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Centre for Policy on Ageing | |
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| A comparison of the neuropsychological profiles of people living in squalor without hoarding to those living in squalor associated with hoarding | | Author(s) | Sook Meng Lee, Matthew Lewis, Deborah Leighton |
| Journal title | International Journal of Geriatric Psychiatry, vol 32, no 12, December 2017 |
| Publisher | Wiley, December 2017 |
| Pages | pp 1433-1439 |
| Source | http://www.orangejournal.org |
| Keywords | Mental disorder ; Cognitive impairment ; Self care capacity ; Neglect [care] ; Hoarding ; Evaluation. |
| Annotation | Squalour affects one in 1,000 older people and is regarded as a secondary condition to other primary disorders such as dementia, intellectual impairment and alcohol abuse. Squalour is frequently associated with hoarding behaviour. This study compared the neuropsychological profile of people living in squalour associated with hoarding to those presenting with squalour only. The study was a retrospective case series of hospital inpatient and community healthcare services of 69 people living in squalour (49 from aged care, 16 from aged psychiatry, three from acute medical and one from a memory clinic). 40% had co-morbid hoarding behaviours. The main outcomes were neuropsychologists' opinions of domain-specific cognitive impairment. The squalour-hoarding group was significantly older than the squalour-only group, significantly more likely to have vascular or Alzheimer's type neurodegeneration and significantly less likely to have alcohol-related impairment. Chi-square analyses revealed significantly greater rates of impairment for the squalour-only group in visuospatial reasoning, abstraction, planning, organisation, problem solving and mental flexibility, compared with the squalour-hoarding group. Logistic regression analysis indicated that impaired mental flexibility was a significant predictor and strongly indicated squalour only. Preliminary evidence suggests that squalour associated with hoarding may have distinct neuropsychological features compared against squalour only. Future work should be conducted using a larger sample and a common neuropsychological battery to better understand the deficits associated with hoarding-related squalour. (JL). |
| Accession Number | CPA-180119230 A |
| Classmark | E: E4: CA: QNR: EPH: 4C |
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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