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PubMed · 2605412

Self-neglect and frontal lobe dysfunction.

M W Orrell·B J Sahakian·K Bergmann
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Abstract

An elderly lady, of superior verbal intelligence and with no severe psychiatric condition, severely neglected herself, and required prolonged day patient care. Brain scans showed selective frontal atrophy, and both traditional and new computerised neuropsychological testing demonstrated severe frontal dysfunction.

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Activities of Daily LivingAgedAged, 80 and overAlcohol Amnestic DisorderAwarenessCognitionDementiaDiagnosis, DifferentialFemaleFrontal LobeHumansNeurocognitive DisordersNeuropsychological TestsCase ReportsJournal ArticleResearch Support, Non-U.S. Gov't

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M W Orrell, B J Sahakian, K Bergmann. 1989. Self-neglect and frontal lobe dysfunction.. https://doi.org/10.1192/bjp.155.1.101

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Social intervention and the elderly: a randomized controlled trial.

A randomized controlled trial was set up in 1985 to test the effect of social intervention over 3 years among elderly people, aged 75 and above, living alone. The sampling frame was the age/sex register of a large group practice of 12 general practitioners serving the town of Melton Mowbray, Leicestershire, England, with a list size of approximately 32,000 patients. A total of 523 elderly people living alone in 1985 were identified, interviewed, and randomized into experimental and control groups. A lay worker offered the experimental group (n = 261) individual packages of support that aimed at enhanced social contacts. The outcome measures, approximately 3 years later in 1988, were mortality; changes in physical status; demand for medical, paramedical, social, and voluntary services; and changes in a number of subjective variables (morale, loneliness, and self-perceived health). No significant differences were found for any of the variables with the exception of self-perceived health status, where the experimental group showed significantly greater improvements than did the control group. More importantly, half the elderly in this sample declined several offers of help.

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