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敌意和应对能力作为虐待老年人的风险因素。

Hostility and coping capacity as risk factors of elder mistreatment.

作者信息

Comijs H C, Jonker C, van Tilburg W, Smit J H

机构信息

Institute for Research in Extramural Medicine, Vrije Universiteit, Amsterdam, The Netherlands.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 1999 Jan;34(1):48-52. doi: 10.1007/s001270050111.

DOI:10.1007/s001270050111
PMID:10073121
Abstract

In the present study we investigate whether, in addition to established risk factors, some personality traits of the victims are associated with elder mistreatment. Identified victims of chronic verbal aggression (n = 37), physical aggression (n = 38) and financial mistreatment (n = 55) as well as equal-sized control groups were interviewed. The control groups were matched on age, gender, and the characteristics that have been identified as risk factors for the types of elder mistreatment listed above. All respondents were over 65 years of age. In a standardised interview, commonly used instruments were utilised to assess coping style, locus of control, perceived self-efficacy and hostility. To analyse the data multivariate logistic regression analyses were performed. The study found that, chronic verbal aggression was associated with having less control over problem situations and a higher tendency to react aggressively when feeling angry or frustrated. Physical aggression was associated with a passive and avoidant way of handling problems. Financial mistreatment was associated with having negative beliefs of self-efficacy and a tendency to turn aggression and frustration on themselves. These results indicate that in addition to the established risk factors, some personality traits of the victims have to be considered as risk factors of elder mistreatment. The way people handle problems makes them more or less vulnerable to becoming victims of elder mistreatment. Furthermore, the results indicate that elder mistreatment may be associated to some extent with long-standing interaction patterns among family members. These findings are important for prevention of an intervention in cases of elder mistreatment.

摘要

在本研究中,我们调查了除已确定的风险因素外,受害者的某些人格特质是否与虐待老年人有关。我们对已确定的长期遭受言语攻击的受害者(n = 37)、身体攻击的受害者(n = 38)和经济虐待的受害者(n = 55)以及规模相当的对照组进行了访谈。对照组在年龄、性别以及已被确定为上述虐待老年人类型的风险因素的特征方面进行了匹配。所有受访者均年龄超过65岁。在标准化访谈中,使用常用工具来评估应对方式、控制点、自我效能感和敌意。为了分析数据,我们进行了多变量逻辑回归分析。研究发现,长期遭受言语攻击与对问题情境的控制能力较弱以及在感到愤怒或沮丧时更倾向于攻击性反应有关。身体攻击与被动和回避的问题处理方式有关。经济虐待与自我效能感的负面信念以及将攻击性和挫折感转向自身的倾向有关。这些结果表明,除了已确定的风险因素外,受害者的某些人格特质也必须被视为虐待老年人的风险因素。人们处理问题的方式使他们或多或少更容易成为虐待老年人的受害者。此外,结果表明,虐待老年人在一定程度上可能与家庭成员之间长期的互动模式有关。这些发现对于预防虐待老年人的干预措施具有重要意义。

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