老年人自我忽视研究:现状与展望

doi:10.16187/j.cnki.issn1001-4918.2015.03.16

摘要/Abstract

摘要： 近年来, 老年人的自我忽视逐渐受到国外研究者的关注。这是因为老年人自我忽视与老年人死亡率具有高相关, 对其死亡风险具有警报功能。自我忽视具有复杂的特征表现, 常伴随着某些心理障碍和生理疾病。针对这一新兴研究课题, 本文梳理和介绍了有关老年人自我忽视的特征、普遍性、危害性、诊断工具、影响因素、理论模型、干预训练及相关的社工研究成果。国外的老年人自我忽视研究呈现出研究内容多样、研究范围从家庭向社区和养老机构扩展的优点, 但也存在概念狭义化、理论维度建构不完善、研究内容广度与深度不足、研究方法单一、诊断工具不统一、预防与干预研究相对缺乏等局限。基于上述分析, 本文进一步提出了老年人自我忽视心理研究的未来发展方向。

关键词: 老年人, 自我忽视, 影响因素, 干预

Abstract: In recent years, Elderly self-neglect (ESN) has drawn the increasing attention from foreign researchers. This is mainly because ESN exhibits a significant positive correlation with mortality risk of the aged, and can be regarded as a predictable sign of mortality risk of the aged. Self neglect has the complex characteristics, and goes along with some psychological disorders and physical illnesses. Aiming at the new research topic, this article introduces and combs the research results of ESN, including characteristics, prevalence,hazard, diagnostic tools, influencing factors, theoretical models, intervention training, and social workers engaging in nursing the aged. Foreign researches of ESN offers the following benefits: the study contents become to more and more variety, the study range expands from family field to community and old-age care institutions fields. But there are some limitations in foreign ESN research field, such as conceptual narrowing, imperfection of theoretical dimensions construction, lacking width and depth of research content, singularity of research method, uniformity of diagnostic tools, insufficient prevention and intervention researches. Based on the above analysis, the future research development trends on psychological research field of ESN are given.

Key words: the elders, self-neglect, influence factors, intervention

中图分类号:

B844

陈璟. 老年人自我忽视研究:现状与展望[J]. 心理发展与教育, 2015, 31(3): 377-384.

CHEN Jing. The Elders' Self-neglect: Research Status and Its Prospects[J]. Psychological Development and Education, 2015, 31(3): 377-384.

