The effectiveness of modified, group-based CBT for dementia worry among Chinese elders

An, Qiuling; Wang, Kaipeng; Sun, Fei; Zhang, Anao

doi:10.1016/j.jad.2020.05.054

Cited by 14 publications

(15 citation statements)

References 56 publications

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“…Assuming there is a causal relationship between cognitive health worries and psychological wellbeing, finding ways of reducing these cognitive health worries will benefit wellbeing in this population. For example, a modified cognitive behavioural therapy (CBT) programme has been used successfully to reduce dementia worry in a sample of older adults ( An et al, 2020 ), but it did not include measures of wellbeing. A potential alternative could be a cognitive training programme; hypothetically, improving cognitive functioning could lessen cognitive health worries, if the participant believes that the cognitive training is working.…”

Section: Discussionmentioning

confidence: 99%

Cognitive Health Worries, Reduced Physical Activity and Fewer Social Interactions Negatively Impact Psychological Wellbeing in Older Adults During the COVID-19 Pandemic

2022

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The Coronavirus pandemic has significantly affected psychological wellbeing in older adults, with cases of depression, anxiety and loneliness rising in the general population. Cognitive health has also potentially been affected, as social isolation can lead to cognitive decline. Worrying about cognitive health can be damaging to psychological wellbeing and is especially relevant to explore in the context of the Coronavirus pandemic. The objective of the present study was to explore the associations between cognitive health worries and wellbeing, and to investigate whether physical activity and social contact can mitigate negative effects of the pandemic on psychological wellbeing. Older adults (N = 191) completed an online survey which included measures of cognitive health worries, depression, anxiety, loneliness, social isolation, fatigue, impact of the Coronavirus pandemic, quality of life, subjective vitality, and physical activity. Analyses indicated that cognitive health worries, lower levels of physical activity and smaller amounts of social interaction were associated with poorer psychological and physical wellbeing. Results showed that worrying about cognitive health is associated with poorer wellbeing, and so interventions are needed to encourage positive cognitive functioning in times of social isolation. Promoting physical activity and social interaction is also beneficial, as results show that exercise and social contact are linked with improved wellbeing.

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Section: Discussionmentioning

confidence: 99%

Cognitive Health Worries, Reduced Physical Activity and Fewer Social Interactions Negatively Impact Psychological Wellbeing in Older Adults During the COVID-19 Pandemic

2022

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“…Most dementia awareness programs adopted an educational approach without a coordinated linkage to counseling or psychosocial services that are deemed necessary for dementia worry (An et al, 2020). One psychosocial intervention study has shown a promising effect in reducing dementia worry among residents living in elder care facilities in Shanghai, China (An et al, 2020). As family conflict is an associate of dementia worry found in this study, psychosocial interventions to reduce dementia worry can include components to address family conflict for older Chinese Americans.…”

Section: Implications For Practice and Policymentioning

confidence: 86%

“…Finally, multiple intervention approaches including psychosocial education and counseling should be made available to help address dementia worry. Most dementia awareness programs adopted an educational approach without a coordinated linkage to counseling or psychosocial services that are deemed necessary for dementia worry (An et al, 2020). One psychosocial intervention study has shown a promising effect in reducing dementia worry among residents living in elder care facilities in Shanghai, China (An et al, 2020).…”

Section: Implications For Practice and Policymentioning

confidence: 99%

Dementia literacy and worry among older Chinese Americans in Arizona: a comparison between 2013 and 2017

Sun

Wang

Shen

et al. 2021

Int. Psychogeriatr.

