are likely to have the effect of making them believe that:","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 1","pages":"325 - 327"},"PeriodicalIF":1.9,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44567041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ying-Yu Chao, Dexia Kong, Jin Young Seo, Peijia Zha, XinQi Dong
{"title":"Perceived social support and help-seeking among U.S. Chinese older adults who reported elder mistreatment.","authors":"Ying-Yu Chao, Dexia Kong, Jin Young Seo, Peijia Zha, XinQi Dong","doi":"10.1080/08946566.2022.2089938","DOIUrl":"https://doi.org/10.1080/08946566.2022.2089938","url":null,"abstract":"<p><p>This study aimed to examine the associations between perceived social support and help-seeking among U.S. Chinese older adults who reported elder mistreatment (EM). Data were from the Population Study of Chinese Elderly in Chicago. Perceived social support and informal/formal help-seeking intentions and behaviors were measured. Descriptive statistics, multiple linear regressions, and multinomial logistic regression analyses were performed. A total of 450 participants reported EM. Mean age of the sample was 72.73 ± 8.03 years old. Perceived social support was associated with an increase in intentions of seeking help from informal sources. Compared with not seeking help, older Chinese-American adults with any EM who perceived social support were more likely to seek help from informal and formal sources. The potential role of social support in increasing help-seeking was highlighted. Culturally tailored interventions that provide social support might promote help-seeking among U.S. Chinese elder immigrants who experienced EM.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 3","pages":"222-240"},"PeriodicalIF":1.9,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9247022/pdf/nihms-1818313.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9688878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ageism against older patients in nursing: conceptual differentiations and the role of moral sensitivity","authors":"L. Arhiri, Mihaela-Alexandra Gherman, A. Holman","doi":"10.1080/08946566.2022.2086957","DOIUrl":"https://doi.org/10.1080/08946566.2022.2086957","url":null,"abstract":"ABSTRACT Ageism in nursing is difficult to identify, prevent and combat. Using a mixed-method approach in two exploratory cross-sectional studies (N = 512), we brought support for a proposed conceptual difference between ageism toward older adults and ageism toward older patients which may facilitate the identification of ageism in healthcare settings. We also investigated whether nurses’ moral sensitivity could buffer the negative effect of socio-cognitive factors on ageism against older patients. Our findings supported our assumption, suggesting that fostering nurses’ moral sensitivity could be a promising new avenue to prevent and combat ageism in nurses, together with comprehensive gerontological education meant to decrease stereotyping and help nurses fulfill their roles of moral advocates against older patient discrimination.","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 1","pages":"198 - 221"},"PeriodicalIF":1.9,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42044573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychological mistreatment by married children in Korea: using the contextual theory to explain mistreatment of aging parents and parents-in-law","authors":"Mi Jin Lee, J. Ryu, Ju-Yeong Lee","doi":"10.1080/08946566.2022.2079039","DOIUrl":"https://doi.org/10.1080/08946566.2022.2079039","url":null,"abstract":"ABSTRACT Guided by the contextual theory of elder mistreatment, this study examined the psychological mistreatment (PM) of aging parents and parents-in-law by their married children and compared the risk factors of PM. We used nationally representative data on the adverse experiences of Korean adults in 2017 (n=2,974). Results showed similarities and differences in the PM of aging parents and parents-in-law. Common risk factors included children’s sex, greater victimization experiences, and co-residence. Daughters and daughters-in-law were more likely than their male counterparts to psychologically mistreat parents and parents-in-law. While parents’ PM was more frequent when children had a temporary work status and when parents were younger, PM of parents-in-law occurred more often when children had a full-time job, poor self-rated health, and a negative perception of family relations. These findings provide insights into policy intervention against PM, suggesting the need for complex prevention strategies for PM of aging parents and parents-in-law.","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 1","pages":"174 - 197"},"PeriodicalIF":1.9,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43315848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Yip, D. O’connor, Farimah Shakeri Shemirani, Amanda Brown, Jenny Hyman
