Loading…
Impairment in Instrumental Activities of Daily Living and the Geriatric Syndrome of Self-Neglect
Purpose: We sought to characterize self-neglect definitively as a geriatric syndrome by identifying an association with functional impairment. Design and Methods: We performed a cross-sectional home evaluation of 100 community-living older adults referred by Adult Protective Services for geriatric s...
Saved in:
| Published in: | The Gerontologist 2008-06, Vol.48 (3), p.388-393 |
|---|---|
| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c570t-5578bef8f6f85e11c6258ae0b2c501a15866e183316e29f5cc63f781c729fec53 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c570t-5578bef8f6f85e11c6258ae0b2c501a15866e183316e29f5cc63f781c729fec53 |
| container_end_page | 393 |
| container_issue | 3 |
| container_start_page | 388 |
| container_title | The Gerontologist |
| container_volume | 48 |
| creator | Naik, Aanand D. Burnett, Jason Pickens-Pace, Sabrina Dyer, Carmel B. |
| description | Purpose: We sought to characterize self-neglect definitively as a geriatric syndrome by identifying an association with functional impairment. Design and Methods: We performed a cross-sectional home evaluation of 100 community-living older adults referred by Adult Protective Services for geriatric self-neglect and 100 matched adults from a community geriatrics clinic. We made our assessments by using two manual muscle tests, a timed-gait test, a modified Physical Performance Test (mPPT), and the Kohlman Evaluation of Living Skills (KELS). Results: Participants in the self-neglect group had impaired mPPT (p |
| doi_str_mv | 10.1093/geront/48.3.388 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2856595</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ericid>EJ800856</ericid><sourcerecordid>1513487441</sourcerecordid><originalsourceid>FETCH-LOGICAL-c570t-5578bef8f6f85e11c6258ae0b2c501a15866e183316e29f5cc63f781c729fec53</originalsourceid><addsrcrecordid>eNqNks9v0zAcxS3ExErhzAUhawduae04dpwL0jT2o1MFEgUxcTGu-03nkTjFdib63-MqVQdc2Mn6-n38pO_zQ-gVJRNKKjZdg-9cnBZywiZMyidoREsuM84K-hSNCKEiqwhlx-h5CHckzXlePkPHVPKKMlGM0PdZu9HWt-Aitg7PXIi-3026wacm2nsbLQTc1fi9ts0Wz9ONW2PtVjjeAr4Eb3X01uDF1q1818IOXUBTZx9g3YCJL9BRrZsAL_fnGH25OP98dpXNP17Ozk7nmeEliRnnpVxCLWtRSw6UGpFzqYEsc8MJ1ZRLIYBKxqiAvKq5MYLVpaSmTBMYzsbo3eC76ZctrExawetGbbxttd-qTlv1t-LsrVp39yqXXPBqZ_B2b-C7nz2EqFobDDSNdtD1QYkqkYST_4O0FAkrHwEWtKi4fATIcpmn5cfo5B_wruu9S7mqPPVB0MFtOkDGdyF4qA8hUKJ2rVFDa1QhFVOpNenFmz-ze-D3NUnA6wFI320O8vm1JCSll-RskG2I8Ouga_9DiZKVXF3dfFPXfPHp5qu4UAX7DXdy16c</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>210961958</pqid></control><display><type>article</type><title>Impairment in Instrumental Activities of Daily Living and the Geriatric Syndrome of Self-Neglect</title><source>Oxford Journals Online</source><source>ERIC</source><source>Sociological Abstracts</source><creator>Naik, Aanand D. ; Burnett, Jason ; Pickens-Pace, Sabrina ; Dyer, Carmel B.</creator><creatorcontrib>Naik, Aanand D. ; Burnett, Jason ; Pickens-Pace, Sabrina ; Dyer, Carmel B.</creatorcontrib><description>Purpose: We sought to characterize self-neglect definitively as a geriatric syndrome by identifying an association with functional impairment. Design and Methods: We performed a cross-sectional home evaluation of 100 community-living older adults referred by Adult Protective Services for geriatric self-neglect and 100 matched adults from a community geriatrics clinic. We made our assessments by using two manual muscle tests, a timed-gait test, a modified Physical Performance Test (mPPT), and the Kohlman Evaluation of Living Skills (KELS). Results: Participants in the self-neglect group had impaired mPPT (p <.077) and KELS (p <.001) scores compared with community-controls. Using analysis of covariance models, we found that self-neglect referral explained a significant proportion of the variance in KELS scores (32%; p <.001) but not in mPPT scores (22%; p =.49). Implications: The geriatric syndrome of self-neglect is associated with increased morbidity and mortality and appears to be independently associated with impairments in instrumental activities of daily living. The evaluation and treatment of geriatric self-neglect should be consistent with that of other geriatric syndromes.