Lebensqualität von älteren Menschen mit leichten kognitiven Störungen

Conrad, Ines; Uhle, Christian; Matschinger, Herbert; Kilian, Reinhold; Riedel‐Heller, Steffi G.

doi:10.1055/s-0034-1369831

Cited by 9 publications

(7 citation statements)

References 93 publications

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“…Additionally, general quality of life was assessed using a modified scale version of the validated WHOQOL-OLD questionnaire, 50 , 51 originally developed as an add-on module for the WHOQOL-BREF 52 that was adapted for elderly people and their special needs. Across 20 items, patients respond to questions about their sensory abilities, autonomy, past, present and future activities, social participation and about intimacy.…”

Section: Methodsmentioning

confidence: 99%

Can cochlear implantation improve neurocognition in the aging population?

Völter¹,

Götze²,

Dazert³

et al. 2018

CIA

101

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IntroductionThe relationship between cognition and the ability to hear is well known. Due to changes in demographics, the number of people with sensorineural hearing loss and cognitive impairment is increasing. The aim of this study was to identify the impact of hearing rehabilitation via cochlear implantation on cognitive decline among the aging population.Patients and methodsThis prospective study included 60 subjects aged between 50 and 84 years (mean 65.8 years, SD=8.9) with a severe to profound bilateral hearing impairment. A computer-based evaluation of short- and long-term memory, processing speed, attention, working memory and inhibition was performed prior to surgery as well as 6 and 12 months after cochlear implantation. Additionally, speech perception at 65 and 80 dB (Freiburger monosyllabic speech test) as well as disease-related (Nijmegen Cochlear Implant Questionnaire) and general (WHOQOL-OLD) quality of life were assessed.ResultsSix months postimplantation, speech perception, quality of life and also neurocognitive abilities significantly increased. The most remarkable improvement after 6 months was detected in executive functions such as attention (p<0.001), inhibition (p=0.025) and working memory (n-back: p=0.002; operation span task: p=0.008), followed by delayed recall (p=0.03). In contrast, long-term memory showed a significant change of performance only after 12 months (p=0.021). After 6 months, most cognitive domains remained stable, except working memory assessed by the operation span task, which significantly improved between 6 and 12 months (p<0.001). No correlation was found between cognitive results and duration of deafness, speech perception or quality of life.ConclusionCochlear implantation does not only lead to better speech perception and quality of life, but has also been shown to improve cognitive skills in hearing impaired adults aged 50 years or more. These effects seem to be independent of each other.

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Section: Methodsmentioning

confidence: 99%

Can cochlear implantation improve neurocognition in the aging population?

Völter¹,

Götze²,

Dazert³

et al. 2018

CIA

101

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“…It is worth mentioning here that even mild cognitive impairments can have a significant negative effect on quality of life. 5…”

Section: Objectivementioning

confidence: 99%

“…It is worth mentioning here that even mild cognitive impairments can have a significant negative effect on quality of life. 5 With adult persons spending a great amount of their time at work, the workplace plays a crucial role for cognitive health, alongside other factors, like physical exercise and smoking. 6 The protective effect of the workplace for later-life cognition is already relevant in midlife, 7 implying a life-span perspective on cognitive aging.…”

mentioning

confidence: 99%

Concepts of Mental Demands at Work That Protect Against Cognitive Decline and Dementia: A Systematic Review

et al. 2019

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Objective: Workplace-related mental demands (WPMDs) are considered to be protective factors for cognitive health in old age and are linked to delayed onset of dementia. Yet, what exactly is meant by WPMDs differs greatly between studies, putting an enormous challenge on researchers and practitioners. Aim of our study was thus to create a systematic overview on WPMD concepts and to depict their associations with dementia and cognitive decline. Thereby, we want to create a solid basis for further work and implementation. Data Source: PubMed, PsycINFO, Web of Science. Inclusion/Exclusion Criteria: We included observational studies with populations older than 18 that addressed the association between WPMDs and dementia/cognitive functioning and that were published as journal articles. We excluded studies with emotional and physical demands, stress, and organizational frameworks such as exposure variables and quality of life, depressive symptoms, burnout, and Parkinson as outcome. Furthermore, we excluded study populations younger than 18 and students. Data Extraction: Standardized search string. Data Synthesis: Based on theoretical concepts. Results: Thirty-four studies that employed concepts of WPMDs in 5 different categories: complexity with people/data/things, cognitive demands, job control, novelty, and mental workload. Discussion: Challenges associated with categorizing WPMDs as well as theoretical and measurement-related implications are discussed. Conclusion: This review helps to better understand how workplaces can contribute to later life cognitive fitness, and it offers a conceptual overview for practitioners that want to create more protective working environments or improve existing ones.

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“…In the survey, a total of 410 residents aged between 80 and 85 years, living both in private and nursing homes have been considered [27]; therefore, it can serve as an example for the inclusion of very old people living in long-term care facilities even though the sample is relatively small and regionally focused. Also, very recently Conrad et al [3, 4] conducted a population based study to standardize the WHOQOL-OLD instrument. As the emphasis is on validating an old age module to the existing WHO-QOL instrument its main focus is on subjective quality of life.…”

Section: Studies Of the Very Old In Germany And Abroadmentioning

confidence: 99%

Quality of life of the very old

et al. 2017

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BackgroundIn Germany, the very old are the most rapidly growing proportion of the population. A comprehensive investigation of the conditions for a good quality of life in this group is relevant for both society and politics.ObjectiveThe project “Quality of life and subjective well-being of the very old in North Rhine-Westphalia” (NRW80+) at the University of Cologne surveys quality of life of the very old. Taking into account many specific methodological and theoretical challenges, it aims at setting up a specific theoretical framework and methodological approach.MethodsExisting studies on quality of life in old age in Germany and abroad as well as models on quality of life are reviewed with respect to their relevance for the very old and their specific living conditions, needs and interests. A theoretical framework of quality of life in very old age is developed. The NRW80+ study combines three levels: the empirical level of description of life situations and conditions, the explanative level of evaluating models of quality of life and the normative level of societal and ethical standards and norms.ResultsConsidering results of recently conducted studies with the very old, an integrative conceptual model for studying quality of life of very old persons is introduced. In the model of challenges and potentials (CHAPO), environmental and individual factors as well as life chances and life results are thereby taken into consideration from a subjective as well as an objective point of view, supplemented by the concept of successful life conduct.ConclusionStarting from the CHAPO model of quality of life, the representative study NRW80+ aims at challenging methodological standards for the inclusion of the very old in social research thus providing the basis for further research as well as for sustainable social politics especially for the very old.

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Lebensqualität von älteren Menschen mit leichten kognitiven Störungen

Abstract: The fact, that mild cognitive disorders are associated with such a significant reduction in QOL for those affected, received little attention so far and may warrant interventions.

Cited by 9 publications

References 93 publications

Can cochlear implantation improve neurocognition in the aging population?

Can cochlear implantation improve neurocognition in the aging population?

Concepts of Mental Demands at Work That Protect Against Cognitive Decline and Dementia: A Systematic Review

Quality of life of the very old

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