The British Journal of Psychiatry 151: 341-346 (1987)
© 1987 The Royal College of Psychiatrists
The Social Breakdown syndrome in the elderly population living in the community: the Helping Study
TS Radebaugh, FJ Hooper and EM Gruenberg
Geriatrics Branch, National Institute on Ageing, Bethesda, Maryland 20205.
A representative sample of elderly people residing in the community was
examined to establish their psychiatric status. An interview with a close
friend or relative, focusing on a one-week period in 1981, was used to
investigate each subject's functional limitations and troublesome
behaviour, these being the two components of the Social Breakdown Syndrome.
The data from the sample were weighted to allow estimates of the
characteristics of the general population. No cases of SBS at its most
extreme were identified, and almost the entire population was found to be
functioning at an adequate or near-adequate level: all cases of severe SBS
were attributable to troublesome behaviour. Severe SBS was shown to
increase with age and to be most common in non-white males. Persons with
dementing disorders were more likely than their non-demented counterparts
to show severe/moderate SBS, but in the majority of cases of SBS there was
no mental disorder.