</description><identifier>ISSN: 0016-9013</identifier><identifier>EISSN: 1758-5341</identifier><identifier>DOI: 10.1093/geront/48.3.388</identifier><identifier>PMID: 18591364</identifier><identifier>CODEN: GRNTA3</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Activities of Daily Living ; Activities of Daily Living - psychology ; Adult abuse & neglect ; Adventitious Impairments ; Aged ; Aging (Individuals) ; Behavior ; Correlation ; Cross-Sectional Studies ; Daily Living Skills ; Elder Abuse ; Elder mistreatment ; Elderly ; Female ; Functional assessment ; Geriatric Assessment - methods ; Geriatric self-neglect ; Geriatric syndrome ; Geriatrics ; Gerontology ; Humans ; Male ; Matched Groups ; Models, Psychological ; Morbidity ; Mortality ; Mortality Rates ; Nursing Homes ; Older Adults ; Older people ; Performance Tests ; Physical examinations ; Physical Fitness ; Physical Performance Test ; Psychomotor Performance ; Risk Assessment ; Risk factors ; Self Care ; Self Destructive Behavior ; Social services ; Social Support ; Statistical Analysis ; Studies ; Symptoms (Individual Disorders) ; Syndrome ; Urinary incontinence</subject><ispartof>The Gerontologist, 2008-06, Vol.48 (3), p.388-393</ispartof><rights>Copyright Gerontological Society of America, Incorporated Jun 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c570t-5578bef8f6f85e11c6258ae0b2c501a15866e183316e29f5cc63f781c729fec53</citedby><cites>FETCH-LOGICAL-c570t-5578bef8f6f85e11c6258ae0b2c501a15866e183316e29f5cc63f781c729fec53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904,33753,33754</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ800856$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18591364$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Naik, Aanand D.</creatorcontrib><creatorcontrib>Burnett, Jason</creatorcontrib><creatorcontrib>Pickens-Pace, Sabrina</creatorcontrib><creatorcontrib>Dyer, Carmel B.</creatorcontrib><title>Impairment in Instrumental Activities of Daily Living and the Geriatric Syndrome of Self-Neglect</title><title>The Gerontologist</title><addtitle>The Gerontologist</addtitle><description>Purpose: We sought to characterize self-neglect definitively as a geriatric syndrome by identifying an association with functional impairment. Design and Methods: We performed a cross-sectional home evaluation of 100 community-living older adults referred by Adult Protective Services for geriatric self-neglect and 100 matched adults from a community geriatrics clinic. We made our assessments by using two manual muscle tests, a timed-gait test, a modified Physical Performance Test (mPPT), and the Kohlman Evaluation of Living Skills (KELS). Results: Participants in the self-neglect group had impaired mPPT (p <.077) and KELS (p <.001) scores compared with community-controls. Using analysis of covariance models, we found that self-neglect referral explained a significant proportion of the variance in KELS scores (32%; p <.001) but not in mPPT scores (22%; p =.49). Implications: The geriatric syndrome of self-neglect is associated with increased morbidity and mortality and appears to be independently associated with impairments in instrumental activities of daily living. The evaluation and treatment of geriatric self-neglect should be consistent with that of other geriatric syndromes.