Objective: This study examined the association between severity of self-neglect and physical function in a population of community-dwelling older adults. Method: Participants were older adults (N = 1,094) reported to the Chicago Department on Aging for suspected self-neglect from 1993 to 2005, who also participated in the Chicago Health Aging Project. The primary outcome of physical function was assessed using physical performance tests. Secondary outcomes were assessed using the Katz, Nagi, and Rosow-Breslau scales. Multiple regression models were used to assess these associations. Results: After adjusting for confounders, higher self-neglect severity scores were associated with lower physical performance testing (coefficient = —.062, p = .001). Greater self-neglect severity was also correlated with the reported number of impairments on the Katz, Nagi, and Rosow-Breslau scales (coefficients = .024, .024, and .016, respectively, p = .001). Discussion: Higher self-neglect severity is associated with lower levels of physical function among older adults.
Abrams, R.C., Lachs, M., McAvay, G., Keohane, D.J., & Bruce, M.L. (2002). Predictors of self-neglect in community-dwelling elders. American Journal of Psychiatry, 159, 1724-1730.
2.
Bienias, J.L., Beckett, L.A., Bennett, D.A., Wilson, R.S., & Evans, D.A. (2003). Design of the Chicago Health and Aging Project (CHAP). Journal of Alzheimers Disease, 5, 349-355.
3.
Cornwall, J.V. (1981). Filth, squalor and lice. Self neglect in the elderly . Nursing Mirror, 153, 48-49.
4.
Dyer, C.B., Goodwin, J.S., Pickens-Pace, S., Burnett, J., & Kelly, P.A. (2007a). Self-neglect among the elderly: A model based on more than 500 patients seen by a geriatric medicine team. American Journal of Public Health, 97, 1671-1676.
5.
Dyer, C.B., Pickens, S., & Burnett, J. (2007b). Vulnerable elders: When it is no longer safe to live alone. Journal of the American Medical Association , 298, 1448-1450.
6.
Evans, D.A., Bennett, D.A., Wilson, R.S., Bienias, J.L., Morris, M.C., Scherr, P.A., et al. (2003). Incidence of Alzheimer disease in a biracial urban community: Relation to apolipoprotein E allele status. Archives of Neurology, 60, 185-189.
7.
Fleiss, J.L. (1971). Measuring nominal scale agreement among many raters . Psychological Bulletin, 76, 378-382.
8.
Gill, T.M., Williams, C.S., & Tinetti, M.E. (1995). Assessing risk for the onset of functional dependence among older adults: The role of physical performance. Journal of the American Geriatrics Society, 43, 603-609.
9.
Guralnik, J.M., Simonsick, E.M., Ferrucci, L., Glynn, R.J., Berkman, L.F., Blazer, D.G., et al. (1994). A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology , 49, M85-M94.
10.
Illinois Department on Aging. (1989). Determination of need revision: Final report (Vol. 1)Springfield, IL: Author.
11.
Johnson, N.E. (2000). The racial crossover in comorbidity, disability, and mortality. Demography, 37, 267-283.
12.
Katz, S., & Akpom, C.A. (1976). A measure of primary sociobiological functions . International Journal of Health Services, 6, 493-508.
13.
Lachs, M.S., Williams, C., O'Brien, S., Hurst, L., & Horwitz, R. (1996). Older adults. An 11-year longitudinal study of adult protective service use. Archives of Internal Medicine , 156, 449-453.
14.
Longres, J.F. (1995). Self-neglect among the elderly. Journal of Elder Abuse and Neglect, 7, 87-105.
15.
Mendes de Leon, C.F. (2007). Aging and the elapse of time: A comment on the analysis of change. Journals of Gerontology Series B: Psychological Science and Social Science, 62, S198-S202.
16.
Nagi, S.Z. (1976). An epidemiology of disability among adults in the United States. Milbank Memorial Fund Quarterly, 54, 439-467.
17.
Naik, A.D., Burnett, J., Pickens-Pace, S., & Dyer, C.B. (2008). Impairment in Instrumental activities of daily living and the geriatric syndrome of self-neglect. The Gerontologist , 48, 388-393.
18.
National Center on Elder Abuse. (1998). The national elder abuse incidence study. Washington, DC : American Public Human Services Association.
19.
National Center on Elder Abuse. (2006). The 2004 survey of state adult protective services: Abuse of adults 60 years of age and older. Retrieved February 19, 2008, from http://www.apsnetwork.org/Resources/docs/AbuseAdults60.pdf
20.
National Center on Elder Abuse Website. (2006 ). NCEA: The basics. Retrieved March 3, 2009 , from http://www.ncea.aoa.gov/NCEAroot/Main_Site/FAQ/Basics/Types_Of_Abuse.aspx
21.
Nelson, F.L., & Farberow, N.L. (1980). Indirect self-destructive behavior in the elderly nursing home patient. Journal of Gerontology , 35, 949-957.
22.
Olsen, J., & Jeune, B. (1980). The mortality experience of early old-age and disability pensioners from unskilled-and semiskilled labour groups in Fredericia . Scandinavian Journal of Social Medicine-Supplementum, 16, 50-52.
23.
O'Rawe, A.M. (1982). Nursing care study: Self-neglect-A challenge for nursing. Nursing Times, 78, 1932-1936.
24.
Orrell, M.W., Sahakian, B.J., & Bergmann, K. (1989). Self-neglect and frontal lobe dysfunction. British Journal of Psychiatry, 155, 101-105.
25.
Pavlou, M.P., & Lachs, M.S. (2006). Could self-neglect in older adults be a geriatric syndrome? Journal of the American Geriatrics Society, 54, 831-842.
26.
Pickens, S., Naik, A.D., Burnett, J., Kelly, P.A., Gleason, M., & Dyer, C.B. (2007). The utility of the Kohlman evaluation of living skills test is associated with substantiated cases of elder self-neglect. Journal of the American Academy of Nurse Practitioners, 19, 137-142.
27.
Rosow, I., & Breslau, N. (1966). A Guttman health scale for the aged. Journal of Gerontology, 21, 556-559.
28.
Teaster, P.B. (2002). A response to abuse of vulnerable adults: The 2000 survey of state adult protective services. Available at: Retrieved March 3, 2009, from http://www.ncea.aoa.gov/ncearoot/Main_Site/pdf/research/apsreport030703.pdf
29.
Wallman, T., Wedel, H., Johansson, S., Rosengren, A., Eriksson, H., Welin, L., et al. (2006). The prognosis for individuals on disability retirement. An 18-year mortality follow-up study of 6,887 men and women sampled from the general population. BMC Public Health, 6, 103.
