Patterns of discrepancies in different objects of awareness in mild and moderate Alzheimer's disease.


: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 with mild and moderate Alzheimer's disease (AD) and aspects related to each domain.Method: Cross-sectional assessment of dyads of people with AD (PwAD) and caregivers (n = 128; CDR1 = 74, CDR2 = 54). PwAD completed assessments about quality of life, cognition and their awareness of disease. Caregivers provided information about PwAD and received quality of life and burden of care assessments.Results: Mild AD group showed a mildly impaired awareness (n = 40; 54.05%), while moderate AD group, showed higher presence of moderately impaired awareness (n = 22; 40.74%). There was a significant difference between groups in awareness of cognitive functioning and health condition (p < 0.004), functional activity impairments (p < 0.001) and total score of awareness (p < 0.01). Conversely, awareness of emotional state (p = 0.22) and of social functioning and relationship (p = 0.44) presented no significant difference between groups. Unawareness of functional activity impairments showed higher discrepancy scores between PwAD and caregivers in both groups.Conclusions: Significant differences were found only in patterns of discrepancies in awareness of cognitive functioning and health condition, of ADL and socio-emotional functioning. Different factors are related to different domains in mild and moderate group, reinforcing the heterogeneity of awareness in dementia. ADL deficits have an important role in awareness phenomenon, independent of the severity of disease.


Aging Ment Health


Aging & mental health


Lacerda IB,Santos RL,Belfort T,Neto JPS,Dourado MCN




Has Abstract


2020-05-01 00:00:00












  • Learning and knowing technology as lived experience in people with Alzheimer's disease: a phenomenological study.

    abstract:OBJECTIVES:Most research on learning in the field of dementia has studied teaching approaches, while little is known about learning as experienced and enacted by the people with dementia. The aim was to explore the lived experience of learning and maintaining knowledge related to technology among people with mild to mo...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Rosenberg L,Nygård L

    更新日期:2017-12-01 00:00:00

  • A multidimensional model of the quality of life in older age.

    abstract::The broad aim of the research presented here was to define the constituents and indicators of quality of life (QoL) in older age, in order to offer a more multidimensional and useful model of quality of life, based on the perspectives of older people themselves. This paper focuses on the extent to which self-evaluatio...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Bowling A,Banister D,Sutton S,Evans O,Windsor J

    更新日期:2002-11-01 00:00:00

  • Psychotropic drug prescription for nursing home residents with dementia: prevalence and associations with non-resident-related factors.

    abstract:OBJECTIVES:To determine psychotropic drug prescription rates in nursing home residents with dementia and to identify associations with the so far understudied psychosocial non-resident-related factors. METHOD:A cross-sectional, observational, exploratory design as part of PROPER I (PRescription Optimization of Psychot...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Smeets CHW,Gerritsen DL,Zuidema SU,Teerenstra S,van der Spek K,Smalbrugge M,Koopmans RTCM

    更新日期:2018-09-01 00:00:00

  • Does perceived burdensomeness erode meaning in life among older adults?

    abstract:BACKGROUND:Identification of risk factors for the loss of meaning in life among older adults is needed. In this article, we test hypotheses derived from the Interpersonal Theory of Suicide concerning the role of perceptions that one is a burden on others as a risk factor for lower meaning in life. METHODS:A prospectiv...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Van Orden KA,Bamonti PM,King DA,Duberstein PR

    更新日期:2012-01-01 00:00:00

  • Aging, cognition, and the brain: effects of age-related variation in white matter integrity on neuropsychological function.

    abstract::Alterations in brain structure are viewed as neurobiological indicators which are closely tied to cognitive changes in healthy human aging. The current study used diffusion tensor imaging (DTI) tractography to investigate the relationship between age, brain variation in white matter (WM) integrity, and cognitive funct...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Fan YT,Fang YW,Chen YP,Leshikar ED,Lin CP,Tzeng OJL,Huang HW,Huang CM

    更新日期:2019-07-01 00:00:00

  • Happiness and congruence in older adulthood: a structural model of life satisfaction.

    abstract::The purpose of this study was to determine how health impairment, socioeconomic status, and social support relate to life satisfaction in later life. Using data from a sample of 320 older adults from The Georgia Centenarian Study, we constructed a structural model of life satisfaction. LISREL analysis was performed to...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Bishop AJ,Martin P,Poon L

    更新日期:2006-09-01 00:00:00

  • Longitudinal trajectories of subjective care stressors: the role of personal, dyadic, and family resources.

    abstract:OBJECTIVES:Stressors are critical to the caregiver stress process, yet little work has examined resources that contribute to longitudinal changes in subjective stressors. The present study examines a variety of factors that contribute to changes in subjective stressors across time. METHOD:Dementia caregivers (N = 153)...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Bangerter LR,Liu Y,Zarit SH

    更新日期:2019-02-01 00:00:00

  • Associations between loneliness, depressive symptoms and perceived togetherness in older people.