参考文献

Abrams,R. C., Lachs, M., Mcavay, G., Keohane, D. J., & Bruce, M. L. (2002). Predictors of self-neglect in community-dwelling elders. American Journal of Psychiatry, 159(10), 1724-1730.
Alexa, I. D., Ilie, A. C., Morošanu, A., Stamos, P. E., & Räihä, I. (2012). Self-neglect in elders: a worldwide issue ignored in Romania. RevistaRomana de Bioetica, 10(1), 141-148.
Alon, S., & Berg-Warman, A. (2013). Treatment and prevention of elder abuse and neglect: where knowledge and practice meet-amodel for intervention to prevent and treat elder abuse in Israel. Journal of Elder Abuse & Neglect, 26(2), 150-171.
Burnett, J., Coverdale, J. H., Pickens, S., & Dyer, C. B. (2006). What is the association between self-neglect, depressive symptoms and untreated medical conditions? Journal of Elder Abuse & Neglect, 18(4), 25-34.
Burnett, J., Regev, T., Pickens, S., Prati, L. L., Aung, K., Moore, J., & Dyer, C. B. (2006). Social networks: A profile of the elderly who self-neglect. Journal of Elder Abuse & Neglect, 18(4), 35-49.
Burnett, J. (2012). Mistreatment and self-neglect in community dwelling older adults: studies of construct validity, measurement invariance and latent classes. Texas Medical Center Dissertations.
Chan, C. M., Tang, P. Y., & Chung, Y. Y. (2011). Exploratory study of neglect among elderly in Hong Kong: a family perspective. Lingnan University: Final Report of Asia Pacific Institute of Aging Studies.
Choi, N. G., & Mayer, J. (2000). Elder abuse, neglect, and exploitation: risk factors and prevention strategies. Journal of GerontologicalSocial Work, 33(2), 5-25.
Dong, X. (2007).Self-neglect severity and psychosocial factors in a biracial population. Poster presented at the annual meetings of the Gerontological Society of America, San Francisco, CA.
Dong, X., de Leon, C. F. M., & Evans, D. A. (2009). Is greater self-neglect severity associated with lower levels of physical function? Journal of Aging and Health, 21(4), 596-610.
Dong, X., Simon, M., Beck, T., & Evans, D. (2010). A cross-sectional population-based study of elder self-neglect and psychological, health, and social factors in a biracial community. Aging and Mental Health, 14(1), 74-84.
Dong, X., Simon, M. A., & Evans, D. A. (2011). Prevalence of self-neglect across gender, race, and socioeconomic status: findings from the Chicago Health and Aging Project. Gerontology, 58(3), 258-268.
Dong, X., Simon, M. A., & Evans, D. (2012a). Elder self-neglect and hospitalization: findings from the Chicagohealth and aging project. Journal of the American Geriatrics Society, 60(2), 202-209.
Dong, X., Simon, M. A., & Evans, D. (2012b). Prospective study of the elder self-neglect and ED use in a community population. The American Journal of Emergency Medicine, 30(4), 553-561.
Dong, X., Simon, M., & Evans, D. (2013). Elder self-neglect is associated with increased risk for elder abuse in a community-dwelling population findings from the Chicago Health and Aging Project. Journal of Aging and Health, 25(1), 80-96.
Dong, X., Simon, M. A., Fulmer, T., de Leon, C. F. M., & Hebert, L. E. (2011). A prospective population-based study of differences in elder self-neglect and mortality between black and white older adults. The Journals of Gerontology, 66(6), 695-704.
Dong, X., Simon, M., de Leon, C. M., Fulmer, T., Beck, T., Hebert, L., & Evans, D. (2009).Elder self-neglect and abuse and mortality risk in a community-dwelling population. The Journal of the American Medical Association, 302(5), 517-526.
Dong, X., Simon, M. A., Mosqueda, L., & Evans, D. A. (2012). The prevalence of elder self-neglect in a community-dwelling population hoarding, hygiene, and environmental hazards. Journal of Aging and Health, 24(3), 507-524.
Dong, X., Simon, M., Wilson, R. S., Beck, T., & Kelly, M. (2011). Association of personality traits with elder self-neglect in a community-dwelling population. The American Journal of Geriatric Psychiatry, 19(8), 743-751.
Dong, X., Simon, M. A., Wilson, R. S., de Leon, M., Carlos, F., Rajan, K. B., & Evans, D. A. (2010). Decline in cognitive function and risk of elder self-neglect: finding from the Chicago health aging project. Journal of the American Geriatrics Society, 58(12), 2292-2299.
Dong, X., Tang, Y., Gorbien, M., & Evans, D. (2008). Personality traits and elder self-neglect severity among community dwelling population. Journal of the American Geriatrics Society, 56, 10-15.
Dong, X., Wilson, R. S., de Leon, M., C, F., & Evans, D. A. (2010). Self-neglect and cognitive function among community-dwelling older persons. International Journal of Geriatric Psychiatry, 25(8), 798-806.
Doron, I. I., Band-Winterstein, T., & Naim, S. (2013). The meaning of elder self-neglect: Social workers' perspective. The International Journal of Aging and Human Development, 77(1), 17-36.
Dyer, C. B., Goodwin, J. S., Pickens-Pace, S., Burnett, J., & Kelly, P. A. (2007). Self-neglect among the elderly: a model based on more than 500 patients seen by a geriatric medicine team. American Journal of Public Health, 97(9), 1671-1676.
