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Centre for Policy on Ageing | |
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| Self-reported distress after cognitive testing in patients with Alzheimer's disease | | Author(s) | James M Lai, Keith A Hawkins, Cary P Gross |
| Journal title | Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, vol 63A, no 8, August 2008 |
| Pages | pp 855-859 |
| Source | http://www.geron.org |
| Keywords | Mental health [elderly] ; Dementia ; Stress ; Assessment procedures for mental patients ; Correlation ; Comparison ; United States of America. |
| Annotation | The prevalence and degree of self-reported distress that patients with Alzheimer's disease (AD) experience after cognitive testing remain unknown. The authors measured self-reported distress on a 5-point Likert scale in 154 mild to moderate AD patients and 62 cognitively intact patients after 45 minutes of cognitive testing. Using multivariate logistic regression, they examined whether demographic factors, level of education, depressive symptoms, cognitive performance, perceived test difficulty, and perceived test performance compared to 10 years ago were predictive of self-reported distress. The prevalence of any self-reported distress in patients with AD was 70% compared to 47% for those without AD. Of those with AD, bivariate analyses revealed that those who reported more difficulty with testing relevant risk (RR) 1;32 and felt that they performed worse than 10 years ago (RR 1.21) were at increased risk for reporting more distress. Paradoxically, cognitive performance was a weak predictor of of distress, with only language performance demonstrating an association (RR, 0.95). Adjustments regarding other factors did not alter these relationships. Cognitive tasks provide more distress in patients with mild to moderate Alzheimer's disease (AD) compared to those who do not have dementia. Predictors of distress are more closely related to patient awareness about test difficulty and performance rather than actual test performance. (RH). |
| Accession Number | CPA-080929201 A |
| Classmark | D: EA: QNH: DA:4C: 49: 48: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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