Abstract:
:This study describes what general practitioners (GPs) tell persons who appear to have dementia and their caregivers after assessment and to estimate the number of (in)correct disclosures and their determinants. In a prospective observational study 64 GPs were instructed to use the Dutch national dementia guideline on all consecutive elderly (55+) patients, newly suspected of dementia. Patients were referred to a multi-disciplinary memory clinic team that served as a diagnostic reference standard. Both GPs and the memory clinic team registered their findings and actions on a predefined form. A total of 107 possible cases of dementia were recorded, and 83 were accompanied by their caregiver. After assessment, dementia was considered present in 69 persons, absent in 29, and uncertain in nine. The GPs told the diagnosis to 42% of people with probable dementia and to 74% of their caregivers. The caregivers' experiences were noted in most cases but specific advice was provided in less than half. Only increased severity of dementia was related to more disclosure to patients and caregivers. Disclosures by GPs were correct in most cases. The GPs were much more reluctant to tell the probable dementia diagnosis to patients than to (family) caregivers. The GPs disclosed incorrect diagnoses to two people without dementia, and two with dementia according to the memory clinic diagnosis.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
van Hout HP,Vernooij-Dassen MJ,Jansen DA,Stalman WAdoi
10.1080/13607860500310468subject
Has Abstractpub_date
2006-03-01 00:00:00pages
151-5issue
2eissn
1360-7863issn
1364-6915pii
GR31H40433110WJ8journal_volume
10pub_type
杂志文章abstract:INTRODUCTION:While several studies have found a link between impaired cognition and social isolation, few have examined the relationship between cognition and loneliness. Loneliness has been thought to increase the risk of development of Alzheimer's dementia. AIM:The aims of this study were to explore the relationship...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2011.628977
更新日期:2012-01-01 00:00:00
abstract::Objectives: Little research examines trajectories of carer resilience or the factors that facilitate or hinder resilience over time. We use qualitative longitudinal methods to examine trajectories of resilience and which assets and resources are associated with resilience and care status transitions in spousal dementi...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1503998
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVES:The research largely aimed at exploring the impact of marital status, cognitive efficiency, gender, physical health and sociocultural context on self-rated emotional competence, depression, memory and cognitive measures. METHOD:Ninety-four healthy adults aged 75-99 were recruited in the Sardinian province o...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.866635
更新日期:2014-07-01 00:00:00
abstract::The current emphasis on early detection and disclosure of a diagnosis of dementia highlights the need to examine couples' shared constructions of, and responses to, the diagnosis, and to explore the appraisals that couples make about the illness at an early stage. While the experiences of carers and of people with dem...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500114555
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVES:Information and communicative technology (ICT) use is a potential vehicle for improving the psychological well-being (PWB) of older people. We examined the roles of age, frailty, and social connectedness in the relationship between ICT use and PWB. METHOD:Telephone interviews were conducted in mid-2016 with...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1358354
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:Effects of two mentally stimulating art interventions on processing speed and visuo-spatial cognition were compared in three samples. METHOD:In a randomized 10-week art intervention study with a pre-post follow-up design, 113 adults (27 healthy older adults with subjective memory complaints, 50 healthy olde...
journal_title:Aging & mental health
pub_type: 杂志文章,随机对照试验
doi:10.1080/13607863.2015.1114587
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVES:To evaluate whether fall risk in older adults is associated with the use of selective serotonin receptor inhibitor (SSRI) monotherapy among geriatric outpatients, and whether this association is moderated by the presence of depressive disorder and/or frailty. METHODS:Prospective cohort study with a 12-month...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1675143
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVES:Financial debt held by older adults in the U.S. has grown over the past two decades. This study examines the extent to which credit cards, other consumer debts, and mortgage debt increase financial stress. Outcome measures of financial stress include the material domain ("bill-paying difficulty") and psychol...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1843000
更新日期:2020-11-10 00:00:00
abstract:OBJECTIVES:Using two waves of panel data from the China Health and Retirement Longitudinal Study, this study prospectively assessed whether four distinct patterns of productive activity engagement would predict depressive symptoms among older adults in urban China two years later. METHODS:A sample of urban residents a...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1204983
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Older people with dementia living in care homes often lack appropriate activities. Although homes are expected to offer a range of activities to meet residents' needs, little is known about what makes activities meaningful for people with dementia. This study explores concepts of meaningful activity, as defi...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802343019
更新日期:2008-09-01 00:00:00
abstract::Objectives: More positive attitudes to aging are associated with better health and wellbeing outcomes. This study examined whether chronological age moderated relationships between attitudes to aging and wellbeing outcomes, and whether these relationships differ according to the specific attitudinal construct measured...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1619167
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVES:Older adults who have experienced traumatic events earlier in life may be especially vulnerable to additional challenges associated with aging. In a cross-sectional study of older females, the present study examines whether a history of rape is associated with current psychological and health problems. METH...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.884538
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:Depression is common in older adults and is linked to morbidity and mortality. The aim of this study was to investigate whether specific symptoms of depression (dysphoria, anhedonia and anergia) predicted mortality in older Australian Aged Care residents. METHODS:Eighty older adults (M = 83.16 ± 7.14) witho...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2021.1872491
更新日期:2021-01-18 00:00:00
abstract:BACKGROUND:Similarities exist in behavioral expression of autism spectrum disorder (ASD) and Alzheimer's disease and related dementias (ADRD). The purpose of this study was to assess presence of behavioral and psychiatric symptoms of dementia (BPSD) and ASD-like behaviors in adults with ADRD. METHODS:Using a cross-sec...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1849025
更新日期:2020-11-23 00:00:00
abstract::Objectives: Although numerous studies have documented that negative age stereotypes and perceived age discrimination are related to older adults' lower well-being, few studies have investigated the mechanisms underlying these relationships. In this study, we tested whether self-perceptions of aging and subjective age ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1514487
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVES:To investigate what empirical studies report on the perceptions of community-dwelling LGBT adults regarding sexuality and sexual expression in residential aged care (RAC), and how their sexuality should be addressed in RAC. METHODS:Relevant papers were identified through electronic searches in databases; an...
