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Back to kindergarten? Paternalistic care behavior in healthcare contexts and older adults’ mental health

dc.contributor.authorvon Humboldt, Sofia
dc.contributor.authorSilva, Sara
dc.contributor.authorLeal, Isabel
dc.date.accessioned2024-10-10T18:08:26Z
dc.date.available2024-10-10T18:08:26Z
dc.date.issued2024
dc.description.abstractObjectives: Paternalistic care behavior in health contexts reduces involvement in the decision-making process and dissatisfaction in healthcare, which may negatively influence older adults’ mental health. This study comprised two main objectives: (1) to explore older adults’ experiences of paternalistic behavior in the context of health services and (2) analyze the influence of paternalistic behavior on older adults’ mental health. Methods: The sample involved 416 participants aged 65 to 81 (M = 70.1 ± 5.73) with three different nationalities (English, Brazilian ad Portuguese). All interviews went through content analysis. Results: For the first objective, content analysis identified seven themes: (1) perceived inattention to the uniqueness of each person (81%); (2) feeling a duality of supporting and suppressing independence (79%); (3) selective disclosure of information to keep the person’s spirit up (74%); (4) feeling neglected (66%); (5) feeling unable to make decisions (64%); (6) receiving opposition to the person’s requests (60%); and (7) routine actions being considered as the best action (57%). For the second objective, three main themes emerged: (1) feeling anxious and stressed (88%); (2) feeling frustration and despair (87%); and (3) feeling injustice and anger (72%). Conclusions: Healthcare paternalism negatively affects older adults’ mental health, emphasizing the need for their agency, involvement in decisions, and personalized care. These findings highlight the negative influence of paternalistic behavior on the mental health of older adults and may contribute to future targeted interventions and policy programs among the older population.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationvon Humboldt, S., Silva, S., & Leal, I. (2024). Back to Kindergarten? Paternalistic care behavior in healthcare contexts and older adults’ mental health. Social Sciences, 13(9). https://doi.org/10.3390/socsci13090437pt_PT
dc.identifier.doi10.3390/socsci13090437pt_PT
dc.identifier.issn20760760
dc.identifier.urihttp://hdl.handle.net/10400.12/9986
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPI Multidisciplinary Digital Publishing Institutept_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectHealthcarept_PT
dc.subjectHealthy agingpt_PT
dc.subjectMental healthpt_PT
dc.subjectOlder adultspt_PT
dc.subjectPaternalistic care behaviorpt_PT
dc.titleBack to kindergarten? Paternalistic care behavior in healthcare contexts and older adults’ mental healthpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceSwitzerlandpt_PT
oaire.citation.issue9pt_PT
oaire.citation.startPage437pt_PT
oaire.citation.titleSocial Sciencespt_PT
oaire.citation.volume13pt_PT
person.familyNamevon Humboldt
person.familyNameLeal
person.givenNameSofia
person.givenNameIsabel
person.identifier.ciencia-idC616-1C7E-4A02
person.identifier.orcid0000-0001-9664-6735
person.identifier.orcid0000-0001-6714-9123
person.identifier.ridJ-3748-2014
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication5af79b04-8ce2-4011-af50-0395506cc56f
relation.isAuthorOfPublication874ed287-3925-448c-8016-2b909dc1059e
relation.isAuthorOfPublication.latestForDiscovery874ed287-3925-448c-8016-2b909dc1059e

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