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The impact of psychological abuse on somatic symptoms: A study of older persons aged 60-84 years
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.ORCID iD: 0000-0001-5221-9504
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
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2014 (English)In: Journal of Adult Protection, ISSN 1466-8203, E-ISSN 2042-8669, Vol. 16, no 4, p. 213-231Article in journal (Refereed) Published
Abstract [en]

Purpose– The purpose of this paper is to examine differences in the experience of somatic symptoms by domain (exhaustion, musculoskeletal, gastrointestinal, heart distress) between psychologically abused and non-abused older persons, and to scrutinize associations between abuse and somatic symptoms while considering other factors (e.g. social support).Design/methodology/approach– The design was cross-sectional. The participants were 4,467 women/men aged 60-84 years living in seven European cities. The data were analysed using bivariate/multivariate methods.Findings– Psychologically abused participants scored higher on all somatic symptom domains than non-abused, and thus were more affected by the symptoms. The regressions confirmed a positive association between psychological abuse and most somatic symptom domains, but other factors (e.g. depression, anxiety) were more salient. Demographics/socio-economics were positively (e.g. marriage/cohabitation) or negatively (e.g. education) associated with somatic symptoms depending on the domain. Social support and family structure "protected" the experience of somatic symptoms.Research limitations/implications– The research focused on psychological abuse. It did not incorporate other abuse types calling for further research on the effects of other abuse types on somatic symptoms. Nevertheless, the findings indicate that psychological abuse is linked to somatic symptoms, but the role of other factors (e.g. depression, anxiety, social support) is also important.Practical implications– Improvements in the older person's situation regarding somatic symptoms need to consider psychological abuse, co-morbidities, social support and living conditions.Originality/value– The paper reports data from the ABUEL Survey, which collected population-based data on elder abuse.

Place, publisher, year, edition, pages
2014. Vol. 16, no 4, p. 213-231
Keywords [en]
Europe; Mental health; Older persons; Psychological abuse; Social support; Somatic symptoms
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:miun:diva-21081DOI: 10.1108/JAP-08-2013-0034Scopus ID: 2-s2.0-84927521340OAI: oai:DiVA.org:miun-21081DiVA, id: diva2:688943
Available from: 2014-01-19 Created: 2014-01-19 Last updated: 2017-12-06Bibliographically approved

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Soares, Joaquim Jorge FernandesViitasara, EijaMacassa, Gloria

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