The psychological health consequences of elder abuse and neglect in sheltered homes

Background Psychological health effects of elder abuse and neglect in sheltered homes are unknown. Objectives:The objective of the present study was to determine if several types of elder abuse were related to an increased likelihood of negative psychological health. Methods Data were derived from the elder mistreatment in sheltered homes project, a cross-sectional study conducted in 2018 that included 446 older adults living in 43 sheltered homes.A face-to-face interview was carried out to complete structured questionnaires for participants to assess the psychological health effects of different subtypes of elder abuse. Results All subtypes of elder abuse were significantly associated with increased prevalence rates of depressive symptoms and sleep problems. Similarly, all subtypes except physical abuse were associated with higher rates of anxiety symptoms. In multivariate regression analysis, Older adults who reported physical mistreatment were three times more likely to experience suicidal ideation(OR=3.28, 95% CI=1.14 to 9.44), while no other subtypes were significantly associated with suicidal ideation.Older adults who report at least one type of abuse were eight times more likely to have depressive symptoms (OR=7.99, 95% CI=4.43 to 14.41), twice as likely to screen positive for anxiety symptoms(OR=2.05, 95% CI=1.20 to 3.49), three times more likely to have sleep problems (OR=3.20, 95% (CI=1.78 to 5.75). All subtypes of abuse were significantly associated with the presence of depressive symptoms, sleep problems, and anxiety symptoms except physical mistreatment. Conclusion Abuse is common among older adults living in sheltered homes and is associated with negative impacts on psychological health.

Fostering Well-Being in the Elderly: Translating Theories on Positive Aging to Practical Approaches

This article overviews positive aging concepts and strategies to enhance well-being in the elderly and then presents a translation of theories on positive aging to practical approaches for Positive Aging. Drawing upon positive psychology and positive aging research and tools, this program is designed to help older adults improve their well-being by acquiring skills and strategies to cope with present and future challenges. The Mental Fitness Program for Positive Aging (MFPPA) can enhance seniors' quality of life by increasing their vital involvement and active engagement in life. This model is most appropriate for community dwelling individuals. It can easily be conducted in wide range of adult education programs in community centers, sheltered homes, and primary care clinics. It can also be conducted through online psychoeducational training.

Psychometric Evaluation of the Malay Version of the Multidimensional Beck Youth Inventories-2 (BYI-2 Malay): Measuring Self-Concept, Anxiety, Depression, Anger, and Disruptive Behaviour among Adolescents in Sheltered Homes

The purpose of this study was to evaluate the psychometric properties of the Malay version of the Beck Youth Inventories-Second Edition (BYI-2 Malay) in a sample of adolescents living in the nongovernment-run sheltered homes. In this study, 300 adolescents completed the BYI-2 Malay, the Beck Depression Inventory-Malay (BDI-Malay), the Beck Anxiety Inventory-Malay (BAI-Malay), the Automatic Thoughts Questionnaire-Malay (ATQ-Malay), and the Rosenberg Self-Esteem Scale-Malay (RSES-Malay). The internal consistency estimates for the BYI-2 Malay scales, as measured by Cronbach’s alpha, were excellent: .86 for self-concept, .89 for anxiety, .92 for depression, .92 for anger, and .92 for disruptive behaviours. The five-factor model of the BYI-2 Malay (i.e., Self-Concept, Anxiety, Depression, Anger, and Disruptive Behaviour) showed a good fit to the data. Evidence for concurrent validity was established between the BYI-2 Malay Self-Concept scale and the RSES-Malay (r = .41), between the BYI-2 Malay Anxiety scale and the BAI-Malay (r = .60), and between the BYI-2 Malay Depression scale and the BDI-Malay (r = .69). The evidence for convergent validity was established between the BYI-2 Malay Anger scale and the ATQ-Malay (r = .71), and between BYI- 2 Malay Disruptive Behaviour scale and the ATQ Malay (r =.52). The present findings shed light on the utility of the BYI-2 Malay in aiding clinicians as well as therapists for identifying multiple symptoms of social and emotional problems in adolescents.