</description><subject>Activities of Daily Living</subject><subject>Activities of Daily Living - psychology</subject><subject>Adult abuse & neglect</subject><subject>Adventitious Impairments</subject><subject>Aged</subject><subject>Aging (Individuals)</subject><subject>Behavior</subject><subject>Correlation</subject><subject>Cross-Sectional Studies</subject><subject>Daily Living Skills</subject><subject>Elder Abuse</subject><subject>Elder mistreatment</subject><subject>Elderly</subject><subject>Female</subject><subject>Functional assessment</subject><subject>Geriatric Assessment - methods</subject><subject>Geriatric self-neglect</subject><subject>Geriatric syndrome</subject><subject>Geriatrics</subject><subject>Gerontology</subject><subject>Humans</subject><subject>Male</subject><subject>Matched Groups</subject><subject>Models, Psychological</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Mortality Rates</subject><subject>Nursing Homes</subject><subject>Older Adults</subject><subject>Older people</subject><subject>Performance Tests</subject><subject>Physical examinations</subject><subject>Physical Fitness</subject><subject>Physical Performance Test</subject><subject>Psychomotor Performance</subject><subject>Risk Assessment</subject><subject>Risk factors</subject><subject>Self Care</subject><subject>Self Destructive Behavior</subject><subject>Social services</subject><subject>Social Support</subject><subject>Statistical Analysis</subject><subject>Studies</subject><subject>Symptoms (Individual Disorders)</subject><subject>Syndrome</subject><subject>Urinary incontinence</subject><issn>0016-9013</issn><issn>1758-5341</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>7SW</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNks9v0zAcxS3ExErhzAUhawduae04dpwL0jT2o1MFEgUxcTGu-03nkTjFdib63-MqVQdc2Mn6-n38pO_zQ-gVJRNKKjZdg-9cnBZywiZMyidoREsuM84K-hSNCKEiqwhlx-h5CHckzXlePkPHVPKKMlGM0PdZu9HWt-Aitg7PXIi-3026wacm2nsbLQTc1fi9ts0Wz9ONW2PtVjjeAr4Eb3X01uDF1q1818IOXUBTZx9g3YCJL9BRrZsAL_fnGH25OP98dpXNP17Ozk7nmeEliRnnpVxCLWtRSw6UGpFzqYEsc8MJ1ZRLIYBKxqiAvKq5MYLVpaSmTBMYzsbo3eC76ZctrExawetGbbxttd-qTlv1t-LsrVp39yqXXPBqZ_B2b-C7nz2EqFobDDSNdtD1QYkqkYST_4O0FAkrHwEWtKi4fATIcpmn5cfo5B_wruu9S7mqPPVB0MFtOkDGdyF4qA8hUKJ2rVFDa1QhFVOpNenFmz-ze-D3NUnA6wFI320O8vm1JCSll-RskG2I8Ouga_9DiZKVXF3dfFPXfPHp5qu4UAX7DXdy16c</recordid><startdate>20080601</startdate><enddate>20080601</enddate><creator>Naik, Aanand D.</creator><creator>Burnett, Jason</creator><creator>Pickens-Pace, Sabrina</creator><creator>Dyer, Carmel B.</creator><general>Oxford University Press</general><general>Gerontological Society of America</general><scope>BSCLL</scope><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>ASE</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20080601</creationdate><title>Impairment in Instrumental Activities of Daily Living and the Geriatric Syndrome of Self-Neglect</title><author>Naik, Aanand D. ; Burnett, Jason ; Pickens-Pace, Sabrina ; Dyer, Carmel B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c570t-5578bef8f6f85e11c6258ae0b2c501a15866e183316e29f5cc63f781c729fec53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Activities of Daily Living</topic><topic>Activities of Daily Living - psychology</topic><topic>Adult abuse & neglect</topic><topic>Adventitious Impairments</topic><topic>Aged</topic><topic>Aging (Individuals)</topic><topic>Behavior</topic><topic>Correlation</topic><topic>Cross-Sectional Studies</topic><topic>Daily Living Skills</topic><topic>Elder Abuse</topic><topic>Elder mistreatment</topic><topic>Elderly</topic><topic>Female</topic><topic>Functional assessment</topic><topic>Geriatric Assessment - methods</topic><topic>Geriatric self-neglect</topic><topic>Geriatric syndrome</topic><topic>Geriatrics</topic><topic>Gerontology</topic><topic>Humans</topic><topic>Male</topic><topic>Matched Groups</topic><topic>Models, Psychological</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Mortality Rates</topic><topic>Nursing Homes</topic><topic>Older Adults</topic><topic>Older people</topic><topic>Performance Tests</topic><topic>Physical examinations</topic><topic>Physical Fitness</topic><topic>Physical Performance Test</topic><topic>Psychomotor Performance</topic><topic>Risk Assessment</topic><topic>Risk factors</topic><topic>Self Care</topic><topic>Self Destructive Behavior</topic><topic>Social services</topic><topic>Social Support</topic><topic>Statistical Analysis</topic><topic>Studies</topic><topic>Symptoms (Individual Disorders)</topic><topic>Syndrome</topic><topic>Urinary incontinence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Naik, Aanand D.