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 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.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
Lacerda IB,Santos RL,Belfort T,Neto JPS,Dourado MCNdoi
10.1080/13607863.2018.1544219subject
Has Abstractpub_date
2020-05-01 00:00:00pages
789-796issue
5eissn
1360-7863issn
1364-6915journal_volume
24pub_type
杂志文章abstract:OBJECTIVES:To determine whether caregiver relationship and race modify associations between physical functioning of persons with dementia (PWD) and their caregiver's burden and general depressive symptoms. METHOD:We pooled data from four behavioral intervention trials (N = 1,211). Using latent growth modeling, we eval...
journal_title:Aging & mental health
pub_type: 杂志文章,meta分析
doi:10.1080/13607863.2018.1441263
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to explore the main and mediating influences of stressors, a caregiver's appraisal, coping, personal conditions and social resources on the burden of dementia caregivers. METHOD:The study sample consisted of 95 spousal caregivers of non-institutionalized persons with dementia. A pa...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860701368463
更新日期:2007-11-01 00:00:00
abstract::This paper reflects Alzheimer Europe's position on PPI (patient and public involvement) in the context of dementia research and highlights some of the challenges and potential risks and benefits associated with such meaningful involvement. The paper was drafted by Alzheimer Europe in collaboration with members of INTE...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1317334
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:Increased focus on the quality of health care requires tools and information to address and improve quality. One tool to evaluate and report the quality of clinical health services is quality indicators based on a clinical database. METHOD:The Capital Region of Denmark runs a quality database for dementia ev...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2010.508769
更新日期:2011-01-01 00:00:00
abstract::Activity is key to maintaining physical and mental health and well-being. However, as dementia affects the ability to engage in activity, care-givers can find it difficult to provide appropriate activities. The Pool Activity Level (PAL) Checklist guides the selection of appropriate, personally meaningful activities. T...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860801984375
更新日期:2008-03-01 00:00:00
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
doi:10.1080/13607860903483136
更新日期:2010-05-01 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:OBJECTIVE:There have been few studies examining the relationship between chronic obstructive pulmonary disease (COPD) and psychiatric morbidity in Hong Kong. This study aimed to examine the prevalence of depressive disorders (major depression, dysthymia and adjustment disorder with depressed mood) in Chinese patients w...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.856862
更新日期:2014-07-01 00:00:00
abstract::Objectives: This study aims to identify heterogeneous depressive symptom trajectories among the widowed elderly in China, to explore predictive variables of latent class membership, and to detect between-classes differences in life satisfaction across time.Method: Data of 198 individuals widowed between 2011 and 2013 ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1603285
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVES:Despite being identified as a significant clinical phenomenon, wandering of persons with dementia (PWDs) has not been studied in Korea. As an initial trial, various factors chosen from the literature for their predictive relationships to wandering of Korean PWDs were evaluated in this study. METHOD:A total ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802120821
更新日期:2008-05-01 00:00:00
abstract::The Dysfunctional Attitudes Scale Form A (DAS-A), a self-report measure of depression-related attitudes, has been used in numerous depression studies. The DAS-A has a two-factor structure that has been found consistently with college student samples and clinically depressed samples of middle-aged adults, but it has no...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860410001649572
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVES:Caregivers and clinicians may be confronted with the dilemma whether to allow people in early stages of dementia to go outside independently with the risk of getting lost, or to limit their autonomy and mobility. Newly available technology may offer a solution. This pilot study is focused on the feasibility,...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2011.596810
更新日期:2012-01-01 00:00:00
abstract::Objectives: Explorations of relationships between loneliness and depression have focused on loneliness as a uni-dimensional construct. We hypothesised that reciprocal relationships may exist between depressive symptomatology and social and emotional subtypes of loneliness.Methods: Using data from 373 adults aged over ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1517728
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:In many countries veterans from World War II are growing old. Research has shown that war experiences continue to impact those who have been involved in war for a long time. The present study targets old injured war veterans from World War II in Finland. The aim of this study was to produce knowledge of the ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.954525
更新日期:2015-01-01 00:00:00
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
doi:10.1080/13607863.2016.1222347
更新日期:2017-12-01 00:00:00
abstract::This study examines how individual patient characteristics predict substance abuse treatment initiation among older adults, in an investigation based on the behavioral health service use model. Analyses tested the impact of demographic factors, substance abuse symptoms, depression and cognitive status on subsequent tr...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860410001709692
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVES:The purpose of this quasi-experimental study was to evaluate the effectiveness of a videoconference intervention program in improving nursing home residents' social support, loneliness, and depressive status. METHODS:Fourteen nursing homes were selected from various areas of Taiwan by purposive sampling. El...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2010.501057
更新日期:2010-11-01 00:00:00
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
doi:10.1080/13607863.2015.1128882
更新日期:2017-05-01 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:The increasing number of older adults with dementia is a large and growing public health problem. Alzheimer's disease, the prevailing form of dementia, is projected to quadruple worldwide. To date, the care and social integration of individuals with dementia is complicated by limited collaborations between b...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.837149
更新日期:2014-01-01 00:00:00
abstract::Healthy elderly and Alzheimer's disease (AD) volunteers participated in four conditions in which they were asked to demonstrate the function and category of a series of objects either verbally or non-verbally. When responding verbally to category judgement questions, volunteers with mild-moderate AD showed levels of p...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860120064989
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVES:The effect of chronic disease status on quality of life (QoL) has been well established. However, less is known about how chronic diseases affect QoL. This article examines impairment in three domains of the WHO International Classification of Functioning, Health and Disability (ICF) - body function, activit...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.955457
更新日期:2015-07-01 00:00:00
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
doi:10.1080/13607863.2014.989812
更新日期:2015-07-01 00:00:00
abstract::Early intervention in Alzheimer's disease (AD) should focus on psychological and social needs as well as the provision of medication. One possible component of early intervention programmes for people with early-stage AD is cognitive rehabilitation aimed at fostering the development of strategies for coping with memor...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/1360786021000045854
更新日期:2003-01-01 00:00:00
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
doi:10.1080/13607863.2019.1686457
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVE:Positive psychological factors (PPFs) have been reported to have a significant impact on health in the general population. However, little is known about the relationship of these factors with mental and physical health in schizophrenia. METHOD:One hundred and thirty-five outpatients with schizophrenia and 1...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1251572
更新日期:2018-03-01 00:00:00
abstract::The present paper discusses recruitment of older African-Americans for a psycho-physiological study using the matching model of recruitment proposed by Levkoff, Levy, and Weitzman (2000). The hallmark of the model by Levkoff et al. is that there must be a match between research and minority communities' perspectives i...
journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607860500409781
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVES:Falls and the fall-related psychological concerns associated with these events pose a serious public health problem among aging adults. The measurement of fall-related psychological concerns can serve as important endpoints for fall prevention programs, yet there is some confusion regarding the best method o...
journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607860802148855
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVES:Although sexuality is valued throughout the lifespan, older women's sexual expression can be influenced by physical, mental and social factors, including attitudes and stereotypes held by younger generations. By gaining an understanding of what influences negative attitudes toward sexuality and beliefs about...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802342243
更新日期:2009-03-01 00:00:00
abstract::Objective: Older rural adults face a higher burden of Alzheimer's disease (AD) and delayed detection. This risk is heightened in rural populations that are ethnically diverse. Patients and providers are often hesitant to participate in screening, partially due to gaps in knowledge of the current science. The purpose o...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1584880
更新日期:2020-08-01 00:00:00