Exploring self-neglect in older adults: preliminary findings of the self-neglect severity scale and next steps.
Exploring self-neglect in older adults: preliminary findings of the self-neglect severity scale and next steps.
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DOI：
10.1111/j.1532-5415.2008.01977.x
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发表时间：
2008-11
影响因子：
6.3
通讯作者：
Jogerst G
中科院分区：
文献类型：
--
作者：
Kelly PA;Dyer CB;Pavlik V;Doody R;Jogerst G
尽管自我忽视会对公共健康产生影响，但没有工具可以描述这种情况。自我忽视者通常没有照顾者或代理人就忽视问题进行访谈，而且往往认知能力受损而无法提供有效的自我报告。针对这一需求，德克萨斯州老年人自我忽视研究联盟（CREST）的研究人员与老年人自我忽视领域的其他专家合作，设计了自我忽视严重程度量表（SSS）。 SSS 评估自我忽视的三个领域：卫生、功能和环境，并依赖于训练有素的观察员指定的观察评级。经过试点测试和修订后，SSS 在已向德克萨斯州成人保护服务 (APS) 报告并证实有自我忽视的受试者的家中进行了现场测试，并与从当地老年诊所招募的向 APS 报告且没有自我忽视历史的受试者进行了比较。第一次现场测试表明，SSS 可以区分自我忽视的老年人和不自我忽视的社区居民。 SSS 表现出足够的量表可靠性（Cronbach’s alpha）以及与病例状态的相关性。尽管敏感性和特异性低于传统可接受的范围，但评估者间的可靠性似乎也足够。提出了未来改进 SSS 的方法，以改善其作为识别老年人自我忽视的基准的使用。
Despite the public health implications of self-neglect, no tool exists for characterizing this condition. Self-neglecters often have no caregivers or surrogates to interview regarding the neglect, and are often too cognitively impaired to provide valid self-reports. In response to this need, researchers from the Consortium for Research in Elder Self-neglect of Texas (CREST), collaborated with other experts in the field of elder self-neglect to design the Self-neglect Severity Scale (SSS). The SSS assesses three domains of self-neglect: hygiene, functioning, and environment and relies on observational ratings assigned by trained observers. Following pilot testing and revision, the SSS was field tested in the homes of subjects who had been reported to and substantiated by Texas Adult Protective Services (APS) as self-neglecting, and compared to subjects recruited from a local geriatric clinic who were reported to APS and who had no history of self-neglect. The first field test demonstrated that the SSS could distinguish elder self-neglecters from community dwellers that do not self-neglect. The SSS exhibited adequate scale reliability (Cronbach’s alpha) and correlation with case status. Interrater reliability also appeared adequate although sensitivity and specificity fell below the conventional acceptable range. Future methods are proposed for refining the SSS to improve its use as the benchmark for identifying elder self-neglect.
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DOI：
10.1111/j.1745-7599.2007.00205.x
发表时间：
2007-03-01
影响因子：
--
作者：
Pickens, Sabrina;Naik, Aanand D.;Dyer, Carmel B.
通讯作者：
Dyer, Carmel B.
影响因子：
4.8
作者：
FOLSTEIN, MF;FOLSTEIN, SE;MCHUGH, PR
通讯作者：
MCHUGH, PR
影响因子：
1.9
作者：
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通讯作者：
Smith, Scott
DOI：
10.1111/j.1532-5415.1989.tb02234.x
发表时间：
1989-08-01
影响因子：
6.3
作者：
WOLFKLEIN, GP;SILVERSTONE, FA;BROD, MS
通讯作者：
BROD, MS