Daniel L. Segal
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View article: Oasis Aging in Place: An Innovative National Model Supporting Healthy Aging - Lessons and Successes from Growth and Expansion
Oasis Aging in Place: An Innovative National Model Supporting Healthy Aging - Lessons and Successes from Growth and Expansion Open
Background: Over the next 20 years, Canada older adult population (aged 65 years old) is expected to grow by 68%. Older adults face isolation, loneliness, inadequate nutrition, and lack of physical activity which continue to be serious and…
View article: Diagnosis and assessment of somatic symptom and related disorders among older adults: Issues and strategies
Diagnosis and assessment of somatic symptom and related disorders among older adults: Issues and strategies Open
The limited understanding and literature concerning somatic symptom and related disorders (SSRDs), especially in older adults, further complicates accurate and sensitive diagnosis and assessment for this growing and specialized population.…
View article: The continued evolution of the diagnosis of Personality Disorders
The continued evolution of the diagnosis of Personality Disorders Open
This paper traces the evolution of the diagnostic formulations for personality disorders (PDs) through the current Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR; American Psychiatric Association, 2022) and in the Internat…
View article: Teaching Tip Cyber Hygiene Training: Using a Salesforce Developer Module to Improve Student Online Behaviors
Teaching Tip Cyber Hygiene Training: Using a Salesforce Developer Module to Improve Student Online Behaviors Open
This paper describes the development of a training module to improve students’ individual online behaviors. We developed this module to integrate cyber hygiene concepts into a hands-on learning activity where students develop and secure a …
View article: THE ALTERNATIVE MODEL OF PERSONALITY DISORDERS: LONGITUDINAL PSYCHOMETRIC PROPERTIES IN OLDER ADULTS
THE ALTERNATIVE MODEL OF PERSONALITY DISORDERS: LONGITUDINAL PSYCHOMETRIC PROPERTIES IN OLDER ADULTS Open
The Alternative Model of Personality Disorders (AMPD) is a dimensional model of personality disorders that contains two main diagnostic constructs: personality functioning and five pathological personality traits domains. This study examin…
View article: Convergent and predictive validity of the Mini MoCA and considerations for use among older adults
Convergent and predictive validity of the Mini MoCA and considerations for use among older adults Open
The Mini MoCA is a cognitive screening instrument designed for quick administration that can be completed via telephone. The Mini MoCA has not received the same level of research attention as the original MoCA, and no articles have explore…
View article: THE EFFECT OF LIFESPAN TRAUMA EXPOSURE ON PATHOLOGICAL PERSONALITY TRAITS
THE EFFECT OF LIFESPAN TRAUMA EXPOSURE ON PATHOLOGICAL PERSONALITY TRAITS Open
Introduction The Alternative Model of Personality Disorders (AMPD) is a dimensional model of personality disorder pathology focusing on pathological personality traits, with five trait domains. Limited knowledge exists about relationships …
View article: EVIDENCE OF AGE BIAS ON THE ALTERNATIVE MODEL OF PERSONALITY DISORDERS
EVIDENCE OF AGE BIAS ON THE ALTERNATIVE MODEL OF PERSONALITY DISORDERS Open
Introduction Previous research established substantial age bias on personality disorder (PD) diagnostic criteria for older adults. The Alternative Model of Personality Disorders (AMPD) is a new model of PDs proposed in DSM-5’s Section III …
View article: Personality disorders in older adults: Differences in self‐informant ratings
Personality disorders in older adults: Differences in self‐informant ratings Open
Previous research on self‐informant reports in assessing personality disorders (PDs) has been mainly focused on adults, leaving older adults under‐studied. We examined self‐informant agreement in PD screening among older adults (≥60 years)…
View article: On the differential diagnosis of autism spectrum disorder and attention-deficit/hyperactivity disorder
On the differential diagnosis of autism spectrum disorder and attention-deficit/hyperactivity disorder Open
This study evaluated whether a parent-as-respondent measure, the Coolidge Autistic Symptom Survey (CASS-84), could differentiate among children with mild, moderate, or severe autism spectrum disorder (ASD), children with attention-deficit/…
