Exploring Complex Emotional Needs in Older Adults
Research type
Research Study
Full title
Exploring the lived experiences of older adults presenting with Complex Emotional Needs, and how this may have changed across the lifespan: a narrative analysis.
IRAS ID
351085
Contact name
Tomos Redmond
Contact email
Sponsor organisation
University of Liverpool
Duration of Study in the UK
1 years, 8 months, 0 days
Research summary
See page 10 (Background section) of the attached protocol for a detailed definition of Complex Emotional Needs (CEN).
There is limited recognition of CEN within older adult populations, and a relevant diagnosis is rarely given as related difficulties are often misunderstood, disregarded or minimised. This is influenced by the evidence-base, psychiatric diagnostic manuals, and NICE guidance being tailored to working-age adults. Further, how CEN presents within older adults is suggested to differ from that of younger adults, exacerbated by the fact it may develop later in life as existing support structures fail in response to issues such as bereavement, loss and poor physical health. Such concerns are amplified by older adult experiences of institutional ageism and discrimination, with this population often having increased difficulties accessing specialist services. In short, CEN in older adults may not be recognised, limiting access to appropriate support and subsequently psychological needs may not be met. This is particularly concerning as individuals presenting CEN who do not receive the right support can experience lower quality of life, increased psychological distress and higher risk of suicidality.
This project seeks to address such concerns through eliciting knowledge regarding the lived experience of older adults presenting CEN. It will apply qualitative methodology, specifically narrative analysis, to explore the impact of CEN and how it presents in their day-to-day lives, and how this may have changed across the lifespan. Participants who are aged 65 years or older, present CEN characteristics, and are currently receiving support from NHS mental health services will be invited to take part in a semi-structured interview to discuss their experiences. The study is expected to run until September 2026 and it is hoped findings will contribute to improved understanding and early identification of CEN within clinical services, which may lead relevant individuals to receive earlier, more appropriate support.
REC name
HSC REC A
REC reference
25/NI/0016
Date of REC Opinion
7 Mar 2025
REC opinion
Further Information Favourable Opinion