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Elderly confidants in geriatric assessment.

E C Clipp¹, G H Elder

¹Geriatric Research, Education and Clinical Center, VA Medical Center, Durham, NC 27705.

Comprehensive Gerontology. Section B, Behavioural, Social, and Applied Sciences

|March 1, 1987

Summary

Confidants accurately report most internal states of older adults, but self-esteem and functional health ratings may differ. Linked samples enhance geriatric assessment by providing unique insights.

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Area of Science:

Gerontology
Psychology
Sociology

Background:

Assessing the well-being of older adults often relies on self-reports.
Understanding discrepancies in reports between individuals and their confidants is crucial for accurate assessment.
The utility of using linked samples (focal person and confidant) in geriatric assessment needs further exploration.

Purpose of the Study:

To examine consensus patterns between focal persons and their confidants.
To explain divergent reports in geriatric assessments.
To evaluate the usefulness of linked samples in geriatric case assessment.

Main Methods:

Utilized correlation, difference scores, and group contrasts.
Analyzed data from 124 linked samples (focal person and confidant).
Included clinical judgments of marital quality.

Main Results:

Elderly confidants accurately described most self-reported internal states of their partners.
Confidants rated partners' self-esteem significantly higher than self-ratings.
Discrepancies in functional health ratings occurred in early decline stages and poor-quality marriages, but not with women friends.

Conclusions:

Age-related limitations may negatively impact older adults' self-esteem.
Linked samples offer valuable, unique information for geriatric functional assessment.
Confidant reports can complement self-reports in assessing older adults' health and well-being.

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