TY - JOUR PY - 2000// TI - The high prevalence of depression and dementia in elder abuse or neglect JO - Journal of the American Geriatrics Society A1 - Hyman, D. J. A1 - Murphy, K. P. A1 - Pavlik, V. N. A1 - Dyer, C. B. SP - 205 EP - 208 VL - 48 IS - 2 N2 - 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.

Language: en

LA - en SN - 0002-8614 UR - http://dx.doi.org/ ID - ref1 ER -