</creatorcontrib><creatorcontrib>Burnett, Jason</creatorcontrib><creatorcontrib>Pickens-Pace, Sabrina</creatorcontrib><creatorcontrib>Dyer, Carmel B.</creatorcontrib><collection>Istex</collection><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Gerontologist</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Naik, Aanand D.</au><au>Burnett, Jason</au><au>Pickens-Pace, Sabrina</au><au>Dyer, Carmel B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ800856</ericid><atitle>Impairment in Instrumental Activities of Daily Living and the Geriatric Syndrome of Self-Neglect</atitle><jtitle>The Gerontologist</jtitle><addtitle>The Gerontologist</addtitle><date>2008-06-01</date><risdate>2008</risdate><volume>48</volume><issue>3</issue><spage>388</spage><epage>393</epage><pages>388-393</pages><issn>0016-9013</issn><eissn>1758-5341</eissn><coden>GRNTA3</coden><abstract>Purpose: We sought to characterize self-neglect definitively as a geriatric syndrome by identifying an association with functional impairment. Design and Methods: We performed a cross-sectional home evaluation of 100 community-living older adults referred by Adult Protective Services for geriatric self-neglect and 100 matched adults from a community geriatrics clinic. We made our assessments by using two manual muscle tests, a timed-gait test, a modified Physical Performance Test (mPPT), and the Kohlman Evaluation of Living Skills (KELS). Results: Participants in the self-neglect group had impaired mPPT (p <.077) and KELS (p <.001) scores compared with community-controls. Using analysis of covariance models, we found that self-neglect referral explained a significant proportion of the variance in KELS scores (32%; p <.001) but not in mPPT scores (22%; p =.49). Implications: The geriatric syndrome of self-neglect is associated with increased morbidity and mortality and appears to be independently associated with impairments in instrumental activities of daily living. The evaluation and treatment of geriatric self-neglect should be consistent with that of other geriatric syndromes.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>18591364</pmid><doi>10.1093/geront/48.3.388</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0016-9013 |
| ispartof | The Gerontologist, 2008-06, Vol.48 (3), p.388-393 |
| issn | 0016-9013 1758-5341 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2856595 |
| source | Oxford Journals Online; ERIC; Sociological Abstracts |
| subjects | Activities of Daily Living Activities of Daily Living - psychology Adult abuse & neglect Adventitious Impairments Aged Aging (Individuals) Behavior Correlation Cross-Sectional Studies Daily Living Skills Elder Abuse Elder mistreatment Elderly Female Functional assessment Geriatric Assessment - methods Geriatric self-neglect Geriatric syndrome Geriatrics Gerontology Humans Male Matched Groups Models, Psychological Morbidity Mortality Mortality Rates Nursing Homes Older Adults Older people Performance Tests Physical examinations Physical Fitness Physical Performance Test Psychomotor Performance Risk Assessment Risk factors Self Care Self Destructive Behavior Social services Social Support Statistical Analysis Studies Symptoms (Individual Disorders) Syndrome Urinary incontinence |
| title | Impairment in Instrumental Activities of Daily Living and the Geriatric Syndrome of Self-Neglect |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T01%3A26%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impairment%20in%20Instrumental%20Activities%20of%20Daily%20Living%20and%20the%20Geriatric%20Syndrome%20of%20Self-Neglect&rft.jtitle=The%20Gerontologist&rft.au=Naik,%20Aanand%20D.&rft.date=2008-06-01&rft.volume=48&rft.issue=3&rft.spage=388&rft.epage=393&rft.pages=388-393&rft.issn=0016-9013&rft.eissn=1758-5341&rft.coden=GRNTA3&rft_id=info:doi/10.1093/geront/48.3.388&rft_dat=%3Cproquest_pubme%3E1513487441%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c570t-5578bef8f6f85e11c6258ae0b2c501a15866e183316e29f5cc63f781c729fec53%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=210961958&rft_id=info:pmid/18591364&rft_ericid=EJ800856&rfr_iscdi=true |