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Int. J. Environ. Res. Public Health 2018, 15(9), 1948; https://doi.org/10.3390/ijerph15091948

Associations among Elder Abuse, Depression and PTSD in South Korean Older Adults

1
Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea
2
Phoenix Australia Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Melbourne, VIC 3053, Australia
3
Bristol Medical School, University of Bristol, Bristol BS8 2PS, UK
*
Authors to whom correspondence should be addressed.
Received: 8 August 2018 / Revised: 4 September 2018 / Accepted: 4 September 2018 / Published: 6 September 2018
(This article belongs to the Collection Aging and Public Health)
Full-Text   |   PDF [265 KB, uploaded 6 September 2018]

Abstract

Increasing attention is being placed on the prevalence of elder abuse and its impact on mental health. This study conducted a survey of 172 elderly people in South Korea to determine the prevalence of elder abuse and the relationships involving elder abuse, depression and posttraumatic stress disorder (PTSD). Participants completed a battery of self-report questionnaires, which included the Korean Geriatric Depression Screening Scale (KGDS) and Impact of Event Scale-Revised Korean version (IES-R-K). Descriptive analyses were conducted to examine the frequency of specific forms of abuse. Logistic regression models were estimated to identify the factors that contributed to risk of abuse exposure and the relationship between exposure and PTSD or depression. The results indicated around 22% of the participants reported abuse exposure, which most commonly included being refused physical contact, verbal threats, and/or being excluded from decision-making about personal issues. Low education and being unmarried, separated or divorced was associated with an increased risk of abuse exposure. There were strong associations between elder abuse and PTSD symptoms, while comparable relationships with depression were weaker and were not robust to the inclusion of control variables. The findings provided empirical support for the relationship between abuse experiences of the elderly and poor mental health and raise important issues for the mental health care of the elderly. View Full-Text
Keywords: depression; elder abuse; mistreatment; older adults; PTSD; senior citizens depression; elder abuse; mistreatment; older adults; PTSD; senior citizens
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Choi, Y.-J.; O’Donnell, M.; Choi, H.-B.; Jung, H.-S.; Cowlishaw, S. Associations among Elder Abuse, Depression and PTSD in South Korean Older Adults. Int. J. Environ. Res. Public Health 2018, 15, 1948.

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