Mild cognitive impairment: coping with an uncertain label

Banningh, Liesbeth Joosten-Weyn; Vernooij‐Dassen, Myrra; Rikkert, Marcel G M Olde; Teunisse, Jan-Pieter

doi:10.1002/gps.1855

Cited by 106 publications

(128 citation statements)

References 22 publications

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“…Furthermore, the programme addressed topics known to pose serious problems in MCI patients [5] . However, individual differences during the intervention were considerable, which may explain why two of the three secondary outcome measures failed to show a change.…”

Section: Discussionmentioning

confidence: 99%

“…These rates also imply that for a large proportion of MCI patients the progression of their illness is uncertain, and that the diagnosis may, rather than diminish their feelings of uncertainty, even exacerbate them. Although MCI patients can by definition still function independently in everyday life, they do encounter a multitude of difficulties because of the mild cognitive changes, inducing profound stress, which, in turn, causes more practical, social and psychological problems [5,6] . In line with these findings, Hwang et al [7] showed that the incidence of mood disorders, such as dysphoria, anxiety, restlessness or irritability, was higher in MCI patients than in healthy age-matched controls.…”

Section: Introductionmentioning

confidence: 99%

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Group Therapy for Patients with Mild Cognitive Impairment and Their Significant Others: Results of a Waiting-List Controlled Trial

Banningh¹,

Prins²,

Vernooij‐Dassen

et al. 2010

Gerontology

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Background: Patients with mild cognitive impairment (MCI) have to deal with an uncertain prognosis and also face a multitude of memory-related problems and psychosocial consequences. A newly developed group programme proved to be feasible, however, it needed confirmation by a controlled study. Aim: This controlled study evaluates this group therapy for MCI patients aimed to help them accept and manage the memory problems and the psychosocial consequences. The programme combines elements from psychoeducation, cognitive rehabilitation and cognitive-behavioural therapy. Patients and Methods: Ninety-three MCI patients received treatment, with 30 patients being first assigned to a waiting list, thus serving as their own control group. Pre- and post-treatment acceptance and helplessness were assessed using subscales of the Illness Cognition Questionnaire, while distress and general well-being were gauged with the Geriatric Depression Scale and subscales of the RAND-36. Results: Linear mixed model analyses showed that, relative to the controls, acceptance had increased more in the intervention group compared to the waiting-list period (p = 0.034). Distress and general well-being showed no changes. Treatment responders demonstrating a clinically significant effect on acceptance and two of three secondary outcome measures had higher baseline levels of helplessness and fewer self-reported memory complaints in daily life than patients who did not improve. Conclusion: The intervention helped the patients deal better with their uncertain future in that they were overall better able to accept their condition, with especially the female patients showing a decrease in helplessness cognitions, although the effects were relatively small.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Group Therapy for Patients with Mild Cognitive Impairment and Their Significant Others: Results of a Waiting-List Controlled Trial

Banningh¹,

Prins²,

Vernooij‐Dassen

et al. 2010

Gerontology

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show abstract

“…In these studies, older adults with MCI were able to accurately identify their cognitive symptoms, described some negative consequences of MCI, had diverse emotional responses to their diagnosis, and felt uncertain about whether there would be any progression to AD. Only two studies have examined behaviors after a diagnosis of MCI [7,8]. In these studies, older adults engaged in self-care behaviors, such as use of supportive services and engaged in strategies to prevent dementia.…”

Section: Introductionmentioning

confidence: 98%

“…Relatively few descriptive and qualitative studies have examined what people think or believe about MCI [6][7][8][9][10][11]. In these studies, older adults with MCI were able to accurately identify their cognitive symptoms, described some negative consequences of MCI, had diverse emotional responses to their diagnosis, and felt uncertain about whether there would be any progression to AD.…”

Section: Introductionmentioning

confidence: 99%

Role of older adult's illness schemata in coping with Mild Cognitive Impairment

Lin

Heidrich

2012

Journal of Psychosomatic Research

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“…5,7 At the individual level, while still functioning in their day-to-day activities, persons with MCI are confronted with a variety of cognitive problems that cause them anxiety and distress. [8][9][10][11] For example, several qualitative studies have shown that persons with MCI are confronted with feelings of social isolation, uncertainty and apprehension, which might be a result of the ambiguity of the diagnosis, of fear of embarrassment or from reduced self confidence. 9,12 Finally, given these difficult psychological experiences, it is not surprising that the consequences of MCI at the family level are also detrimental.…”

Section: Introductionmentioning

confidence: 99%

Mild Cognitive Impairment and Caregiver Burden: A Critical Review and Research Agenda

Werner

2012

Public Health Rev

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Aging is a global phenomenon that is accompanied by an increase in the number of persons with non-communicable diseases including dementia. Since this development requires public health attention to meet the needs of the increasing numbers of elderly persons and their caregivers, scientific and clinical research in the area of dementia and cognitive disorders during the last decade has shifted to focus on the early diagnosis of the disease and, more specifically, on mild cognitive impairment (MCI). MCI is associated with severe consequences at the societal, individual and familial levels. However, compared to the wealth of studies in the area of caregiver burden and Alzheimer's disease, research in the area of MCI and caregiver burden is still developing. The aim of the present paper was to provide an analysis of the status of research regarding caregiver burden in MCI. This review indicated that despite important advances, gaps in the knowledge and understanding of caregiver burden in MCI remain. Only a clear delineation of the uniqueness of the concept of burden of care in MCI, accompanied by methodologically rigorous studies, will inform the development of interventions geared to reduce the burden of family members of persons with MCI.

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Mild cognitive impairment: coping with an uncertain label

Cited by 106 publications

References 22 publications

Group Therapy for Patients with Mild Cognitive Impairment and Their Significant Others: Results of a Waiting-List Controlled Trial

Group Therapy for Patients with Mild Cognitive Impairment and Their Significant Others: Results of a Waiting-List Controlled Trial

Role of older adult's illness schemata in coping with Mild Cognitive Impairment

Mild Cognitive Impairment and Caregiver Burden: A Critical Review and Research Agenda

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