title: Severe self-neglect: an epidemiological and historical perspective.
abstract: Older adults with severe self-neglect have multiple deficits in various social, functional and physical domains, and often live insqualor. These individuals often present with poor personal hygiene, domestic squalor and hoarding which results in a threat to their own health as well as personal and public safety. Severe self-neglect occurs along a continuum with older adults often having cognitive and affective disorders compared with younger individuals presenting with psychiatric illnesses. In cases of severe self-neglect with hoarding, evidence has shown this behavior occurs in diverse social strata and not among the wealthy and professionals alone as believed earlier. Due to the multiple conditions associated with severe self-neglect, this population will require an interdisciplinary, multidimensional approach to reduce morbidity and mortality rates including nursing home placement. Research on this group has been limited and is rarely described in the medical and nursing literature. Future research is needed to provide practitioners with effective screening instruments and interventions on cases of severe self-neglect.
authors.affiliation: Department of General Medicine, Baylor College of Medicine, Ben Taub General Hospital, Harris County Hospital District, Houston, TX, USA.
authors.forename: Edward Lee
authors.initials: EL
authors.lastname: Poythress
authors.forename: Jason
authors.initials: J
authors.lastname: Burnett
authors.forename: Aanand D
authors.initials: AD
authors.lastname: Naik
authors.forename: Sabrina
authors.initials: S
authors.lastname: Pickens
authors.forename: Carmel Bitondo
authors.initials: CB
authors.lastname: Dyer
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D001294:Attitude to Health; D004552:Elder Abuse / Q000266:history* / Q000401:mortality; D015438:Health Behavior; D049673:History, 20th Century; D006801:Humans; D008019:Life Style; D016743:Mental Competency / Q000523:psychology; D012648:Self Care / Q000266:history*; D016312:Treatment Refusal / Q000523:psychology