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Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing
Published on: January 24, 2020
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Clinical Staging for Personality Disorders in Older Adults.
Jeroen A P Conjaerts1, Arjan C Videler2,3,4, Roel Schepman2
1Clinical Center of Excellence for Personality Disorders in Older Adults, Mondriaan Mental Health Center, Heerlen-Maastricht, The Netherlands.
Journal of Geriatric Psychiatry and Neurology
|May 29, 2024
Summary
Experts support a clinical staging (CS) model for personality disorders (PDs) in older adults. This model integrates personality functioning severity and life course PD expression for better prognosis and treatment.
Area of Science:
- Geriatric Psychiatry
- Clinical Psychology
- Personality Disorders Research
Background:
- Personality disorders (PDs) in older adults present unique challenges in diagnosis and treatment.
- Current models may not fully capture the life-course trajectory of personality pathology in later life.
Purpose of the Study:
- To investigate the feasibility of implementing a clinical staging (CS) model for personality disorders (PDs) in older adults.
- To explore how a CS model can inform understanding of personality pathology, prognosis, and treatment for elderly PD patients.
Main Methods:
- An international Delphi methodology was utilized, involving three rounds of expert consensus.
- Twenty-one experts in the field participated in the study.
Main Results:
- Consensus was reached on 12 out of 17 statements, supporting the viability of a CS model for PDs in older adults.
- The proposed model integrates the Alternative Model for PDs (criterion A) and life course information.
- It distinguishes between chronic, re-emergent, late-onset, and past personality disorders.
Conclusions:
- International experts endorse the development of a CS model for personality disorders in older adults.
- The model considers both the severity of personality functioning and the retrospective life course of PD expression.
- This approach is expected to enhance clinical decision-making for older adults with PDs.
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