Dementia, diagnostic disclosure, and self-reported health status

Journal of the American Geriatrics Society
Kellie H CampbellGreg A Sachs

Abstract

To investigate the general awareness of cognitive impairment in persons with documented dementia, evaluate the subject's recall of a diagnostic disclosure from a physician and their recollection of the discussion, and determine whether this awareness of cognitive impairment or the recall of diagnostic disclosure is associated with poorer self-rated health scores. Secondary data analysis. Three university-based clinical referral sites for dementia illnesses. Convenience sample of 149 patients with a diagnosis of dementia. Bivariate and logistic regression models with the outcome variables of patient self-report of memory problems, patient report of being told about memory problems by a physician, and self-reported health scores. Ninety-six of 149 (64.4%) subjects reported that they had memory problems, and this report was independently associated with younger age (P=.01) and higher Mini-Mental State Examination score (P=.02). Thirty-nine (26.2%) subjects reported being told by a physician about a diagnosis of dementia or memory problems. This recall was associated with younger age (P<.001), male sex (P=.04), and higher education level (P=.02). African Americans reported poorer self-rated health scores (odds ratio (OR)=2.4, 95% c...Continue Reading

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Citations

Nov 1, 2011·Alzheimer Disease and Associated Disorders·Alexandra K ZaletaJohn C Morris
Feb 2, 2011·International Psychogeriatrics·Louise RobinsonJill Manthorpe
Oct 26, 2011·Archives of Gerontology and Geriatrics·Riitta LeskinenTiina Laatikainen
Apr 14, 2010·Journal of Advanced Nursing·Julianne Ballard
Jan 29, 2011·American Journal of Alzheimer's Disease and Other Dementias·Andrea BradfordMark E Kunik
May 3, 2014·International Psychogeriatrics·Maree MastwykBriony Dow
Apr 14, 2020·Journal of the American Geriatrics Society·Pei-Jung LinKaren M Freund

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