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pub_type: 杂志文章
doi:10.1080/13607863.2018.1428938
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVES:The aim of this study is to determine the prevalence of psychosis in mild cognitive impairment (MCI, Petersen's criteria) and patients with Alzheimer's dementia, and to characterize the associated behavioral and psychological signs and symptoms of dementia (BPSD). METHOD:A cross-sectional analysis of baseli...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.967170
更新日期:2015-01-01 00:00:00
abstract::The purpose of this study was to begin a preliminary examination of constructs theorized to be related to suicidal behavior by testing a model of the influence of both temperament and emotion regulation on suicidal ideation and hopelessness in a sample of depressed older adults. The model was evaluated using structura...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860412331303775
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVES:To examine the impact of a meditation program in mitigating loneliness and promoting wellbeing, life satisfaction and contentment among retired South Asian older adults. METHOD:Intervention group older adults (IN2 =166) underwent weekly classes of the customized meditation program for 2 years as compared to...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1691143
更新日期:2021-02-01 00:00:00
abstract::This study examined the relationship between adherence to tradition and depression in a large sample (N = 1502) of Chinese elders living in the People's Republic of China. In Chinese traditional culture, an elder's purpose, meaning and self-worth are derived, in large, from their social roles within the family and com...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500308017
更新日期:2006-01-01 00:00:00
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journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1286451
更新日期:2018-04-01 00:00:00
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journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1695738
更新日期:2021-02-01 00:00:00
abstract::Objectives: This study investigated the association between healthy lifestyle comprised of multiple domains, gender, and cognitive function in older Chinese people in Hong Kong.Methods: We conducted a cross-sectional analysis with data from 1,831 community-dwellers aged 65 years and above. Participants' basic demograp...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1539833
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVES:To investigate informal caregivers' psychological well-being and predicted increase in psychological well-being, when caring for persons with dementia (PwDs) living at home, related to caregiver, PwD and formal care (FC) factors. METHOD:A cohort study at baseline and 3 months' follow-up in eight European co...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1211621
更新日期:2017-11-01 00:00:00
abstract::Objectives: Awareness is considered a heterogeneous and non-linear phenomenon in dementia. We aim to investigate patterns of change of different domains of awareness (awareness of cognitive functioning and health condition, activities of daily living, emotional state, social functioning, and relationships) in people w...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1544219
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVES:To investigate changes of cognitive performances in female elderly patients with osteoporosis and to determine whether any impairments can be attributed to dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis. METHODS:This cross-sectional study included 277 postmenopausal women, who were divided i...
journal_title:Aging & mental health
pub_type: 杂志文章,多中心研究
doi:10.1080/13607863.2015.1033680
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:Although generalized anxiety disorder (GAD) is one of the most prevalent anxiety disorders in older adults, very little is known about the neurobiology of worry, the hallmark symptom of GAD in adults over the age of 60. This study investigated the neurobiology and neural circuitry of worry in older GAD patie...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2015.1109058
更新日期:2017-04-01 00:00:00
abstract::Objective: Both caregivers and the older adults they care for can experience declines in quality of life (QOL) over the course of the dementia trajectory. Little research has examined QOL in African-American caregivers and even less in African-American persons with dementia (PWDs), making it difficult to identify asso...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1711865
更新日期:2020-01-10 00:00:00
abstract::This paper reports findings from the carer component of the Gwynedd Dementia Study. It is based on carer interviews, using quantitative and qualitative data. It confirms earlier findings that carers for people with dementia are typically female and older than other carers, although it notes that caring husbands are am...
journal_title:Aging & mental health
pub_type: 杂志文章,多中心研究
doi:10.1080/13607860120101040
更新日期:2002-02-01 00:00:00
abstract:OBJECTIVES:The primary purposes of the present study were (1) to assess the living arrangements among urban Chinese elders, (2) to examine the relationship between household living arrangement and elders' mental health, and (3) to investigate how individuals' neighborhood identity affects their mental health. METHOD:T...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.837142
更新日期:2014-01-01 00:00:00