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Gestandaardiseerd meten van persoonlijkheids­stoornissen bij ouderen : De huidige stand. / Rossi, Gina; Debast, Inge; van Alphen, Sebastiaan.

In: Tijdschrift voor Gerontologie en Geriatrie, Vol. 51, No. 2, 21.05.2020, p. 1-10.

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@article{ae38b54e6e214e209c99f81517b65aee,
title = "Gestandaardiseerd meten van persoonlijkheids­stoornissen bij ouderen: De huidige stand",
abstract = "The double ageing evolution in Europe is a tremendous challenge for health care. Older adults with a personality disorder place an additional burden: they have more somatic and psychiatric co-morbidity than those without a personality disorder. Moreover, they experience less quality of life than individuals without personality disorders. This is in sharp contrast to the dearth of empirical research concerning the construct of personality disorders in later life, the very limited amount of available diagnostic tools, criteria of classification systems like DSM not being attuned to the elderly context and the lack of age-neutrality of popular instruments to measure personality disorders. Therefore, in the Netherlands and Belgium a start was made to develop and validate age-specific instruments and to examine the applicability of the alternative dimensional-hybrid DSM-5 classification of personality disorders in older adults. These recent developments and how to apply them for a personalized assessment in older adults will be discussed. Finally, we advise a phased test-based diagnostic approach in which the above-mentioned instruments, combined with measures of adaptive features or more specific tests, can contribute to an assessment optimizing the balance between restricting the load for the older patient and still being sufficiently comprehensive to result in a personalized approach of the diagnostic process.",
author = "Gina Rossi and Inge Debast and {van Alphen}, Sebastiaan",
year = "2020",
month = "5",
day = "21",
doi = "10.36613/tgg.1875-6832/2020.02.03",
language = "Dutch",
volume = "51",
pages = "1--10",
journal = "Tijdschrift voor Gerontologie en Geriatrie",
issn = "0167-9228",
publisher = "Nederlands Instituut voor Gerontologie (NIG)",
number = "2",

}

RIS

TY - JOUR

T1 - Gestandaardiseerd meten van persoonlijkheids­stoornissen bij ouderen

T2 - De huidige stand

AU - Rossi, Gina

AU - Debast, Inge

AU - van Alphen, Sebastiaan

PY - 2020/5/21

Y1 - 2020/5/21

N2 - The double ageing evolution in Europe is a tremendous challenge for health care. Older adults with a personality disorder place an additional burden: they have more somatic and psychiatric co-morbidity than those without a personality disorder. Moreover, they experience less quality of life than individuals without personality disorders. This is in sharp contrast to the dearth of empirical research concerning the construct of personality disorders in later life, the very limited amount of available diagnostic tools, criteria of classification systems like DSM not being attuned to the elderly context and the lack of age-neutrality of popular instruments to measure personality disorders. Therefore, in the Netherlands and Belgium a start was made to develop and validate age-specific instruments and to examine the applicability of the alternative dimensional-hybrid DSM-5 classification of personality disorders in older adults. These recent developments and how to apply them for a personalized assessment in older adults will be discussed. Finally, we advise a phased test-based diagnostic approach in which the above-mentioned instruments, combined with measures of adaptive features or more specific tests, can contribute to an assessment optimizing the balance between restricting the load for the older patient and still being sufficiently comprehensive to result in a personalized approach of the diagnostic process.

AB - The double ageing evolution in Europe is a tremendous challenge for health care. Older adults with a personality disorder place an additional burden: they have more somatic and psychiatric co-morbidity than those without a personality disorder. Moreover, they experience less quality of life than individuals without personality disorders. This is in sharp contrast to the dearth of empirical research concerning the construct of personality disorders in later life, the very limited amount of available diagnostic tools, criteria of classification systems like DSM not being attuned to the elderly context and the lack of age-neutrality of popular instruments to measure personality disorders. Therefore, in the Netherlands and Belgium a start was made to develop and validate age-specific instruments and to examine the applicability of the alternative dimensional-hybrid DSM-5 classification of personality disorders in older adults. These recent developments and how to apply them for a personalized assessment in older adults will be discussed. Finally, we advise a phased test-based diagnostic approach in which the above-mentioned instruments, combined with measures of adaptive features or more specific tests, can contribute to an assessment optimizing the balance between restricting the load for the older patient and still being sufficiently comprehensive to result in a personalized approach of the diagnostic process.

U2 - 10.36613/tgg.1875-6832/2020.02.03

DO - 10.36613/tgg.1875-6832/2020.02.03

M3 - Article

VL - 51

SP - 1

EP - 10

JO - Tijdschrift voor Gerontologie en Geriatrie

JF - Tijdschrift voor Gerontologie en Geriatrie

SN - 0167-9228

IS - 2

ER -

ID: 52278369