{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T07:31:48Z","timestamp":1778139108358,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,10,14]],"date-time":"2016-10-14T00:00:00Z","timestamp":1476403200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K24 AG022399"],"award-info":[{"award-number":["K24 AG022399"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R03 AG048109"],"award-info":[{"award-number":["R03 AG048109"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000909","name":"John A. Hartford Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000909","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001405","name":"Brookdale Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001405","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify patterns of personal experience or behavior in self\u2010neglect by exploring narratives of cognitively intact older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Descriptive study involving semistructured interviews and unstructured narratives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A parent study of self\u2010neglect characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Cognitively intact, self\u2010neglecting older adults referred from 11 community\u2010based senior services agencies (N = 69).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      Interviews included a comprehensive psychiatric assessment using the Structured Clinical Interview for\n                      <jats:italic>Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition<\/jats:italic>\n                      , Axis\u2010I and\n                      <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>\n                      Disorders and an unstructured interview that allowed subjects to describe important elements of their life stories. Content analysis was used to identify personal experiences and behavior patterns in each subject's narrative.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four types of traumatic personal experiences (psychologically traumatic loss, separation or abandonment (29%); violent victimization, physical trauma, or sexual abuse (19%); exposure to war or political violence (9%); prolonged mourning (7%)) and five behavior patterns (significant financial instability (23%), severe lifelong mental illness (16%), mistrust of people or paranoia (13%), distrust and avoidance of the medical establishment (13%), substance abuse or dependence (13%)) were identified in the life stories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patterns of traumatic personal experiences and maladaptive behaviors that self\u2010neglecters frequently report were identified. Experiences, perceptions, and behaviors developed over a lifetime may contribute to elder self\u2010neglect. Further exploration and better understanding of these patterns may identify potential risk factors and areas for future targeted screening, intervention, and prevention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.14524","type":"journal-article","created":{"date-parts":[[2016,10,14]],"date-time":"2016-10-14T01:33:57Z","timestamp":1476408837000},"source":"Crossref","is-referenced-by-count":22,"title":["Narratives of Self\u2010Neglect: Patterns of Traumatic Personal Experiences and Maladaptive Behaviors in Cognitively Intact Older Adults"],"prefix":"10.1111","volume":"64","author":[{"given":"Cynthia","family":"Lien","sequence":"first","affiliation":[{"name":"Division of Geriatrics and Palliative Care Weill Cornell Medical College New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tony","family":"Rosen","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine Weill Cornell Medical College New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth M.","family":"Bloemen","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care Weill Cornell Medical College New York New York"},{"name":"Division of Emergency Medicine Weill Cornell Medical College New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert C.","family":"Abrams","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Weill Cornell Medical College New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Pavlou","sequence":"additional","affiliation":[{"name":"Mercy Clinic Geriatrics St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark S.","family":"Lachs","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care Weill Cornell Medical College New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,10,14]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"TeasterPB DugarTA MendiondoMSet al.The 2004 survey of Adult Protective Services: Abuse of vulnerable adults 18 years of age and older [on\u2010line]. 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