Hegyi L, Cagán S
Výskumný ústav gerontológie, Malacky.
Vnitr Lek. 1994 May;40(5):325-8.
Geriatric maladaptation syndrome is a demonstration of adaptation failure, which is typical for higher age. This failure occurred on the basis of chronic stress caused usually by relevant psychosocial stimulus, with clinical manifestation mainly in cardiovascular or immune systems followed with serious threaten of health and life. A lost of independence, loneliness, change of dwelling-place and living standard, low income, stages of confusion, mental disease, passive life attitude belong to psychosocial risks of the origin of geriatric maladaptation syndrome. Higher age and bad health status belong to biological risks of the origin of geriatric maladaptation syndrome. Clinical image of geriatric maladaptation syndrome has three phases (1. development of stress reaction, 2. full clinical image development of adaptation failure, 3. followed phase of adaptation reaction). It is a set of somatic disorders, which threaten a life of old people. These disorders arose in a consequence of inadequate adaptation to stress life event. Geriatric maladaptation syndrome is significantly different from mentioned adaptation disorders because of its clinical course and frequently unfavourable prognosis. In international classification of diseases it should have an independent item G 43.8.
老年适应不良综合征是适应失败的一种表现，这在高龄人群中很典型。这种失败是在通常由相关心理社会刺激引起的慢性应激基础上发生的，临床表现主要在心血管或免疫系统，随后对健康和生命构成严重威胁。失去独立性、孤独感、居住地点和生活水平的改变、低收入、困惑阶段、精神疾病、消极的生活态度属于老年适应不良综合征产生的心理社会风险。高龄和健康状况不佳属于老年适应不良综合征产生的生物学风险。老年适应不良综合征的临床影像有三个阶段（1. 应激反应的发展，2. 适应失败的完整临床影像发展，3. 随后的适应反应阶段）。它是一组威胁老年人生命的躯体疾病。这些疾病是由于对应激性生活事件适应不足而产生的。老年适应不良综合征因其临床病程和常常不良的预后与上述适应障碍有显著不同。在国际疾病分类中，它应有一个独立的条目G 43.8。
