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ISSN 1561-2961 (Print)

2022, Number 1

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Rev Cuba Enf 2022; 38 (1)

Relationship between psychopathological symptoms and family functioning in older adults victims of family violence

Santa-Cruz-Espinoza H, Saona-Carril KL, Jara-Barrena MM

Language: Spanish
References: 30
Page: 1-16
PDF size: 438.47 Kb.


ABSTRACT

Introduction: Families are an important social support for the welfare of their members, especially older adults, who are vulnerable to familial mistreatment, which can affect their quality of life and produce psychopathological symptoms; however, there is little scientific evidence about this relationship.
Objective: To analyze the relationship between psychopathological symptoms and family functioning in older adults who are victims of family violence.
Methods: Cross-sectional and correlational study carried out in La Esperanza district hospital, in Trujillo, Peru, between June and October 2019. The population was made up of 170 older adults attended in the psychological consultation. A convenience sample of 151 older adults was chosen: 84 victims and 67 non-victims of mistreatment. The instruments used were the Symptom Checklist-90 (SCL-90) and the Apgar-family questionnaires. Data were processed with Spearman's coefficient of correlation, Rupinski and Dunlap's transformation formula, and Cohen's q.
Results: Family functioning showed inverse relationships with somatization and depression in victims (r=-0.481; -0.536) and non-victims of family violence (r=-0.329; -0.387). Victims presented negative relationships of family functioning with obsession-compulsion (r=-0.336), interpersonal sensitivity (r=-0.314), anxiety (r=-0.355), hostility (r=-0.435) and paranoid ideation (r=-0.511). The proportion of differences between sample correlations yielded a large effect size between family functioning and paranoid ideation, while it is average between hostility and family functioning.
Conclusions: There is correlation between psychopathological symptoms and family functioning in older adult who are victims and non-victims of family violence, with differences between correlations of both samples in the relationship of family functioning with hostility and paranoid ideation, respectively.


REFERENCES

  1. Organización Mundial de la Salud. Envejecimiento y salud. 2018 [acceso: 05/02/2018]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/envejecimiento-y-salud1.

  2. Escalona B, Ruiz A. Salud mental y funcionamiento familiar en adultos mayores de Melchor Ocampo, Estado de México. Psicología Iberoamericana 2016 [acceso: 29/10/2020];24(1):38-46. Disponible en: https://www.redalyc.org/articulo.oa?id=1339475830052.

  3. Chunkai L, Shan J, Xinwen Z. Intergenerational relationship, family social support, and depression among Chinese elderly: A structural equation modeling analysis. Journal of Affective Disorders 2019;248(1):73-80. DOI: https://doi.org/10.1016/j.jad.2019.01.0323.

  4. Cuesta C. El cuidado familiar: una revisión crítica. Invest Educ Enferm. 2009 [acceso: 22/07/2020];27(1):96-102. Disponible en: https://www.redalyc.org/pdf/1052/105213198010.pdf4.

  5. Creagh M. Repercusión del envejecimiento en el funcionamiento familiar. Rev Cub Salud Pública. 2019 [acceso: 26/07/2020];45(4):e1317. Disponible en: http://www.revsaludpublica.sld.cu/index.php/spu/article/view/13175.

  6. Kong J, Jeon H. Functional Decline and Emotional Elder Abuse: a Population-Based Study of Older Korean Adults. J Fam Violence. 2018 [acceso: 28/07/2020];33:17-26. DOI: https://doi.org/10.1007/s10896-017-9941-46.

  7. Saavedra A, Rangel S, García A, Duarte A, Bello Y, Infante A. Depresión y funcionalidad familiar en adultos mayores de una unidad de medicina familiar de Guayalejo, México. Aten Fam. 2016 [acceso: 28/07/2020];23(1):24-8. Disponible en: https://www.medigraphic.com/pdfs/atefam/af-2016/af161f.pdf7.

  8. Carmona J, López P, Coimbra A, Gálvez R, Goergen T, Rodríguez M. Elder Abuse in a Developing Area in Bolivia. J Interpers Violence. 2015;33(2):339-56. DOI: https://doi.org/10.1177/08862605156088038.

  9. Organización Mundial de la Salud. Maltrato de las personas mayores. [Internet] 2018 [acceso: 08/06/2018]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/elder-abuse9.

  10. Knight L, Hester M. Domestic violence and mental health in older adults. Int Rev Psychiatry. 2016 [acceso: 27/07/2020];28(5):464-74. DOI: https://doi.org/10.1080/09540261.2016.121529410.

  11. Evandrou M, Falkingham J, Qin M, Vlachantoni A. Elder abuse as a risk factor for psychological distress among older adults in India: a crosssectional study. BMJ Open. 2017;7(10):e017152. DOI: http://dx.doi.org/10.1136/bmjopen-2017-01715211.

  12. Lee S, Atteraya M. Depression, Poverty, and Abuse Experience in Suicide Ideation Among Older Koreans. Int J Aging Hum Dev. 2018;88(1):46-59. DOI: https://doi.org/10.1177/0091415018768256

  13. Derogatis, L. SCL-90-R: Cuestionario de 90 síntomas. Manual. 2002 [acceso: 27/07/2020]. Disponible en: https://es.scribd.com/document/338073306/Manual-SCL-90R-pdf13.

