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[Elderly distress: cognitive schemas identification].

Pascal Antoine1, Christine Antoine, Rollon Poinsot

  • 1Université Lille-3, UPRES URECA EA 1059, Equipe FASE, Villeneuve-d'Ascq, France. pascal.antoine@univ-lille3.fr

Psychologie & Neuropsychiatrie Du Vieillissement
|December 1, 2007
PubMed
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This study identified nine maladaptive schemas in older adults, including general ones like fear of losing control and aging-specific ones such as disengagement and refusal of assistance, impacting psychological distress.

Area of Science:

  • Psychology
  • Gerontology
  • Psychiatry

Background:

  • Current psychiatric classifications inadequately address psychological distress in aging.
  • Cognitive schemas are valuable for diagnosing and treating older adults.
  • Understanding age-related psychological changes requires integrating general and specific schemas.

Purpose of the Study:

  • To explore facets of cognitive distress in aging individuals.
  • To integrate general schemas (identified in young adults) with age-specific schemas.
  • To validate the relevance of these schemas in older populations.

Main Methods:

  • Administered a 60-item maladaptive schemas inventory.
  • Studied 160 subjects aged 65-102 years and a control group aged 50-64 years.

Related Experiment Videos

  • Utilized factorial analysis to identify distinct schemas.

    • Main Results:

    • Nine distinct schemas explained 60% of the variance: six general (fear of losing control, dependence, vulnerability, abandonment, incompetence, self-sacrifice) and three aging-specific (disengagement, refusal of assistance, loss of individuality).
    • Some schemas showed links with depression and anxiety, but did not merge with their assessment.
    • Autonomy and institutionalization were significantly associated with certain schemas, particularly aging-specific ones.

    Conclusions:

    • Identified key cognitive schemas relevant to psychological distress in aging.
    • Aging-specific schemas (disengagement, refusal of assistance, loss of individuality) are crucial.
    • Findings support the development of a standardized inventory for assessing these schemas in older adults.