Sudan Aarushi, Shahi Pratyush, Julka Dhawani
Psychiatry, University College of Medical Science and Guru Teg Bahadur Hospital, Delhi, IND.
Orthopaedics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, IND.
Cureus. 2020 Apr 30;12(4):e7906. doi: 10.7759/cureus.7906.
Objective Our aim in this study is to assess the prevalence of abuse in elders with psychiatric illness and its association with various sociodemographic variables. Methods This cross-sectional comparative study included 300 elderly (aged more than 65 years) patients divided into two groups. Group 1 consisted of 150 patients with psychiatric illnesses presenting to the psychiatry outpatient department (OPD), whereas group 2 comprised 150 patients with somatic illnesses presenting to the OPDs of other departments. Elder Abuse Suspicion Index (EASI) was used as a screening tool for the detection of elder abuse. In patients with suspicion of abuse on EASI, the Actual Abuse Tool was used for confirmation and assessment. Results A significantly higher prevalence of abuse was seen in elders with psychiatric illness (21.3%) compared to those with somatic illness (4%). Among sociodemographic variables, a significant correlation was found between elder abuse and gender, literacy, and marital status. Conclusions Elder abuse is a serious social problem. Awareness should be raised to improve the attitude and behavior towards seniors. Healthcare professionals, especially in the psychiatry field, should be made more capable of and open towards early detection of and intervention against elder abuse. Further research on this topic in India is highly recommended.
目的 本研究的目的是评估患有精神疾病的老年人中虐待行为的发生率及其与各种社会人口统计学变量的关联。方法 这项横断面比较研究纳入了300名老年人(年龄超过65岁),分为两组。第1组由150名到精神科门诊就诊的患有精神疾病的患者组成,而第2组由150名到其他科室门诊就诊的患有躯体疾病的患者组成。老年人虐待怀疑指数(EASI)被用作检测老年人虐待的筛查工具。对于EASI筛查怀疑有虐待行为的患者,使用实际虐待工具进行确认和评估。结果 与患有躯体疾病的老年人(4%)相比,患有精神疾病的老年人中虐待行为的发生率显著更高(21.3%)。在社会人口统计学变量中,发现老年人虐待与性别、识字率和婚姻状况之间存在显著相关性。结论 老年人虐待是一个严重的社会问题。应提高认识,以改善对老年人的态度和行为。医疗保健专业人员,尤其是精神科领域的人员,应更有能力并更愿意早期发现和干预老年人虐待行为。强烈建议在印度对该主题进行进一步研究。