Prevalence and Associated Factors of Depression and Anxiety in Adolescents Residing in Malay-operated Non-government-run Sheltered Homes in Selangor, Malaysia

This study aimed to determine the prevalence of depression, anxiety, and the associated factors among 632 adolescents (age range: 13-17 years, Mage = 14.47, SD = 1.32) staying in sheltered homes in Malaysia. The Malay versions of the Beck Depression Inventory, Beck Anxiety Inventory, Automatic Thoughts Questionnaire, and Rosenberg Self-Esteem Scale were applied. The overall prevalence of mild to severe depression and anxiety in this study was 70.9% and 82.3% respectively, with 64.1% for comorbidity of both symptoms. Specifically, the prevalence rates of minimal, mild, moderate, and severe depressive symptoms were 29.1%, 38.4%, 22.4%, and 10.1% respectively whereas the prevalence rates of minimal, mild, moderate, and severe anxiety symptoms were 17.7%, 27.7%, 33.2%, and 21.4% respectively. The severity of negative automatic thoughts increased with the severity of depression and anxiety. Age, anxiety, negative automatic thoughts, and self-esteem were significantly associated with depression while depression, negative automatic thought, and anger were significantly associated with anxiety. The high rates of depression and anxiety among adolescents residing in the sheltered homes indicate the need to identify these at-risk populations and provide trained personnel who can deliver psychiatric and psychological services at sheltered homes.

Prevalence and Risk Factors of Elder Mistreatment in Sheltered Homes

Elder mistreatment is common in both community and institutional settings. However, the prevalence of elder mistreatment and its association with risk factors in sheltered homes are unknown. The primary objective of this study was to determine the prevalence and types of mistreatment among elderly living in sheltered homes. A second objective was to compare socio-demographics and other characteristics between elderly groups with or without a history of mistreatment. This cross-sectional study was conducted in 43 sheltered homes and utilized a face-to face, self-reporting interview with residents to complete structured question regarding each participant’s previous 12 months. The questionnaires included seven sections, including one section for demographics, five sections for subtypes of mistreatments (physical, psychological, financial, sexual, and neglect), and one section about health status and functional capacity. Among the 446 elderly participants, 81% of all participants experienced at least one type of mistreatment. Psychological was the most common type of elder mistreatment (71%), followed by neglect (67%), financial mistreatment (54%), and physical mistreatment (13%). Sexual mistreatment was rarely reported by the participants (0.01%). The most common risk factors associated with elder mistreatment were female gender and chronic illnesses. Elder mistreatment is common among the elderly living in sheltered homes, particularly in woman and those with chronic illness. Further studies are needed to better understand the risk factors that lead to the high prevalence of mistreatment in these settings.

Serviços Residenciais Terapêuticos como instrumentos de mudança nas concepções sobre saúde mental / The Sheltered Homes as instruments of change in the mental health care

Os Serviços Residenciais Terapêuticos (SRT) são uma importante estratégia de inclusão de pessoas com transtornos mentais na cidade. Nas últimas décadas, no Brasil, tem sido estimulada a criação desses serviços como forma de concretizar os ideais do movimento da Reforma Psiquiátrica, cuja contestação ao modelo asilar representado pelo hospital psiquiátrico implicou no surgimento dos serviços substitutivos. Este estudo discutiu a implementação dos SRT em Belo Horizonte e problematizou as interações sociais entre os vizinhos e os moradores dessas casas e suas percepções sobre os transtornos mentais, a partir de 60 entrevistas. Concluiu-se que esse serviço tem extrema relevância e que os atores envolvidos devem promover a integração dos moradores com a vizinhança. Além disso, o ritmo de instalação dos SRT é lento e insuficiente, se considerada a necessidade e sua potência terapêutica.