    abstract::This study explores the associations of loneliness with depressive symptoms in a five-year follow-up and describes how the six dimensions of perceived togetherness explain loneliness and depressive symptoms at baseline. The data were collected on 207 residents of Jyväskylä, central Finland, who at baseline in 1990 wer...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Tiikkainen P,Heikkinen RL

    更新日期:2005-11-01 00:00:00

  • Understandings of dementia in low and middle income countries and amongst indigenous peoples: a systematic review and qualitative meta-synthesis.

    abstract::Objectives: Dementia is a growing health priority, particularly in less resourced countries and amongst indigenous populations. Understanding cultural meanings ascribed to dementia is an important aspect of policy development and the provision of culturally congruent care and support for people with dementia, their fa...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Johnston K,Preston R,Strivens E,Qaloewai S,Larkins S

    更新日期:2020-08-01 00:00:00

  • Risk factors for dementia in central Nigeria.

    abstract::Little is known about the prevalence of dementia and its associated risk factors in developing countries. Some studies suggest that the prevalence of dementia is lower in developing countries than it is in high-income nations. We sought to determine risk factors for dementia in elderly persons in central Nigeria. Usin...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Ochayi B,Thacher TD

    更新日期:2006-11-01 00:00:00

  • How does carer resilience change over time and care status? A qualitative longitudinal study.

    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


    authors: Donnellan WJ,Bennett KM,Soulsby LK

    更新日期:2019-11-01 00:00:00

  • Partners' adjustment to older workers' retirement: testing the role of preretirement expectations in a 10-year panel study.

    abstract::Objectives: Retirement is not only an important later-life transition for the retiring individual, but also for his or her life partner. This study aims to improve our understanding of the partner's adjustment to the retirement of the older worker, by paying attention to the multidimensional nature of adjustment, and ...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Damman M,Segel-Karpas D,Henkens K

    更新日期:2019-11-01 00:00:00

  • The effects of integrative reminiscence on meaning in life: results of a quasi-experimental study.

    abstract:OBJECTIVES:Finding meaning in life is often cited as an important outcome of reminiscence, but this theoretical claim has not been empirically tested until now. A new intervention combining integrative reminiscence and elements of narrative therapy was developed and the effects on meaning in life were studied. METHODS...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Bohlmeijer ET,Westerhof GJ,Emmerik-de Jong M

    更新日期:2008-09-01 00:00:00

  • Development of a nursing home vision-targeted health-related quality of life questionnaire for older adults.

    abstract:PURPOSE:To develop a questionnaire assessing vision-targeted health-related quality of life in older adults residing in nursing homes. METHODS:Using content previously identified through structured interviews with nursing home residents, the 57-item Nursing Home Vision-Targeted Health-Related Quality of Life questionn...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Dreer LE,McGwin G Jr,Scilley K,Meek GC,Dyer A,Seker D,Owsley C

    更新日期:2007-11-01 00:00:00

  • The role of cognitive function and physical activity in physical decline in older adults across the cognitive spectrum.

    abstract:OBJECTIVES:The aim of this study was to investigate physical decline over 1-year in a cohort of older people across the cognitive spectrum. METHODS:Physical function was assessed using the Physiological Profile Assessment (PPA) in 593 participants (cognitively normal [CN]: n = 342, mild cognitive impairment [MCI]: n =...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Taylor ME,Boripuntakul S,Toson B,Close JCT,Lord SR,Kochan NA,Sachdev PS,Brodaty H,Delbaere K

    更新日期:2019-07-01 00:00:00

  • The influence of domestic living arrangement and neighborhood identity on mental health among urban Chinese elders.

    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


    authors: Ye M,Chen Y

    更新日期:2014-01-01 00:00:00

  • A study of cognitive functions in female elderly patients with osteoporosis: a multi-center cross-sectional study.

    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


    authors: Peng W,Li Z,Guan Y,Wang D,Huang S

    更新日期:2016-01-01 00:00:00

  • Age differences in the use of emotion regulation strategies derived from the process model of emotion regulation: a systematic review.

    abstract:OBJECTIVES:This review examines differences in the use of emotion regulation (ER) strategies among younger and older adults. METHOD:A systematic review using search terms related to ageing and ER identified 23 relevant studies. Narrative synthesis was adopted to analyse the findings. RESULTS:Generally, greater use of...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Allen VC,Windsor TD

    更新日期:2019-01-01 00:00:00

  • The association between suicide ideation and sensory impairment among elderly Koreans.

    abstract:OBJECTIVES:The purpose of this cross-sectional study was to examine the relationship between sensory impairment and suicide ideation among elderly Koreans. METHODS:Data from the 2010-2012 Korea National Health and Nutrition Examination Survey V was used. Participants included 3636 older adults (≥65 years) who received...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Kim Y,Kwak Y,Kim JS

    更新日期:2015-07-01 00:00:00

  • Dementia early diagnosis: triggers, supports and constraints affecting the decision to engage with the health care system.