View article: The alternative model of personality disorders, trauma, and aging: Relationships with post-traumatic stress symptoms and the effect of cumulative trauma exposure
The alternative model of personality disorders, trauma, and aging: Relationships with post-traumatic stress symptoms and the effect of cumulative trauma exposure Open
Experiencing traumatic events across the lifespan has long been identified as an etiologic factor in the development or worsening of personality disorder (PD) symptoms. However, knowledge about relationships between trauma and PDs among ol…
View article: Getting the Seal of Approval: A Critical Literature Review of the Evidence for the Use of the PARO Robotic Companion Seal with Older Adults with Cognitive Impairment in Long-Term Care
Getting the Seal of Approval: A Critical Literature Review of the Evidence for the Use of the PARO Robotic Companion Seal with Older Adults with Cognitive Impairment in Long-Term Care Open
Social isolation and disruptive dementia-related behaviors are common concerns among older adults with cognitive impairment and their caregivers within residential long-term care settings. However, many interventions aiming to improve the …
View article: POLYPHARMACY, ANXIETY, AND QUALITY OF LIFE IN LONG-TERM CARE RESIDENTS
POLYPHARMACY, ANXIETY, AND QUALITY OF LIFE IN LONG-TERM CARE RESIDENTS Open
The prevalence of polypharmacy (≥5 medications per day) is rising among older adults. Multiple medications are increasingly prescribed to treat multiple comorbidities in this growing population. An increase in anxiety and a decline in qual…
View article: PERSONALITY FUNCTIONING FEATURES OF CLINICAL ANXIETY AND COVID-19 ANXIETY AMONG OLDER ADULTS
PERSONALITY FUNCTIONING FEATURES OF CLINICAL ANXIETY AND COVID-19 ANXIETY AMONG OLDER ADULTS Open
Introduction Anxiety is a significant mental health problem among older adults and is commonly comorbid with personality disorders (PD). However, specific relationships between personality functioning (a proposed feature of PDs) and late-l…
View article: Development and Validation of a Short Form of the Geriatric Anxiety Scale (GAS-12) among Italian Older Adults
Development and Validation of a Short Form of the Geriatric Anxiety Scale (GAS-12) among Italian Older Adults Open
Anxiety imposes significant impairment thus making imperative the screening and assessment of anxiety symptoms. The GAS-12 is particularly indicated with limited time and many scales in a clinical assessment or research protocols.
View article: The Interpersonal Circumplex and the Alternative Model of Personality Disorders: Relationships among Older Adults
The Interpersonal Circumplex and the Alternative Model of Personality Disorders: Relationships among Older Adults Open
Introduction: The interpersonal circumplex model measures interpersonal dysfunction along two axes (communion and agency), resulting in eight unhealthy patterns: Domineering, Vindictive, Cold, Socially Avoidant, Nonassertive, Exploitable, …
View article: Impact of Personality Features and Interpersonal Problems on Anxiety Among Older Adults
Impact of Personality Features and Interpersonal Problems on Anxiety Among Older Adults Open
Introduction: Anxiety is a significant mental health problem among older adults and is associated with multiple other mental disorders, poor psychosocial functioning, and reduced quality of life. Personality traits and disorders, along wit…
View article: Prevalence of ADHD and Its Subtypes in Male and Female Adult Prison Inmates
Prevalence of ADHD and Its Subtypes in Male and Female Adult Prison Inmates Open
There are few published studies of attention-deficit/hyperactivity disorder (ADHD) in adult inmates, and even fewer studies that have considered ADHD in adult inmates by gender. The present study examined the prevalence of ADHD, its subtyp…
View article: Diverse Aspects of Worry among Younger and Older Adults: A Multifaceted Approach
Diverse Aspects of Worry among Younger and Older Adults: A Multifaceted Approach Open
The aims of this study were to examine age-differences regarding various worry components among younger and older adults and to characterize the relationships between worry domains and anxiety. A total of 311 younger adults (18 - 30 years)…