  14. Fuentealba R, Avendaño C. Datos Normativos y Propiedades Psicométricas del SCL-90-R en Estudiantes Universitarios Chilenos. Ter Psicol. 2008;26(1):39-58. DOI: https://doi.org/10.4067/S0718-4808200800010000414.

  15. Cruz C, López L, Blas C, González L, Chávez R. Datos sobre la validez y confiabilidad de la Symptom check list 90 (SCL 90) en una muestra de sujetos mexicanos. Salud Ment. 2005 [acceso: 16/07/2020];28(1):72-81. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0185-33252005000100072&lng=es&nrm=iso15.

  16. DeVellis RF. Scale development: theory and applications. 2nd ed. Newbury Park: Sage Publication; 2003.

  17. Suárez M, Alcalá M. Apgar familiar: una herramienta para detectar disfunción familiar. Rev Méd La Paz. 2014 [acceso: 16/07/2020];20(1):53-7. Disponible en: http://www.scielo.org.bo/scielo.php?script=sci_arttext&pid=S1726-8958201400010001017.

  18. Castilla H, Caycho T, Ventura J, Palomino M, De la Cruz M. Análisis factorial confirmatorio de la escala de percepción del funcionamiento familiar de Smilkstein en adolescentes peruanos. Salud Soc. 2015 [acceso: 16/07/2020];6(2):140-53. Disponible en: https://www.redalyc.org/pdf/4397/439742867003.pdf18. .

  19. Ministerio de Salud. Normas y procedimientos para la prevención y atención de la violencia familiar y el maltrato infantil. 2018 [acceso: 26/07/2020]. Disponible en: http://bvs.minsa.gob.pe/local/MINSA/120_NORVIOFAM.pdf19.

  20. Ventura J, Caycho T. Q de Cohen: Comparación de Correlaciones entre Muestras Independientes en base a Urzúa et al. Rev Med Chile. 2017 [acceso: 16/07/2020];145:410-12. Disponible en: https://scielo.conicyt.cl/pdf/rmc/v145n3/art20.pdf20.

  21. Utz R, Berg C, Butner J. It's A Family Affair: Reflections About Aging and Health Within a Family Context. The Gerontologist. 2017;57(1):129-35. DOI: https://doi.org/10.1093/geront/gnw08121.

  22. Smilkstein, G. The family APGAR: A proposal for a family function test and its use by physicians. The journal of family practice. 1978 [acceso: 26/07/2020];6(6):1231-9. Disponible en: https://mdedge-files-live.s3.us-east-2.amazonaws.com/files/s3fs-public/jfp-archived-issues/1978-volume_6-7/JFP_1978-06_v6_i6_the-family-apgar-a-proposal-for-a-family.pdf22.

  23. Taylor H, Taylor R, Nguyen A, Chatters L. Social Isolation, Depression, and Psychological Distress Among Older Adults. J Aging Health. 2016;30(2):22946. DOI: https://doi.org/10.1177/089826431667351123.

  24. Ostiguín-Meléndez R, Bustamante-Edqén S. Dimensiones del cuidado en familias urbanas mexicanas. Enfermería Universitaria. 2016 [acceso: 29/07/2020];12(2):80-9. Disponible en: http://www.revista-enfermeria.unam.mx/ojs/index.php/enfermeriauniversitaria/article/view/92/8824.

  25. Fernández-Alonso M, Herrero-Velázquez S. Maltrato en el anciano. Posibilidades de intervención desde la atención primaria (I). Atención Primaria. 2006;37(1):56-9. DOI: https://doi.org/10.1157/13083927

  26. Salamanca E, Velasco Z, Díaz C. Entorno familiar del adulto mayor de los centros vida de la ciudad de Villavicencio, Colombia. Investigación en Enfermería: Imagen y Desarrollo. 2019;21(1):1-20. DOI: https://doi.org/10.11144/Javeriana.ie21-1.efam26.

  27. Jiménez B, Baillet L, Ávalos F, Campos L. Dependencia funcional y percepción de apoyo familiar en el adulto mayor. Atención familiar. 2016;23(4):129-33. DOI: https://doi.org/10.1016/j.af.2016.08.00227.

  28. Orfila F, Coma-Solé M, Cabanas M, Cegri-Lombardo F, Morelas-Serra A, Pujol-Ribera E. Family caregiver mistreatment of the elderly: prevalence of risk and associated factors. BMC Public Health. 2018;18(167):1-14 DOI: https://doi.org/10.1186/s12889-018-5067-8

  29. Kusaba T, Sato K, Fukuma S, Yamada Y, Matsui Y, Matsuda S, et al. Influence of family dynamics on burden among family caregivers in aging Japan. Family Practice. 2016;33(5):466-70. DOI: https://doi.org/10.1093/fampra/cmw06229.

  30. Abreu Cervantes A, Noriega Fundora N, Pérez Inerarity M. Diagnóstico de necesidades educativas para el envejecimiento activo en una comunidad. Rev Cub Salud Pública. 2020 [acceso: 29/08/2020];46(2):e1164. Disponible en: http://www.revsaludpublica.sld.cu/index.php/spu/article/view/116430.




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