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Centre for Policy on Ageing | |
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| The sensitivity and specificity of the Modified Conflict Tactics Scale for detecting clinically significant elder abuse | | Author(s) | Claudia Cooper, Kate Maxmin, Amber Selwood |
| Journal title | International Psychogeriatrics, vol 21, no 4, August 2009 |
| Pages | pp 774-778 |
| Source | http://www.journals.cambridge.org/ipg |
| Keywords | Elder abuse ; Screening ; Dementia ; Evaluation ; London ; Essex. |
| Annotation | A third of family carers of people with dementia describe acting abusively in research studies, but far fewer cases of abuse are currently detected in clinical situations. This discrepancy may be explained by inadequate detection by health professionals, or disagreement regarding what constitutes elder abuse. This study was undertaken to determine the sensitivity and specificity of the revised Modified Conflict Tactics Scale (MCTS) for detecting clinically significant elder abuse. The authors interviewed 220 family carers of people consecutively referred to psychiatric services with dementia in Essex and London, using the MCTS to measure abuse. They defined abuse cases using: the MCTS conventional scoring system; the Pillemer criteria; and clinical judgment of an expert panel. The panel judged that 15 (6.8%) of carers reported potentially clinical concerning abusive behaviour; but 47 (21%) were cases according to the Pillemer criteria and 74 (34%) using the MCTS conventional scoring system. The authors developed a weighted MCTS scoring system with high sensitivity and specificity for detecting clinically concerning abuse. The MCTS could be used routinely in clinical practice with carers of people with dementia to detect clinically concerning cases of abuse, many of which are currently being missed. (RH). |
| Accession Number | CPA-090825243 A |
| Classmark | QNT: 3V: EA: 4C: 82L: 8ES |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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