Impact of chronic systemic and neurological disorders on disability, depression and life satisfaction

Broe, G. A.; Jorm, Anthony F; Creasey, Helen; Grayson, David; Edelbrook, D.; Waite, Louise M.; Bennett, Hayley; Cullen, John; Casey, Anne-Marie

doi:10.1002/(sici)1099-1166(1998100)13:10<667::aid-gps839>3.0.co;2-g

Cited by 44 publications

(19 citation statements)

References 18 publications

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“…Terauchi et al found that headache was associated with depression and nausea and that numbness associated with anxiety [ 40 ]. Broe et al found that disorders which cause disability, such as Parkinson’s disease, heart disease and chronic lung disease, affect life satisfaction strongly [ 41 ]. Neurological disorders, such as Parkinson’s disease and multiple sclerosis, may cause physical disability, but also psychological symptoms such as depression [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Life Satisfaction and Morbidity among Postmenopausal Women

et al. 2016

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ObjectiveTo investigate associations between morbidity and global life satisfaction in postmenopausal women taking into account type and number of diseases.Materials and MethodsA total of 11,084 women (age range 57–66 years) from a population-based cohort of Finnish women (OSTPRE Study) responded to a postal enquiry in 1999. Life satisfaction was measured with a 4-item scale. Self-reported diseases diagnosed by a physician and categorized according to ICD-10 main classes were used as a measure of morbidity. Enquiry data on health and lifestyle were used as covariates in the multivariate logistic models.ResultsMorbidity was strongly associated with life dissatisfaction. Every additional disease increased the risk of life dissatisfaction by 21.1% (p < .001). The risk of dissatisfaction was strongest among women with mental disorders (OR = 5.26; 95%CI 3.84–7.20) and neurological disorders (OR = 3.62; 95%CI 2.60–5.02) compared to the healthy (each p < .001). Smoking, physical inactivity and marital status were also associated with life dissatisfaction (each p < .001) but their introduction to the multivariate model did not attenuate the pattern of associations.ConclusionsMorbidity and life dissatisfaction have a disease-specific and dose-dependent relationship. Even if women with mental and neurological disorders have the highest risk for life dissatisfaction, monitoring life satisfaction among aging women regardless of disorders should be undertaken in order to intervene the joint adverse effects of poor health and poor well-being.

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Section: Discussionmentioning

confidence: 99%

Life Satisfaction and Morbidity among Postmenopausal Women

et al. 2016

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“…In 2008, 68 percent of U.S. NH residents had some degree of cognitive impairment, including 27% with mild cognitive impairment and 41% with severe cognitive impairment . Cognitive impairment can cause functional dependence, lower quality of life, and increase health cost and mortality, all of which have a wide‐ranging impact on individuals, families, and healthcare systems.…”

Section: Introductionmentioning

confidence: 99%

Assessment of dentally related functional competency for older adults with cognitive impairment—a survey for special‐care dental professionals

Chen

Clark²

2012

Special Care in Dentistry

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This survey was to study whether and how dental professional assess dental-related function in older adults with cognitive impairment (OACI). An invitation was sent to 525 special-care dental professionals, followed by a reminder in 2 weeks. Thirteen percent of the targeted participants completed the survey. Among them, 88% completed a hospital dentistry, geriatric dentistry or other post-graduate training program. Nearly 70% of the respondents considered somewhat to very difficult to assess dentally-related function; 45% did not ever or did not regularly assess dental-related function for OACI. Dental-related functional assessments were often based on a subjective, unstructured approach. Only 6% of the respondents routinely used standard instruments to assess the patients' function. These results indicate that an objective functional assessment based on a standardized instrument has not been routinely incorporated into dental care for OACI, raising concerns for quality of care in this vulnerable population.

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“…This diagnostic assessment consists of 1) cognitive test battery: The Community Screening Instrument of Dementia (CSI-D) [13] and the Consortium to Establish a Registry of Alzheimer’s Disease (CERAD) animal naming tests and modified 10 world list learning [14], 2) the Geriatric Mental State (GMS), which applies a computerized algorithm to identify organic brain syndrome (dementia), schizophrenia, neurotic and psychotic depression, and anxiety neuroses [15], 3) physical assessment and brief neurological examination (NEUROEX) [16], and 4) informant interview on cognitive and functional decline (CSI-D informant interview) [13]. 10/66 DRG dementia diagnosis is defined as scoring above a cutoff point of predicted probability of DSM-IV dementia syndrome from the logistic regression equation using coefficients from the CSI-D, GMS, and modified CERAD 10-word list learning [4].…”

Section: Methodsmentioning

confidence: 99%

Dementia prevalence, care arrangement, and access to care in Lebanon: A pilot study

Phung

Chaaya

Prince

et al. 2017

Alzheimer's & Dementia

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INTRODUCTION In North Africa and the Middle East (EMRO), studies about dementia prevalence are scarce. The Arabic validated 10/66 Dementia Research Group diagnostic assessment was used to assess the prevalence of dementia in Lebanon in a population-based study. The study also examined care arrangement and access to care. METHODS A random sample of 502 persons older than 65 years and their informant were recruited from Beirut and Mount Lebanon governorates though multi-stage cluster sampling. RESULTS The crude dementia prevalence was 7.4% and age-standardized dementia prevalence was 9.0%. People with dementia were mainly cared for by relatives at home. Access to formal care was very limited. DISCUSSION Dementia prevalence in Lebanon ranks high within the global range of estimates. These first evidence-based data about disease burden and barriers to care serve to raise awareness and call for social and health care reform to tackle the dementia epidemic in Lebanon and EMRO.

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Impact of chronic systemic and neurological disorders on disability, depression and life satisfaction

Cited by 44 publications

References 18 publications

Life Satisfaction and Morbidity among Postmenopausal Women

Life Satisfaction and Morbidity among Postmenopausal Women

Assessment of dentally related functional competency for older adults with cognitive impairment—a survey for special‐care dental professionals

Dementia prevalence, care arrangement, and access to care in Lebanon: A pilot study

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