Literature DB >> 18194228

Reaction to a dementia diagnosis in individuals with Alzheimer's disease and mild cognitive impairment.

Brian D Carpenter1, Chengjie Xiong, Emily K Porensky, Monica M Lee, Patrick J Brown, Mary Coats, David Johnson, John C Morris.   

Abstract

OBJECTIVES: To examine short-term changes in depression and anxiety after receiving a dementia diagnosis.
DESIGN: Pre/post survey design.
SETTING: Alzheimer's Disease Research Center. PARTICIPANTS: Ninety individuals and their companions. MEASUREMENTS: Fifteen-item Geriatric Depression Scale and 20-item "state" version of the State-Trait Anxiety Inventory.
RESULTS: Sixty-nine percent of the individuals were diagnosed with dementia; two-thirds of those were in the earliest symptomatic stages of dementia that, in other settings, is considered to represent mild cognitive impairment. No significant changes in depression were noted in individuals or their companions, regardless of diagnostic outcome or dementia severity. Anxiety decreased substantially after diagnostic feedback in most groups.
CONCLUSION: Disclosure of a dementia diagnosis does not prompt a catastrophic emotional reaction in most people, even those who are only mildly impaired, and may provide some relief once an explanation for symptoms is known and a treatment plan is developed.

Entities:  

Mesh:

Year:  2008        PMID: 18194228     DOI: 10.1111/j.1532-5415.2007.01600.x

Source DB:  PubMed          Journal:  J Am Geriatr Soc        ISSN: 0002-8614            Impact factor:   5.562


  43 in total

1.  Agreement on diagnosis among patients, companions, and professionals after a dementia evaluation.

Authors:  Alexandra K Zaleta; Brian D Carpenter; Emily K Porensky; Chengjie Xiong; John C Morris
Journal:  Alzheimer Dis Assoc Disord       Date:  2012 Jul-Sep       Impact factor: 2.703

2.  Revised criteria for mild cognitive impairment may compromise the diagnosis of Alzheimer disease dementia.

Authors:  John C Morris
Journal:  Arch Neurol       Date:  2012-06

3.  Linguistic features of power dynamics in triadic dementia diagnostic conversations.

Authors:  Erin Y Sakai; Brian D Carpenter
Journal:  Patient Educ Couns       Date:  2010-10-27

4.  Validation of a self-administered computerized system to detect cognitive impairment in older adults.

Authors:  Samuel D Brinkman; Robert J Reese; Larry A Norsworthy; Donna K Dellaria; Jacob W Kinkade; Jared Benge; Kimberly Brown; Anna Ratka; James W Simpkins
Journal:  J Appl Gerontol       Date:  2012-09-18

5.  Mild cognitive impairment in clinical care: a survey of American Academy of Neurology members.

Authors:  J S Roberts; J H Karlawish; W R Uhlmann; R C Petersen; R C Green
Journal:  Neurology       Date:  2010-08-03       Impact factor: 9.910

6.  Racial and Ethnic Differences in Knowledge About One's Dementia Status.

Authors:  Pei-Jung Lin; Joanna Emerson; Jessica D Faul; Joshua T Cohen; Peter J Neumann; Howard M Fillit; Allan T Daly; Nikoletta Margaretos; Karen M Freund
Journal:  J Am Geriatr Soc       Date:  2020-04-13       Impact factor: 5.562

7.  Depressive Symptoms, Cognition, and Everyday Function Among Community-Residing Older Adults.

Authors:  Glenna S Brewster; Lindsay Peterson; Rosalyn Roker; Michelle L Ellis; Jerri D Edwards
Journal:  J Aging Health       Date:  2016-07-09

Review 8.  Diagnosis and treatment of dementia: 5. Nonpharmacologic and pharmacologic therapy for mild to moderate dementia.

Authors:  David B Hogan; Peter Bailey; Sandra Black; Anne Carswell; Howard Chertkow; Barry Clarke; Carole Cohen; John D Fisk; Dorothy Forbes; Malcolm Man-Son-Hing; Krista Lanctôt; Debra Morgan; Lilian Thorpe
Journal:  CMAJ       Date:  2008-11-04       Impact factor: 8.262

9.  Are guidelines needed for the diagnosis and management of incipient Alzheimer's disease and mild cognitive impairment?

Authors:  Katie Palmer; Massimo Musicco; Carlo Caltagirone
Journal:  Int J Alzheimers Dis       Date:  2010-08-17

10.  The Effects and Meanings of Receiving a Diagnosis of Mild Cognitive Impairment or Alzheimer's Disease When One Lives Alone.

Authors:  Elena Portacolone; Julene K Johnson; Kenneth E Covinsky; Jodi Halpern; Robert L Rubinstein
Journal:  J Alzheimers Dis       Date:  2018       Impact factor: 4.472

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