{"title":"Emergency assistance in situations of abuse, neglect, and self-neglect: exploring the complexity and challenges","authors":"S. Yip, D. O’connor, Farimah Shakeri Shemirani, Amanda Brown, Jenny Hyman","doi":"10.1080/08946566.2022.2070317","DOIUrl":"https://doi.org/10.1080/08946566.2022.2070317","url":null,"abstract":"ABSTRACT Health and social care professionals are often called upon to provide emergency intervention without the adult’s consent in situations of abuse, neglect, and self-neglect. Little is known about this process despite implications related to health care costs and individual rights. In this qualitative study, 17 health care professionals with experience enacting emergency legislation in BC were interviewed to better understand what leads to an emergency response and how these professionals carry out their role. Five components emerged in the provision of emergency assistance: assessing intolerable risks, assessing incapability, balancing ethical values, exploring resources, and consulting/collaborating. Attention is drawn to the significance of social location, including age, socio-economic, and Indigenous background for influencing the process, sometimes in unintended ways. The challenges in providing emergency interventions may result in social inequities and delay in providing care at times. The importance of bringing a reflexive and intersectional lens to providing interventions is highlighted.","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 1","pages":"124 - 151"},"PeriodicalIF":1.9,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42870750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lei Yu, Gary Mottola, Lisa L Barnes, Olivia Valdes, Robert S Wilson, David A Bennett, Patricia A Boyle
{"title":"Financial fragility and scam susceptibility in community dwelling older adults.","authors":"Lei Yu, Gary Mottola, Lisa L Barnes, Olivia Valdes, Robert S Wilson, David A Bennett, Patricia A Boyle","doi":"10.1080/08946566.2022.2070568","DOIUrl":"https://doi.org/10.1080/08946566.2022.2070568","url":null,"abstract":"<p><p>We tested the hypothesis that financial fragility is associated with higher scam susceptibility in older adults without dementia. Data came from nearly 900 community-dwelling participants from two ongoing cohort studies of aging. Financial fragility was determined by assessing an individual's ability to access $2,000 within a month for an unexpected expense. Scam susceptibility was assessed via a 5-item instrument that measures perceptions and behaviors that predispose older adults to financial fraud and scams. On average, participants were 82 years of age. Nearly 10% reported financial fragility. Financial fragility was higher in Blacks and among those with fewer years of education, lower income, lower global cognition, lower literacy, and poorer financial decision-making. Regression analysis revealed that financially fragile older adults were more susceptible to scams. These data suggest that targeted efforts to reduce financial fragility and improve literacy and cognitive health are needed to prevent elder exploitation among diverse populations.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 2","pages":"93-108"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9214770/pdf/nihms-1804054.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9364010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Susan M Benbow, Sarmishtha Bhattacharyya, Paul Kingston, Carmelle Peisah
{"title":"Invisible and at-risk: older adults during the COVID-19 pandemic.","authors":"Susan M Benbow, Sarmishtha Bhattacharyya, Paul Kingston, Carmelle Peisah","doi":"10.1080/08946566.2021.2016535","DOIUrl":"https://doi.org/10.1080/08946566.2021.2016535","url":null,"abstract":"<p><p>During the COVID-19 pandemic the risks to older adults of systemic abuse and neglect have become amplified, alongside increasing abuse and neglect in the community. Novel risks have also evolved involving cybercrime and the use of remote technologies in health and social care related to the pandemic. This commentary brings together lessons to be learned from these developments and initial ideas for actions to mitigate future risks.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 1","pages":"70-76"},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39607013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Atbin Motamedi, Mikael Ludvigsson, Johanna Simmons
{"title":"Factors associated with health care providers speaking with older patients about being subjected to abuse.","authors":"Atbin Motamedi, Mikael Ludvigsson, Johanna Simmons","doi":"10.1080/08946566.2021.2014378","DOIUrl":"https://doi.org/10.1080/08946566.2021.2014378","url":null,"abstract":"<p><p>Health care providers have difficulties responding to elder abuse. This study aimed to investigate factors associated with health care providers speaking with older patients about being subjected to abuse, and what facilitating measures staff preferred to help them achieve this. A cross-sectional questionnaire survey was conducted among hospital health care providers (n = 154) in Sweden. Half of the respondents had experience of speaking about elder abuse. A high sense of professional responsibility (OR 3.23) and being less concerned about inflicting damage to the therapeutic relationship (OR 3.97) were associated with having spoken with older patients about being subjected to abuse. Written guidelines about elder abuse and a patient information sheet were the most preferred facilitating measures. Our findings indicate that increasing care providers' sense of responsibility and addressing concerns about damaging the therapeutic relationship might be important factors to target in future interventions to improve health care response to elder abuse.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 1","pages":"20-37"},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39592539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}