Race and Personal Exposure to AD Influence Projected Memory Failure Attributions and Help-Seeking Behaviors

Mills, Marisa S.; Whitehead, Brenda R.; Wrobel, Nancy Howells

doi:10.1080/07317115.2020.1751765

Cited by 3 publications

(1 citation statement)

References 41 publications

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“…Similarly, the relationship between dementia exposure and dementia worry is unclear. Some studies have found that individuals who have relatives with AD or dementia are more concerned about potential signs and symptoms of cognitive impairment ( Hodgson & Cutler, 2003 ), and may be more likely to attribute memory problems to potential cognitive impairment ( Mills et al, 2023 ). In contrast, other studies have found no relationship between dementia exposure and dementia worry (e.g., French, 2008 ), while evidence of dementia worry among those without any exposure perhaps suggests a “fear of the unknown” (e.g., Cutler & Hodgson, 2001 ; Kessler et al, 2012 ).…”

Section: Discussionmentioning

confidence: 99%

How Does Exposure to Dementia Relate to Subjective Cognition? A Systematic Review

Turner

Hill

Brautigam

et al. 2023

Innovation in Aging

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Background and Objectives Subjective cognitive decline (SCD) may be indicative of future objective cognitive decline. However, factors other than objective cognitive performance may influence SCD. This review addresses whether family history or close, non-familial exposure to dementia is associated with self-reported SCD. Research Design and Methods Searches were conducted in PubMed, PsycINFO, Web of Science and the Dissertations and Theses Database. Eligible articles included measures of self-reported cognition for community-dwelling middle-aged or older adults (40+ years) not diagnosed with dementia, and who had either a family history of dementia, a family member, spouse, or close friend with dementia. Quality of evidence was evaluated using the LEGEND Appraisal Tool. Evidence was synthesized narratively. Results Thirty-two articles were included, with 28 rated as good quality. Across studies, the relationship between dementia exposure and SCD was inconsistent. A significant association between exposure and SCD was found in six studies, however seventeen reviewed studies found no evidence of a relationship. The remaining nine studies found mixed associations. Modifying factors that could potentially influence these associations were exploratorily identified among studies to provide context to our results. These factors included dementia worry, emotional closeness, and measurement sensitivity. Discussion and Implications Findings of this review suggest that both first-degree relatives and spouses of persons with dementia may have an increased likelihood of reporting SCD, although the current heterogeneity in definitions of exposure to dementia and SCD may influence these findings. In addition to the relationship between dementia exposure and SCD, future research should examine potential modifiers, including meaning attributed to exposure, as identifying how these perceptions impact cognition may promote early intervention.

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Section: Discussionmentioning

confidence: 99%

How Does Exposure to Dementia Relate to Subjective Cognition? A Systematic Review

Turner

Hill

Brautigam

et al. 2023

Innovation in Aging

View full text Add to dashboard Cite

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“All I Want to Ask Is: Do They Really Care About Us?”: Research and Reflections on Behavioral Health in Black Older Adults

McDuffie

Crowther

2022

Clinical Gerontologist

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Medical help-seeking intentions among patients with early Alzheimer’s disease

Villarejo-Galende,

García-Arcelay,

Piñol-Ripoll

et al. 2023

Front. Psychiatry

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BackgroundLimited information is available on the active process of seeking medical help in patients with Alzheimer’s disease (AD) at early stages. The aim of this study was to assess the phenomenon of medical help-seeking in early AD and to identify associated factors.MethodsA multicenter, non-interventional study was conducted including patients of 50–90 years of age with prodromal or mild AD (National Institute on Aging/Alzheimer’s Association criteria), a Mini-Mental State Examination (MMSE) score ≥ 22, and a Clinical Dementia Rating-Global score (CDR-GS) of 0.5–1.0. A multivariate logistic regression analysis was conducted.ResultsA total of 149 patients were included. Mean age (SD) was 72.3 (7.0) years, 50.3% were female, and 87.2% had a CDR-GS score of 0.5. Mean disease duration was 1.4 (1.8) years. Ninety-four (63.1%) patients sought medical help, mostly from neurologists. Patients with help-seeking intentions were mostly female (60.6%) with a CDR-GS score of 0.5 (91.5%) and had a greater awareness of diagnosis, poorer quality of life, more depressive symptoms, and a more severe perception of their condition than their counterparts. Lack of help-seeking intentions was associated with male sex (p = 0.003), fewer years of education (p = 0.005), a low awareness of diagnosis (p = 0.005), and a low emotional consequence of the condition (p = 0.016).ConclusionUnderstanding the phenomenon of active medical help-seeking may facilitate the design of specific strategies to improve the detection of cognitive impairment, especially in patients with a lower level of educational attainment and poor awareness of their condition.

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Race and Personal Exposure to AD Influence Projected Memory Failure Attributions and Help-Seeking Behaviors

Cited by 3 publications

References 41 publications

How Does Exposure to Dementia Relate to Subjective Cognition? A Systematic Review

How Does Exposure to Dementia Relate to Subjective Cognition? A Systematic Review

“All I Want to Ask Is: Do They Really Care About Us?”: Research and Reflections on Behavioral Health in Black Older Adults

Medical help-seeking intentions among patients with early Alzheimer’s disease

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