Elder abuse and neglect: Understanding the causes and potential risk factors

Jones, J. Stephen; Holstege, Christopher P.; Holstege, Henry

doi:10.1016/s0735-6757(97)90162-5

Cited by 37 publications

(19 citation statements)

References 21 publications

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“…The stress management strategies help caregivers cope with the multiple stresses and strains of care-giving, and teaching material can help caregivers acquire the necessary information that assist in caring (Dellasega and Haagen 2004). Although no previous studies provide direct comparison with the findings of this study, Jones et al (1997) supported the findings that elder abuse can stem from lack of care-giving experience, knowledge, and stress management skills, all of which are compounded by a lack of resources. Therefore, managing caregivers' stress and burden may be effective in reducing abusive behavior.…”

Section: Discussionsupporting

confidence: 80%

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Educational support group in changing caregivers’ psychological elder abuse behavior toward caring for institutionalized elders

Hsieh

Wang

Yen

et al. 2008

Adv in Health Sci Educ

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Institutionalized elderly who are frail and dependent are vulnerable to be abused by overwhelmed caregivers especially caregiver psychological abusive behavior is a growing but hidden problem with few evidence-based interventions. The purpose of this study was to examine the effectiveness of an educational support group in alleviating caregiver's psychological abusive behavior, reducing work stress and promoting knowledge of geriatric care-giving among a group of caregivers. A quasi-experimental design using a case control pre-post test approach was conducted. A total of 100 participants completed the study with 50 caregivers in each group. The research instruments included the Caregiver Psychological Elder Abuse Behavior Scale (CPEAB), the Work Stressors Inventory (WSI), and the Knowledge of Gerontology Nursing Scale (KGNS). The results showed that the intervention had significant effects in alleviating caregiver psychological abuse behavior and increasing care-giving knowledge in the experimental group (p = .048; .018). However, the intervention had no measurable effect on work stress (p = .66). Findings have important implications for education and programming for facility administers and long-term care policy makers when planning quality improvement for elderly care.

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Section: Discussionsupporting

confidence: 80%

“…The responsibilities that are associated with care-giving can place overwhelming demands on caregivers (Jones et al 1997). Wu and Wang (2004) stated that care-giving role-related stress, strain, overload, and conflict can cause caregivers to lash out with inappropriate behavior.…”

Section: Introductionmentioning

confidence: 99%

Educational support group in changing caregivers’ psychological elder abuse behavior toward caring for institutionalized elders

Hsieh

Wang

Yen

et al. 2008

Adv in Health Sci Educ

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“…Pesquisas indicam que os idosos com história de maus-tratos apresentam maior prevalência de demência, depressão, problemas de memória e reumatológicos do que aqueles que não foram vitimizados 35,36,37 . Dentre várias hipóteses postuladas para justificar esse excesso de patologias em idosos que vivenciam a violência em seus lares, parece ter destaque a perda da autonomia física e/ou cognitiva, e que, levando à demanda de outra pessoa a realização das atividades diárias e instrumentais, cria conseqüentemente uma relação de "desempoderamento" e subordinação do idoso 11,38 . Certos autores, porém, sugerem que as co-morbidades possam ser, pelo menos em parte, conseqüências da própria violência, na medida em que esta pode gerar um grau de estresse permanente, o que, em si, é um importante mediador das doenças crônico-degenerativas e mentais 39 .…”

Section: Discussionunclassified

Rompendo o silêncio e suas barreiras: um inquérito domiciliar sobre a violência doméstica contra idosos em área de abrangência do Programa Médico de Família de Niterói, Rio de Janeiro, Brasil

2008

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O objetivo do estudo é estimar a prevalência da violência física contra idosos no ambiente doméstico em população adstrita ao Programa Médico de Família de Niterói, Rio de Janeiro, Brasil. Por meio de um inquérito de base populacional, foram entrevistados 322 indivíduos com 60 anos ou mais, selecionados através de amostragem aleatória simples a partir do censo de idosos adstritos a seis equipes de saúde da família. Para detecção de violência física contra idosos, utilizou-se a versão em português da Conflict Tactics Scales (CTS1). A violência física de qualquer gravidade foi relatada por 10,1% (IC95%: 6,7; 13,4) dos entrevistados, enquanto que 7,9% (IC95%: 4,9; 10,8) referiram ter sido vítimas de violência física grave no ano anterior à entrevista. A violência esteve mais presente entre os mais novos, os que moram com maior número de indivíduos, os com história de diabetes e/ou doença articular. A grande magnitude do evento, sua maior prevalência entre indivíduos que apresentam outras vulnerabilidades e suas conseqüências negativas à saúde impõem que a Estratégia Saúde da Família incorpore ações para o enfrentamento da violência física contra idosos às suas atividades de rotina.

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“…Measures of preand post-intervention functioning included a problem checklist, Likert-type measures of Working Alliance and Dependency and Isolation developed by the second and first authors, and identification of elder readiness for change per Prochaska and DiClemente's transtheoretical model of change (1983). The problem checklist was made up of 42 observable risk factors for abuse or poor health in key domains of elder functioning, including Physical and Mental Health, Economic and Housing, Social and Community, and Independent Living (see Figure 1; Jones, Holstege, & Holstege, 1997;Quinn & Tomita, 1997). Outreach specialists used the problem checklist to rate the presence or absence of risk factors such as "diminished cognitive capacity," "at risk of eviction," "conflict in living environment," or "difficulty with activities of daily living."…”

Section: Methodsmentioning

confidence: 99%

Eliciting Change in At-Risk Elders (ECARE): Evaluation of an Elder Abuse Intervention Program

Mariam¹,

McClure²,

Robinson³

et al. 2014

Journal of Elder Abuse & Neglect

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The current study evaluated the effectiveness of a community-based elder abuse intervention program that assists suspected victims of elder abuse and self-neglect through a partnership with local law enforcement. This program, Eliciting Change in At-Risk Elders, involves building alliances with the elder and family members, connecting the elder to supportive services that reduce risk of further abuse, and utilizing motivational interviewing-type skills to help elders overcome ambivalence regarding making difficult life changes. Risk factors of elder abuse decreased over the course of the intervention and nearly three-quarters of participants made progress on their treatment goal, advancing at least one of Prochaska and DiClemente's (1983) stages of change (precontemplation, contemplation, preparation, action, and maintenance). Forty-three percent of elders moved into the stages of action and maintenance regarding their goal. The usefulness of eliciting change via longer-term relationships with vulnerable elders in entrenched elder abuse situations is discussed.

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Elder abuse and neglect: Understanding the causes and potential risk factors

Cited by 37 publications

References 21 publications

Educational support group in changing caregivers’ psychological elder abuse behavior toward caring for institutionalized elders

Educational support group in changing caregivers’ psychological elder abuse behavior toward caring for institutionalized elders

Rompendo o silêncio e suas barreiras: um inquérito domiciliar sobre a violência doméstica contra idosos em área de abrangência do Programa Médico de Família de Niterói, Rio de Janeiro, Brasil

Eliciting Change in At-Risk Elders (ECARE): Evaluation of an Elder Abuse Intervention Program

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