Dyer, C. B., Kelly, P. A., Pavlik, V. N., Lee, J., Doody, R. S., Regev, T., et al. (2007). The making of a self-neglect severity scale. Journal of Elder Abuse & Neglect, 18(4), 13-23.
Franzini, L., & Dyer, C. B. (2008). Healthcare costs and utilization of vulnerable elderly people reported to adult protective services for self-neglect. Journal of the American Geriatrics Society, 56(4), 667-676.
Friborg, O., Hjemdal, O., Rosenvinge, J. H., Martinussen, M., Aslaksen, P. M., & Flaten, M. A. (2006). Resilience as a moderator of pain and stress. Journal of Psychosomatic Research, 61(2), 213-219.
Gibbons, S., Lauder, W., & Ludwick, R. (2006). Self-neglect: A proposed new NANDA diagnosis. International Journal of Nursing Terminologies and Classifications, 17(1), 10-18.
Gunstone, S. (2003). Risk assessment and management of patients whom self-neglect: a 'grey area'for mental health workers. Journal of Psychiatric and Mental Health Nursing, 10(3), 287-296.
Hildebrand, C., Taylor, M., & Bradway, C. (2013). Elder self-neglect: The failure of coping because of cognitive and functional impairments. Journal of the American Association of Nurse Practitioners, 10, 303-315.
Iecovich, E. (2005). Elder abuse and neglect in Israel: A comparison between the general elderly population and elderly new immigrants. Family Relations, 54(3), 436-447.
Iris, M., Conrad, K. J., & Ridings, J. (2014). Observational measure of elder self-neglect. Journal of Elder Abuse & Neglect, 4(26), 365-397.
Iris, M., Ridings, J. W., & Conrad, K. J. (2010). The development of a conceptual model for understanding elder self-neglect. The Gerontologist, 50(3), 303-315.
Kelly, P. A., Dyer, C. B., Pavlik, V., Doody, R., & Jogerst, G. (2008). Exploring self-neglect in older adults: preliminary findings of the self-neglect severity scale and next steps. Journal of the American Geriatrics Society, 56(2), 253-259.
Lauder, W. (1999). A survey of self-neglect in patients living in the community. Journal of Clinical Nursing, 8(1), 95-102.
Lauder, W., Anderson, I., & Barclay, A. (2002). Sociological and psychological theories of self-neglect. Journal of Advanced Nursing, 40(3), 331-338.
Lamond, A. J., et al. (2008). Measurement and predictors of resilience among community dwelling older women. Journal of Psychiatric Research, 43(2), 148-154.
Longres, J. F. (1995). Self-neglect among the elderly. Journal of Elder Abuse & Neglect, 7(1), 69-86.
National Center on Elder Abuse. (2006). The 2004 survey of State Adult Protective Services: abuse of adults 60 years of age and older. Washington, DC: U.S. Administration on Aging.
Naughton, C., et al. (2010). Abuse and neglect of older people in Ireland. Dublin, Ireland: National Center for the Protection of Older People, University College Dublin.
O'Keeffe, et al. (2007). UK Study of Abuse and Neglect of Older People Prevalence Survey Report. Comic Relief.
Paveza, G., VandeWeerd, C., & Laumann, E. (2008). Elder self-neglect: A discussion of a social typology. Journal of the American Geriatrics Society, 56(2), 271-275.
Pavlou, M. P., & Lachs, M. S. (2006). Could self-neglect in older adults be a geriatric syndrome? Journal of the American Geriatrics Society, 54(5), 831-842.
Pavlou, M. P., & Lachs, M. S. (2008). Self-neglect in older adults: a primer for clinicians. Journal of General Internal Medicine, 23(11), 1841-1846.
Pickens, S., Burnett, J., Naik, A. D., Holmes, H. M., & Dyer, C. B. (2007). Is pain a significant factor in elder self-neglect? Journal of Elder Abuse & Neglect, 18(4), 51-61.
Poythress, E. L., Burnett, J., Naik, A. D., Pickens, S., & Dyer, C. B. (2007). Severe self-neglect: an epidemiological and historical perspective. Journal of Elder Abuse & Neglect, 18(4), 5-12.
Sengstock, M. C., Thibault, J. M., & Zaranek.R. (2008). Community dimensions of elderly self-neglect. Journal of Elder Abuse & Neglect, 11(2), 77-93.
Tierney, M. C., Snow, W. G., Charles, J., Moineddin, R., & Kiss, A. (2007). Neuropsychological predictors of self-neglect in cognitively impaired older people who live alone. American Journal of Geriatric Psychiatry, 15(2), 140-148.
Turner. A., Hochschild. A., Burnett. J., Zulfiqar. A., & Dyer. C. B. (2012). High prevalence of medication non-adherence in a sample of community-dwelling older adults with adult protective services-validated self-neglect. Drugs Aging, 29, 741-749.
Zunzunegui, M. V., Alvarado, B. E., Del Ser, T., & Otero, A. (2003). Social networks, social integration, and social engagement determine cognitive decline in community-dwelling Spanish older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58(2), S93-S100.
栾文敬, 杨帆, 串红丽, 胡宏伟. (2012). 我国老年人心理健康自评及其影响因素研究. 西北大学学报(哲学社会科学版),42(3), 75-84.
聂淼, 汪全海, 姚应水. (2011). 我国留守和空巢老人心理问题研究进展. 中国老年学杂志,31(12), 2364-2366.
王大华, 佟雁, 周丽清, 申继亮. (2004). 亲子支持对老年人主观幸福感的影响机制. 心理学报, 36(1), 78-82.
周怡君, 陆凤屏, 詹鼎正. (2012). 老年人的自我忽视与虐待. 台北市医师公会会刊,56(4), 48-50.
周晓虹. (1997). 现代社会心理学. 上海: 上海人民出版社.

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