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AJPH First Look, published online ahead of print Jul 31, 2007
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Self-Neglect Among the Elderly: A Model Based on More Than 500 Patients Seen by a Geriatric Medicine Team

Carmel Bitondo Dyer, MD, James S. Goodwin, MD, Sabrina Pickens-Pace, MSN, Jason Burnett, MS and P. Adam Kelly, PhD

At the time of the study, Carmel Bitondo Dyer, Sabrina Pickens-Pace, and Jason Burnett were with the College of Medicine, Baylor University, Houston, Tex, and the Harris County Hospital District, Houston. James S. Goodwin is with the University of Texas Medical Branch, Galveston. P. Adam Kelly is with Baylor College of Medicine, Houston, and the Michael E. DeBakey Veterans Affairs Medical Center, Houston.


Figure 1
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  		FIGURE 1—— A Venn diagram of percentages of abnormal scores among elderly self-neglect patients: Houston, Tex, 1999–2004.

Note. A battery of geriatric assessment measures was administered to each patient and included the Mini Mental State Examination (cognition),15 the Geriatric Depression Scale (depression),16 the physical performance test (activities of daily living),17,18 the clock drawing test (executive function),19 and other test. See "Methods" section for more details.The Venn diagram illustrates the relationship among neuropsychiatric and functional impairments in persons who self-neglect.The diagram shows substantial overlap of the scores of 3 of the tests, except for the Geriatric Depression Scale.The Duke Social Support Index was abnormal in almost all of the patients (n = 250) who completed the assessment (N = 293) and is not shown in the Venn diagram.

 

Figure 2
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  		FIGURE 2—— Model of self-neglect among the elderly.

 




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