    abstract:OBJECTIVES:There is very often a lengthy delay between first noticing symptoms of dementia and making first contact with Health Care Professionals (HCPs). This article identifies influences on the decision to contact HCPs for the first time. METHOD:Qualitative thematic analysis of 20 case studies of carer experience. ...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Chrisp TA,Tabberer S,Thomas BD,Goddard WA

    更新日期:2012-01-01 00:00:00

  • Associations of neuroticism with falls in older adults: do psychological factors mediate the association?

    abstract:OBJECTIVES:Neuroticism predicts falls in older people. In addition, concern about falling and depressive symptoms are associated with fall risk. This study examined whether concern about falling and depressive symptoms mediate the association between neuroticism and falls. METHOD:Cross-sectional data on 314 community-...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Turunen KM,Kokko K,Kekäläinen T,Alén M,Hänninen T,Pynnönen K,Laukkanen P,Tirkkonen A,Törmäkangas T,Sipilä S

    更新日期:2020-11-06 00:00:00

  • Illness representations in caregivers of people with dementia.

    abstract:OBJECTIVES:Illness representations shape responses to illness experienced by the self or by others. The illness representations held by family members of those with long-term conditions such as dementia influence their understanding of what is happening to the person and how they respond and provide support. The aim of...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Quinn C,Jones IR,Clare L

    更新日期:2017-05-01 00:00:00

  • The transition to grandparenthood: a prospective study of mental health implications.

    abstract:OBJECTIVES:This study investigated the mental health of a cohort of 262 female and 168 male grandparents across the first two years of their transition to grandparenthood, with particular focus on the impact of providing childcare for the grandchild. METHOD:Baseline assessments were made during the pregnancy with the ...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Condon J,Luszcz M,McKee I

    更新日期:2018-03-01 00:00:00

  • Effects of a cognitive stimulation program on psychological well-being in a sample of elderly long-term care hospital inpatients.

    abstract:OBJECTIVES:The primary objective of this work is to report the observed changes in psychological well-being in a sample of long-term medically hospitalized patients, after attending a cognitive stimulation program. The secondary aim is to determine if the observed changes were related to previous cognitive level. METH...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Castel A,Lluch C,Ribas J,Borràs L,Moltó E

    更新日期:2017-01-01 00:00:00

  • Characteristics and effectiveness of cognitive behavioral therapy for older adults living in residential care: a systematic review.

    abstract:OBJECTIVES:Cognitive behavioral therapy (CBT) for depression and anxiety for older adults living in residential aged care facilities (RACFs) needs to accommodate the care needs of residents and the circumstances of RACFs. This systematic review examines the delivery and content characteristics of these interventions, i...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Chan P,Bhar S,Davison TE,Doyle C,Knight BG,Koder D,Laidlaw K,Pachana NA,Wells Y,Wuthrich VM

    更新日期:2021-02-01 00:00:00

  • The quality of psychotropic drug prescribing in patients in psychiatric units for the elderly.

    abstract::The quality of written prescriptions has not been examined in a psychiatric setting. The aim of this study was to examine the quality of drug prescribing by medical staff for elderly patients hospitalized with dementia in comparison with the quality of prescribing for elderly patients hospitalized for functional psych...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Nirodi P,Mitchell AJ

    更新日期:2002-05-01 00:00:00

  • Unforgiveness, rumination, and depressive symptoms among older adults.

    abstract::The experience of feeling unforgiven for past transgressions may contribute to depressive symptoms in later life. This article tests a model in which feeling unforgiven by God and by other people have direct effects on depressive symptoms while self-unforgiveness and rumination mediate this relationship. The sample co...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Ingersoll-Dayton B,Torges C,Krause N

    更新日期:2010-05-01 00:00:00

  • Delirium in critical care: a study of incidence, prevalence, and associated factors in the tertiary care hospital of older Thai adults.

    abstract:OBJECTIVES:Delirium is a common condition in older adults which can have devastating outcomes. The studies about delirium in intensive care units (ICU) are relatively rare compared to studies in the non-ICU setting. This study aimed to study the prevalence, incidence, and risk factors of delirium among older Thai adult...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Limpawattana P,Panitchote A,Tangvoraphonkchai K,Suebsoh N,Eamma W,Chanthonglarng B,Tiamkao S

    更新日期:2016-01-01 00:00:00

  • Encounters with adversity: A framework for understanding resilience in later life.

    abstract::Background and objectives: We explore the internal and external resources that older adults use to negotiate adversity and related to later life. We investigated the experiences older adults had with adversity and explored the factors that promote and protect resilience and the how these factors shaped the process of ...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: Manning LK,Bouchard L

    更新日期:2020-07-01 00:00:00

  • Do general practitioners disclose correct information to their patients suspected of dementia and their caregivers? A prospective observational study.

    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 ...

    journal_title:Aging & mental health

    pub_type: 杂志文章


    authors: van Hout HP,Vernooij-Dassen MJ,Jansen DA,Stalman WA

    更新日期:2006-03-01 00:00:00