Personality assessment in nursing home residents with mental and physical multimorbidity: two informant perspectives.

Autor: Suntjens AF; Radboud University Medical Center, Research Institute for Medical Innovation, Department of Primary and Community Care, University Knowledge Network for Older Adult Care Nijmegen (UKON), Nijmegen, The Netherlands., Leontjevas R; Radboud University Medical Center, Research Institute for Medical Innovation, Department of Primary and Community Care, University Knowledge Network for Older Adult Care Nijmegen (UKON), Nijmegen, The Netherlands.; Open University, School of Psychology, Heerlen, The Netherlands., van den Brink AMA; Radboud University Medical Center, Research Institute for Medical Innovation, Department of Primary and Community Care, University Knowledge Network for Older Adult Care Nijmegen (UKON), Nijmegen, The Netherlands., Voshaar RCO; Department of Psychiatry & Interdisciplinary Center for Psychopathology of Emotion Regulation, University of Groningen & University Medical Center Groningen, Groningen, The Netherlands., Koopmans RTCM; Radboud University Medical Center, Research Institute for Medical Innovation, Department of Primary and Community Care, University Knowledge Network for Older Adult Care Nijmegen (UKON), Nijmegen, The Netherlands.; De Waalboog, Joachim en Anna, Center for Specialized Geriatric Care, Nijmegen, The Netherlands., Gerritsen DL; Radboud University Medical Center, Research Institute for Medical Innovation, Department of Primary and Community Care, University Knowledge Network for Older Adult Care Nijmegen (UKON), Nijmegen, The Netherlands.
Jazyk: angličtina
Zdroj: International psychogeriatrics [Int Psychogeriatr] 2024 Dec; Vol. 36 (12), pp. 1219-1231. Date of Electronic Publication: 2024 Apr 25.
DOI: 10.1017/S1041610224000474
Abstrakt: Objectives: In older patients with mental and physical multimorbidity (MPM), personality assessment is highly complex. Our aim was to examine personality traits in this population using the Hetero-Anamnestic Personality questionnaire (HAP), and to compare the premorbid perspective of patients' relatives (HAP) with the present-time perspective of nursing staff (HAP-t).
Design: Cross-sectional.
Setting: Dutch gerontopsychiatric nursing home (GP-NH) units.
Participants: Totally, 142 GP-NH residents with MPM (excluding dementia).
Measurements: NH norm data of the HAP were used to identify clinically relevant premorbid traits. Linear mixed models estimated the differences between HAP and HAP-t trait scores (0-10). Agreement was quantified by intraclass correlation coefficients (ICCs). All HAP-HAP-t analyses were corrected for response tendency (RT) scores (-10-10).
Results: 78.4% of the patients had at least one premorbid maladaptive trait, and 62.2% had two or more. Most prevalent were: "disorderly" (30.3%), "unpredictable/impulsive" (29.1%) and "vulnerable" (27.3%) behavior. The RT of relatives appeared significantly more positive than that of nursing staff (+1.8, 95% CI 0.6-2.9, p = 0.002). After RT correction, the traits "vulnerable", "perfectionist" and "unpredictable/impulsive" behavior scored higher on the HAP than HAP-t (respectively +1.2, 95% CI 0.6-1.7, p < 0.001; +2.1, 95% CI 1.3-2.8, p < 0.001; +0.6, 95% CI 0.1-1.1, p = 0.013), while "rigid" behavior scored lower (-0.7, 95% CI -1.3 to -0.03, p = 0.042). Adjusted ICCs ranged from 0.15 to 0.58.
Conclusions: Our study shows high percentages of premorbid maladaptive personality traits, which calls for attention on personality assessment in MPM NH residents. Results also indicate that the HAP and HAP-t questionnaires should not be used interchangeably for this patient group in clinical practice.
Databáze: MEDLINE