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Life Course Perspectives of Aging With Schizophrenia Spectrum Disorders in Psychiatric and Long-Term Care Facilities
Journal article   Peer reviewed

Life Course Perspectives of Aging With Schizophrenia Spectrum Disorders in Psychiatric and Long-Term Care Facilities

Veronica Garcia Walker and Tracie C. Harrison
The Gerontologist, Vol.64(5), gnad149
05/01/2024
DOI: 10.1093/geront/gnad149
PMCID: PMC11020287
PMID: 37930229

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Abstract

Background and Objectives Individuals with schizophrenia spectrum disorders must manage residual symptoms as they age, and they may experience premature or accelerated aging in comparison with those without their diagnosis. To explore their life course perspectives, we interviewed institutionalized adults aging with schizophrenia spectrum disorders in middle and older age.Research Design and Methods We used an exploratory descriptive design and qualitative methods. Participants answered semistructured, open-ended questions about perceptions of their mental illness along the life course.Results Participants (N = 30, age 45-83 years) were from an acute care psychiatric facility and a long-term care facility: 16 (53%) men, 14 (47%) women; 6 (20%) Hispanic, 10 (33%) African American, 14 (47%) non-Hispanic White. Participants' life course included traumas from violence, homelessness, and stigma; psychiatric symptoms such as worry and sadness; and age-related physiological symptoms including illness, loss of strength, falls, and incontinence, with falls and incontinence reported only in long-term care. Aging within institutionalization included lack of privacy and autonomy, and isolation (less socialization). Participants provided insights for potential improvements.Discussion and Implications Because these aging adults are experts on their own care, researchers should continue to seek their input to inform their healthcare.
Geriatrics & Gerontology Gerontology Life Sciences & Biomedicine Science & Technology

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