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Objectives: This study examined the change in dementia literacy and dementia worry over a 5-year span among older Chinese Americans living in Arizona. Design, setting, participants, and measurement: This study used survey data collected among a purposive sample of 703 community-dwelling Chinese Americans aged 55 years or older living in the metropolitan areas of Phoenix, Arizona, from 2013 to 2017. The average age of participants was 73.1 (SD = 8.7) and 64.2% were female. Dementia literacy was measured by dementia knowledge (knowledge about Alzheimer’s disease and related dementia) and dementia beliefs (biased attitude toward dementia). Dementia worry was measured by assessing participants’ fear toward and concerns of developing dementia. Results: Regression analyses found dementia knowledge decreased (p < 0.05) and dementia beliefs remained unchanged (p > 0.05) from 2013 to 2017 among participants. Dementia worry only increased among those who lived alone. Significant correlates of dementia worry included low formal education level, depressive symptoms, and family conflict. Conclusions: Public health education targeting older Chinese Americans should aim to enhance dementia knowledge and to rectify their biased attitudes toward dementia. Psychosocial education or counseling should be available to older Chinese Americans who present dementia worry, particularly for those who live alone. More studies using diverse study designs, such as a longitudinal design, are needed to examine change in dementia literacy and worry among this population.

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“…Getting dementia is a tremendous stressor in an ageing society, especially in China, where the ageing population is growing fast and the population of people over the age of 60 is projected to reach 28% in the near future. Since many Chinese adults are influenced by the notion of ‘filial piety expectations’ and ‘elder respect’ in Chinese culture, they hold the idea that older people are usually wiser, and thus older adults may be more fearful towards getting dementia, potentially suffering negative health outcomes because of it (An et al, 2020; North & Fiske, 2015). One way to reduce this consequence of the fear of dementia may be through effective health education for the general public and older adults, so as to reduce negative stereotypes and fears towards ageing and dementia.…”

Section: Discussionmentioning

confidence: 99%

The serial mediating effects of social isolation and resilience on the relationship between fear of dementia and insomnia in community‐dwelling older adults

Dai

Qin

Huang

et al. 2023

Journal of Advanced Nursing

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Aims: This study aims to explore the correlation between fear of dementia and insomnia among community-dwelling older adults and to examine the mediating roles of social isolation and resilience on this correlation. Methods: A total of 259 community-dwelling older adults from Mianyang, China were recruited from June 2021 to August 2021 using convenience sampling. The Chinese versions of the Fear of Dementia Scale (FODS), Lubben Social Network Scale (LSNS-6), 25-item Connor-Davidson Resilience Scale (CD-RISC-25) and Athens Insomnia Scale (AIS) were used to collect specific, study-related information from the subjects.Correlations between variables of interest were examined by Pearson analysis, and mediation analysis was conducted to explore the direct, indirect and total effects of the fear of dementia on insomnia vis-à-vis social isolation and resilience.Results: Results from 259 older adults indicated that fear of dementia and insomnia in older adults are positively correlated, that social isolation and resilience mediate the relationship between them, and that social isolation and resilience also had a statistically significant serial mediating effect. Conclusion:Fear of dementia is positively related to insomnia in older communitydwelling Chinese adults, but resilience and social support may buffer the negative impact of fear of dementia and improve sleep quality.Impact: Fear of dementia is becoming more and more common in community-dwelling older adults in China, and this emotional response to ageing and disease anxiety may be to blame for the poor sleep quality of some ageing populations. However, social support and resilience may buffer the negative impact of fear of dementia. The findings in this study indicate a need for well-trained community nurses and other health practitioners to implement targeted strategies to reduce insomnia among older adults with fear of dementia. These strategies should strengthen resilience as well as social support.

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The effectiveness of modified, group-based CBT for dementia worry among Chinese elders

Cited by 14 publications

References 56 publications

Cognitive Health Worries, Reduced Physical Activity and Fewer Social Interactions Negatively Impact Psychological Wellbeing in Older Adults During the COVID-19 Pandemic

Cognitive Health Worries, Reduced Physical Activity and Fewer Social Interactions Negatively Impact Psychological Wellbeing in Older Adults During the COVID-19 Pandemic

Dementia literacy and worry among older Chinese Americans in Arizona: a comparison between 2013 and 2017

The serial mediating effects of social isolation and resilience on the relationship between fear of dementia and insomnia in community‐dwelling older adults

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