{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T05:48:50Z","timestamp":1770270530302,"version":"3.49.0"},"reference-count":42,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T00:00:00Z","timestamp":1724371200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia, I.P.","award":["SFRH\/BPD\/116114\/2016"],"award-info":[{"award-number":["SFRH\/BPD\/116114\/2016"]}]},{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia, I.P.","award":["UID\/04810\/2020"],"award-info":[{"award-number":["UID\/04810\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Social Sciences"],"abstract":"<jats:p>Objectives: Paternalistic care behavior in health contexts reduces involvement in the decision-making process and dissatisfaction in healthcare, which may negatively influence older adults\u2019 mental health. This study comprised two main objectives: (1) to explore older adults\u2019 experiences of paternalistic behavior in the context of health services and (2) analyze the influence of paternalistic behavior on older adults\u2019 mental health. Methods: The sample involved 416 participants aged 65 to 81 (M = 70.1 \u00b1 5.73) with three different nationalities (English, Brazilian ad Portuguese). All interviews went through content analysis. Results: For the first objective, content analysis identified seven themes: (1) perceived inattention to the uniqueness of each person (81%); (2) feeling a duality of supporting and suppressing independence (79%); (3) selective disclosure of information to keep the person\u2019s spirit up (74%); (4) feeling neglected (66%); (5) feeling unable to make decisions (64%); (6) receiving opposition to the person\u2019s requests (60%); and (7) routine actions being considered as the best action (57%). For the second objective, three main themes emerged: (1) feeling anxious and stressed (88%); (2) feeling frustration and despair (87%); and (3) feeling injustice and anger (72%). Conclusions: Healthcare paternalism negatively affects older adults\u2019 mental health, emphasizing the need for their agency, involvement in decisions, and personalized care. These findings highlight the negative influence of paternalistic behavior on the mental health of older adults and may contribute to future targeted interventions and policy programs among the older population.<\/jats:p>","DOI":"10.3390\/socsci13090437","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T12:53:19Z","timestamp":1724417599000},"page":"437","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Back to Kindergarten? Paternalistic Care Behavior in Healthcare Contexts and Older Adults\u2019 Mental Health"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9664-6735","authenticated-orcid":false,"given":"Sofia","family":"von Humboldt","sequence":"first","affiliation":[{"name":"William James Center for Research, ISPA\u2014Instituto Universit\u00e1rio, 1149-041 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5816-8584","authenticated-orcid":false,"given":"Sara","family":"Silva","sequence":"additional","affiliation":[{"name":"William James Center for Research, ISPA\u2014Instituto Universit\u00e1rio, 1149-041 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1672-7912","authenticated-orcid":false,"given":"Isabel","family":"Leal","sequence":"additional","affiliation":[{"name":"William James Center for Research, ISPA\u2014Instituto Universit\u00e1rio, 1149-041 Lisbon, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1177\/09697330231169931","article-title":"Co-Production as a Resolution to Authoritarian Attitudes in Healthcare","volume":"30","author":"Avci","year":"2023","journal-title":"Nursing Ethics"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1017\/S1041610220000575","article-title":"There Is Nothing New under the Sun: Ageism and Intergenerational Tension in the Age of the COVID-19 Outbreak","volume":"32","author":"Ayalon","year":"2020","journal-title":"International Psychogeriatrics"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e49","DOI":"10.1093\/geronb\/gbaa051","article-title":"Aging in Times of the COVID-19 Pandemic: Avoiding Ageism and Fostering Intergenerational Solidarity","volume":"76","author":"Ayalon","year":"2021","journal-title":"The Journals of Gerontology: Series B"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"103469","DOI":"10.1016\/j.ijnurstu.2019.103469","article-title":"Older People\u2019s Experiences in Acute Care Settings: Systematic Review and Synthesis of Qualitative Studies","volume":"102","author":"Bridges","year":"2020","journal-title":"International Journal of Nursing Studies"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2044","DOI":"10.1111\/jocn.15274","article-title":"Older People and COVID-19: Isolation, Risk and Ageism","volume":"29","author":"Brooke","year":"2020","journal-title":"Journal of Clinical Nursing"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1399","DOI":"10.1111\/j.1559-1816.2011.00759.x","article-title":"The Effect of Medical Authoritarianism on Physicians\u2019 Treatment Decisions and Attitudes Regarding Chronic Pain1","volume":"41","author":"Burgess","year":"2011","journal-title":"Journal of Applied Social Psychology"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1007\/s10597-021-00798-6","article-title":"Individualized Intervention to Support Mental Health Recovery Through Implementation of Digital Tools into Clinical Care: Feasibility Study","volume":"58","author":"Acquilano","year":"2022","journal-title":"Community Mental Health Journal"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1016\/j.jamda.2020.03.025","article-title":"COVID-19 in Italy: Ageism and Decision Making in a Pandemic","volume":"21","author":"Cesari","year":"2020","journal-title":"Journal of the American Medical Directors Association"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Chung, Betty, Olofsson, Jonas, Wong, Frances, and R\u00e4mg\u00e5rd, Margareta (2020). 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