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Related Experiment Videos

[Personality disorders in the elderly. Three case reports].

S P van Alphen1, G J Engelen, Y Kuin

  • 1spj.vanalphen@wxs.nl

Tijdschrift Voor Gerontologie En Geriatrie
|January 16, 2002
PubMed
Summary

Diagnosing personality disorders in older adults is challenging due to age-unrelated criteria and unreliable tests. This study highlights how age-specific stressors impact coping, potentially worsening other psychological symptoms.

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Area of Science:

  • Geriatric Psychiatry
  • Clinical Psychology
  • Psychopathology

Background:

  • Current diagnostic systems for personality disorders (Axis II) lack age-specific considerations.
  • Standard psychological assessment tools often show reduced reliability in elderly populations.
  • Understanding personality disorders in aging individuals requires an age-sensitive approach.

Observation:

  • Presents three case studies of elderly individuals with personality disorders.
  • Identifies loss of health, relationships, and autonomy as key age-specific stressors.
  • Examines the interplay between psychological symptoms, personality traits, coping styles, and these stressors.

Findings:

  • Elderly individuals with personality disorders frequently struggle to cope with age-related stressors.

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  • Inadequate coping mechanisms can exacerbate or trigger Axis I disorders.
  • A strong link exists between personality pathology, coping deficits, and stressor management in later life.

    • Implications:

    • Highlights the need for age-specific considerations in diagnosing personality disorders in the elderly.
    • Suggests that addressing coping strategies is crucial for managing Axis I disorders in this demographic.
    • Recommends increased attention to Axis II classification within the diagnostic process for older adults.