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The Social Breakdown Syndrome in the Elderly Population Living in the Community: the Helping Study

  • T. S. Radebaugh (a1), F. J. Hooper (a2) and E. M. Gruenberg (a3)

Extract

A representative sample of elderly people residing in the community was examined to establish their psychiatric status. An interview with a close friend or relative, focusing on a one-week period in 1981, was used to investigate each subject's functional limitations and troublesome behaviour, these being the two components of the Social Breakdown Syndrome. The data from the sample were weighted to allow estimates of the characteristics of the general population. No cases of SBS at its most extreme were identified, and almost the entire population was found to be functioning at an adequate or near-adequate level: all cases of severe SBS were attributable to troublesome behaviour. Severe SBS was shown to increase with age and to be most common in non-white males. Persons with dementing disorders were more likely than their non-demented counterparts to show severe/moderate SBS, but in the majority of cases of SBS there was no mental disorder.

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Corresponding author

Geriatrics Branch, National Institute on Ageing, Building 31, Room SC-21, 9000 Rockville Pike, Bethesda, Maryland 20205, USA

References

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American Public Health Association, Program Area Committee On Mental Health (1961) A Guide to Control Methods for Mental Disorders. New York: American Public Health Association.
Bureau Of The Census (1977) Projections of the population of the United States, 1977–2050. Current Population Reports, Series P-25, No. 704, July 1977.
Clark, A. N. G. & Mankikar, G. D. (1975) Diogenes syndrome: a clinical study of gross neglect in old age. The Lancet, 15 February 1975, 366373.
Eaton, W. W., Regier, D. A., Locke, B. Z. & Taube, C. A. (1981) The epidemiologic catchment area program of the National Institute of Mental Health. Public Health Reports, Vol. 96, No. 4, August 1981.
Folstein, M. F., Folstein, S. E. & Mchugh, P. R. (1975) MiniMental State. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198.
Folstein, M. F., Folstein, S. E. & Mchugh, P. R., Anthony, J. C., Parhard, I., Duffy, B. & Gruenberg, E. M. (1985a) The meaning of cognitive impairment in the elderly. Journal of the American Geriatrics Society, 33.4, 228235.
Folstein, M. F., Folstein, S. E. & Mchugh, P. R., Anthony, J. C., Parhard, I., Duffy, B. & Gruenberg, E. M., Gruenberg, E. M. et al (1985b) Eastern Baltimore Mental Health Survey Clinical Reappraisal. In Epidemiologic Field Methods in Psychiatry: The NIMH Epidemiologic Catchment Area Program (eds Eaton, W. W. & Kessler, L.) New York: Academic Press.
Gruenberg, E. M., Brandon, S. & Kasius, R. V. (1966) Identifying cases of the social breakdown syndrome. In Evaluating the Effectiveness of Community Mental Health Services (ed. Gruenberg, E. M.). New York: Milbank Memorial Fund.
Macmillan, D. & Shaw, P. (1966) Senile Breakdown in Standards of Personal and Environmental Cleanliness. British Medical Journal, 26 October 1966, 10321037.
Richardson, S. A., Dohrenwend, B. S. & Klein, D. (1965) Interviewing: Its Forms and Functions. New York: Basic Books.
World Health Organization (1980) International Classification of Impairments, Disabilities and Handicaps. Geneva: World Health Organization.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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The Social Breakdown Syndrome in the Elderly Population Living in the Community: the Helping Study

  • T. S. Radebaugh (a1), F. J. Hooper (a2) and E. M. Gruenberg (a3)
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