View article: Associations Between Self-Esteem With Diverse Deleterious Mental Health Outcomes Among Older Adults
Associations Between Self-Esteem With Diverse Deleterious Mental Health Outcomes Among Older Adults Open
Research suggests meaningful relationships between self-esteem and various deleterious mental health outcomes. However, these relationships are less well understood in older adults, where age-specific models of self-esteem are lacking. In …
View article: The Who and When of Worry: The Fading Impact of Gender on Worry and Anxiety Severity Among Older Adults
The Who and When of Worry: The Fading Impact of Gender on Worry and Anxiety Severity Among Older Adults Open
Introduction. This study examined the influence of age and gender on diverse worry constructs and overall anxiety among younger (age 18-30) and older (age 65+) adults. Methods. 411 participants (311 younger, 100 older adults; 77.1% female)…
View article: Convergence Between DSM-5 Section II and III Models of Personality Disorders Among Older Adults
Convergence Between DSM-5 Section II and III Models of Personality Disorders Among Older Adults Open
Introduction: The Personality Inventory for DSM-5 (PID-5) is a measure of the alternative model of personality disorders (PDs), proposed in Section III of the DSM-5, but the PID-5 has limited evidence of validity for use among older adults…
View article: Development of a tool to detect older adults with severe personality disorders for highly specialized care
Development of a tool to detect older adults with severe personality disorders for highly specialized care Open
An age-specific tool to detect older adults with severe PDs was developed based on expert opinion. Psychometric properties were evaluated showing sufficient diagnostic accuracy. The tool may preliminarily be used in mental health care to d…
View article: IDENTIFYING BARRIERS TO MENTAL HEALTH SERVICES IN A RURAL COMMUNITY
IDENTIFYING BARRIERS TO MENTAL HEALTH SERVICES IN A RURAL COMMUNITY Open
Unmet mental health care needs of older people living in rural areas have been identified as a fundamental problem. This project engaged a rural consortium of service agencies to support recruitment through advertising, word of mouth, soci…
View article: LATENT PROFILE ANALYSIS OF ANXIETY, DEPRESSION, ANGER, AND ADHD IN OLDER ADULTS
LATENT PROFILE ANALYSIS OF ANXIETY, DEPRESSION, ANGER, AND ADHD IN OLDER ADULTS Open
Older adults are generally happier, less likely to have depression or anxiety, and have better emotion regulation abilities than earlier in life. While older age predicts more hostile beliefs about others, older adults report less hostile …
View article: ASSOCIATIONS BETWEEN DSM-5 PERSONALITY PATHOLOGY AND HORNEY’S INTERPERSONAL TRENDS AMONG OLDER ADULTS
ASSOCIATIONS BETWEEN DSM-5 PERSONALITY PATHOLOGY AND HORNEY’S INTERPERSONAL TRENDS AMONG OLDER ADULTS Open
Introduction: The Personality Inventory for DSM-5 (PID-5) is a measure of the alternative model of personality disorders with limited evidence of validity among older adults. This study examined validity of the model through associations w…
View article: IMPACT OF END-OF-LIFE PLANNING ON SURROGATE DECISION-MAKER ANXIETY
IMPACT OF END-OF-LIFE PLANNING ON SURROGATE DECISION-MAKER ANXIETY Open
At the end of life, adults with advanced illness frequently rely on surrogate decision makers to make health care decisions. Surrogate decision makers often have anxiety related to the difficulty and complexity of making end of life decisi…
View article: RELATIONSHIPS BETWEEN ANXIETY AND PERSONALITY DISORDER FEATURES IN YOUNGER AND OLDER ADULTS
RELATIONSHIPS BETWEEN ANXIETY AND PERSONALITY DISORDER FEATURES IN YOUNGER AND OLDER ADULTS Open
Introduction: Anxiety is a prevalent problem that has been found to be associated with multiple other mental disorders, functional impairments, and poor quality of life. Specifically, it appears that personality may play a major role in an…
View article: PREDICTION OF SUICIDE IDEATION AMONG OLDER ADULTS: A TEST OF THE INTERPERSONAL-PSYCHOLOGICAL THEORY OF SUICIDE
PREDICTION OF SUICIDE IDEATION AMONG OLDER ADULTS: A TEST OF THE INTERPERSONAL-PSYCHOLOGICAL THEORY OF SUICIDE Open
Suicide represent a serious public health problem among older adults. Joiner’s interpersonal-psychological theory of suicidal behavior suggests that perceived burdensomeness (PB) and thwarted belongingness (TB) are important risk factors f…