Paveza Gregory, Vandeweerd Carla, Laumann Edward
University of South Florida Lakeland, Lakeland, Florida, USA.
J Am Geriatr Soc. 2008 Nov;56 Suppl 2:S271-5. doi: 10.1111/j.1532-5415.2008.01980.x.
This article presents a theoretical framework for the study of social and behavioral factors associated with elder self-neglect. The model presented reflects the authors' beliefs that a risk-vulnerability model offers a useful framework from which to study all forms of elder mistreatment, as well as elder self-neglect. This model has particular utility, because it can begin to define the elements of risk and vulnerability that may be addressed using preventative measures as opposed to solely addressing intervention, which is often the case when addressing elder mistreatment and self-neglect. The authors then address a method for using the Consortium for Research in Elder Self-neglect of Texas data as currently constructed and adding to that database to effectively study risks and vulnerabilities in the elder self-neglect population. These additional data would greatly expand the scope of the study. The discussant adds his perspective to the ideas proposed by the authors.
本文提出了一个用于研究与老年人自我忽视相关的社会和行为因素的理论框架。所呈现的模型反映了作者的信念，即风险 - 脆弱性模型为研究各种形式的老年人虐待以及老年人自我忽视提供了一个有用的框架。该模型具有特殊的效用，因为它可以开始定义那些可以通过预防措施来应对的风险和脆弱性因素，而不是仅仅关注干预措施，在处理老年人虐待和自我忽视问题时往往只注重干预措施。作者接着阐述了一种方法，即利用德克萨斯州老年人自我忽视研究联盟当前构建的数据，并向该数据库添加数据，以便有效地研究老年人自我忽视群体中的风险和脆弱性。这些额外的数据将极大地扩展研究范围。讨论者对作者提出的观点发表了自己的看法。
