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Diogenes syndrome: The self-neglect elderly

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Comprehensive Therapy

Abstract

Diogenes syndrome (DS) is characterized by severe self-neglect, domestic squalor, social withdrawal, syllogomania, and refusal of help that may be precipitated by stressful events. Secondary DS is related to mental disorders. Its management includes day care center and community care.

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References

  1. MacMillan D, Shaw P. Senile breakdown in standards of personal and environmental cleanliness. Br Med J. 1966;2:1032–1037.

    Article  CAS  PubMed  Google Scholar 

  2. Clark ANG, Mankikar GD, Gray I. Diogenes syndrome. A clinical study of gross neglect in old age. Lancet. 1975;1:366–368.

    Article  CAS  PubMed  Google Scholar 

  3. Reyes-Ortiz CA, Mulligan T. A case of Diogenes syndrome [Letter]. J Am Geriatr Soc.. 1996;44:1486.

    CAS  PubMed  Google Scholar 

  4. Conlin MM. Silent suffering: A case study of elder abuse and neglect. J Am Geriatr Soc. 1995;43:1303–1308.

    CAS  PubMed  Google Scholar 

  5. O'Mahoney D, Evans JG Diogenes syndrome by proxy [Letter]. Br J Psychiatry. 1994;164:705–706.

    Article  Google Scholar 

  6. Shah AK. Senile squalor syndrome: What to expect and how to treat it. Geriatr Med. 1990;20(10):26.

    Google Scholar 

  7. Reifler BV Diogenes Syndrome: of omelettes and souffles [Editorial]. J Am Geriatr Soc. 1996;44:1484–1485.

    CAS  PubMed  Google Scholar 

  8. Snowdon J Squalor syndrome [Letter]. J Am Geriatr Soc. 1997;45:1539–1540.

    CAS  PubMed  Google Scholar 

  9. Cooney C, Hamid W Review: Diogenes syndrome. Age Ageing. 1995;24:451–453.

    Article  CAS  PubMed  Google Scholar 

  10. Granick R, Zeman FD The aged recluse—an exploratory study with particular reference to community responsibility. J Chron Dis. 1960;12:639–653.

    Article  CAS  PubMed  Google Scholar 

  11. Snowdon J Uncleanliness among persons seen by community health workers. Hosp Community Psychiatry. 1987;38:491–494.

    CAS  PubMed  Google Scholar 

  12. Cole AJ, Gillet TP, Fairbairn A A case of senile self-neglect in a married couple: ‘Diogenes a deux’. Int J Geriatr Psychiatry. 1992;7:839–841.

    Article  Google Scholar 

  13. McDermott JL Self-neglect in the elderly: case reports from a geriatric outpatient clinic (Abstract). J Am Geriatr Soc. 1993;41:SA74.

    Google Scholar 

  14. Wrigley M, Cooney C Diogenes syndrome—An Irish series. Irish J Psychol Med 1992;9:37–41.

    Google Scholar 

  15. Robben PB. [Self-neglect in the elderly—the homeless and the Diogenes syndrome]. Tijdschr Gerontol Geriatr. 1991;22:167–171.

    CAS  PubMed  Google Scholar 

  16. Ungvari GS, Hantz PM Social breakdown in the elderly. I. Case studies and management. Compreh Psychiatr. 1991;32:440–444.

    Article  CAS  Google Scholar 

  17. Radebaugh TS, Hooper FJ, Gruenberg EM The social breakdown syndrome in the elderly population living in the community: The Helping Study. Br J Psychiatry. 1987;151:341–346.

    Article  CAS  PubMed  Google Scholar 

  18. Vostanis P, Dean C Self-neglect in adult life. Br J Psychiatry. 1992;161:265–267.

    Article  CAS  PubMed  Google Scholar 

  19. Williams H, Clarke R, Fashola Y, Holt G Diogenes' syndrome in patients with intellectual disability: ‘a rose by any other name’? J Intellect Disabil Res. 1998;42:316–320.

    Article  PubMed  Google Scholar 

  20. Lachs MS, Williams CS, O'Brien S, Pillemer KA, Charlson ME. The mortality of elder mistreatment. JAMA. 1998;280:428–432.

    Article  CAS  PubMed  Google Scholar 

  21. Rosenthal M, Stelian J, Wagner J, Beckman P Diogenes syndrome and hoarding in the elderly: Case reports. Isr J Psychiatry Relat Sci. 1999;36:29–34.

    CAS  PubMed  Google Scholar 

  22. Grignon S, Bassiri D, Bartoli JL, Calvet P Association of Diogenes syndrome with a compulsive disorder. Can J Psychiatry. 1999;44:91–92.

    CAS  PubMed  Google Scholar 

  23. Ungvari GS, Hantz PM. Social breakdown in the elderly. II. Sociodemographic data and psychopathology. Compreh Psychiatry. 1991;32:445–449.

    Article  CAS  Google Scholar 

  24. Leake CD Senile lack of cleanliness. Geriatrics. 1967;22(7):76.

    CAS  PubMed  Google Scholar 

  25. Cybulska E, Rucinski J Gross self-neglect in old age. Br J Hosp Med. 1986;36(July):21–25.

    CAS  PubMed  Google Scholar 

  26. Thompson K Diogenes syndrome. Geriatr Med. 1981;11(9):46–50.

    Google Scholar 

  27. Clark ANG How to assess severe, self-imposed neglect. Geriatr Med. 1980;10(2):65–67.

    Google Scholar 

  28. Sikdar S Diogenes syndrome: A case report. Hosp Med. 1999;60:679.

    CAS  PubMed  Google Scholar 

  29. Roberge R Diogenes' syndrome. A geriatric entity. Can Fam Physician. 1998;44:812–817.

    CAS  PubMed  Google Scholar 

  30. Kummer J, Gundel L. [Sleep-wake rhythm disorders in the framework of a Diogenes syndrome. Improvement in sleep architecture using supportive treatment with zolpidem. J Fortschr Med. 1995;113(10):149–150.

    CAS  Google Scholar 

  31. Roe PF Self-neglect. Age Ageing. 1977;6:192–194.

    Article  CAS  PubMed  Google Scholar 

  32. Moore R Diogenes syndrome. Nurs Times. 1989;85(30):46–48.

    CAS  PubMed  Google Scholar 

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Reyes-Ortiz, C.A. Diogenes syndrome: The self-neglect elderly. Compr Ther 27, 117–121 (2001). https://doi.org/10.1007/s12019-996-0005-6

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  • DOI: https://doi.org/10.1007/s12019-996-0005-6

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