Modification of everyday activities and its association with self-awareness in cognitively diverse older adults
Autoři:
Danielle Shaked aff001; Preeti Sunderaraman aff001; Jennifer Piscitello aff001; Sarah Cines aff001; Christiane Hale aff001; Davangere Devanand aff001; Jason Karlawish aff006; Stephanie Cosentino aff001
Působiště autorů:
Cognitive Neuroscience Division of the Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, Columbia University Medical Center, New York, NY, United States of America
aff001; Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD, United States of America
aff002; Gertrude. H. Sergievsky Center, Columbia University Medical Center, New York, NY, United States of America
aff003; Department of Neurology, Columbia University Medical Center, New York, NY, United States of America
aff004; Division of Geriatric Psychiatry, Department of Psychiatry, Columbia University Medical Center and New York State Psychiatric Institute, New York, NY, United States of America
aff005; Healthy Brain Research Center, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, United States of America
aff006
Vyšlo v časopise:
PLoS ONE 14(11)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0222769
Souhrn
Cognitive impairment (CI) in older adults is frequently accompanied by difficulty performing complex everyday activities (e.g., managing finances). However, it is unclear if and how older adults with CI modify their activities (i.e., Do individuals continue, monitor, seek help with, change their approach to, or stop different activities?). In the current study, we examined if older adults with CI are concerned about their ability to carry out complex activities, if and how they modify activities based on their concern, and the factors associated with activity modification. We hypothesized that older adults with CI will more frequently be concerned about, and modify, everyday activities than cognitively healthy (HE) older adults, and that higher awareness of memory loss in the CI group would relate to more frequent modification. The sample included 81 older adults (51 HEs; mean age 70.02 (7.34) and 30 CI; mean age 75.97 (8.12)). Compared to HEs, the CI group reported having more concern about, F(3,77) = 5.50, p = 0.02, and modifying a greater number of activities, F(3,77) = 5.02, p = 0.03. Medication management (30%) and completing taxes (33.3%) were among the most frequently modified activities for the CI and HE groups, respectively. In the CI group, higher memory awareness was associated with more concern (r = .53, p = .005) and activity modification (r = 0.55, p = .003). Findings provide novel information about how cognitively diverse older adults navigate complex activities in daily life. We propose a preliminary theoretical model by which self-awareness may influence navigation of everyday activities in the context of CI.
Klíčová slova:
Cognitive impairment – Behavior – Dementia – Alzheimer's disease – Cognition – Memory – Elderly – Health education and awareness
Zdroje
1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed ed. Arlington, VA: American Psychiatric Publishing; 2013.
2. Farias ST, Chou E, Harvey DJ, Mungas D, Reed B, DeCarli C, et al. Longitudinal trajectories of everyday function by diagnostic status. Psychology and aging. 2013;28(4):1070. doi: 10.1037/a0034069 24364409
3. Farias ST, Mungas D, Reed BR, Harvey D, Cahn-Weiner D, Decarli C. MCI is associated with deficits in everyday functioning. Alzheimer Dis Assoc Disord. 2006;20(4):217–23. Epub 2006/11/30. doi: 10.1097/01.wad.0000213849.51495.d9 [pii]. 17132965; PubMed Central PMCID: PMC2880610.
4. Pfeffer RI, Kurosaki TT, Harrah CH Jr., Chance JM, Filos S. Measurement of functional activities in older adults in the community. J Gerontol. 1982;37(3):323–9. Epub 1982/05/01. doi: 10.1093/geronj/37.3.323 7069156.
5. Tabert MH, Albert SM, Borukhova-Milov L, Camacho Y, Pelton G, Liu X, et al. Functional deficits in patients with mild cognitive impairment: prediction of AD. Neurology. 2002;58(5):758–64. Epub 2002/03/13. doi: 10.1212/wnl.58.5.758 11889240.
6. Lindbergh CA, Dishman RK, Miller LS. Functional disability in mild cognitive impairment: a systematic review and meta-analysis. Neuropsychology review. 2016;26(2):129–59. doi: 10.1007/s11065-016-9321-5 27393566
7. Petersen RC. Mild cognitive impairment as a diagnostic entity. Journal of internal medicine. 2004;256(3):183–94. doi: 10.1111/j.1365-2796.2004.01388.x 15324362
8. Avila J, Flowers A, Scott TM, Quilici J, Apostolova LG, Woo E, et al. Daily activity abilities in MCI, Alzheimer’s disease, and healthy controls. GeroPsych: The Journal of Gerontopsychology and Geriatric Psychiatry. 2015;28(4):191. doi: 10.1024/1662-9647/a000136 27366145
9. Martin RC, Gerstenecker A, Triebel KL, Falola M, McPherson T, Cutter G, et al. Declining Financial Capacity in Mild Cognitive Impairment: A Six-Year Longitudinal Study. Archives of Clinical Neuropsychology. 2018;34(2):152–61.
10. Jutten RJ, Peeters CF, Leijdesdorff SM, Visser PJ, Maier AB, Terwee CB, et al. Detecting functional decline from normal aging to dementia: development and validation of a short version of the Amsterdam IADL Questionnaire. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring. 2017;8:26–35.
11. Weintraub S, Carrillo MC, Farias ST, Goldberg TE, Hendrix JA, Jaeger J, et al. Measuring cognition and function in the preclinical stage of Alzheimer's disease. Alzheimer's & Dementia: Translational Research & Clinical Interventions. 2018;4:64–75.
12. Orellano E, Colón WI, Arbesman M. Effect of occupation-and activity-based interventions on instrumental activities of daily living performance among community-dwelling older adults: A systematic review. American Journal of Occupational Therapy. 2012;66(3):292–300. doi: 10.5014/ajot.2012.003053 22549594
13. Manini T, Marko M, VanArnam T, Cook S, Fernhall B, Burke J, et al. Efficacy of resistance and task-specific exercise in older adults who modify tasks of everyday life. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2007;62(6):616–23.
14. Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2004;59(3):M255–M63.
15. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2001;56(3):M146–M57.
16. Boron JB, Rogers WA, Fisk AD. Everyday memory strategies for medication adherence. Geriatric Nursing. 2013;34(5):395–401. doi: 10.1016/j.gerinurse.2013.05.010 23810198
17. Schmitter-Edgecombe M, Parsey C, Lamb R. Development and psychometric properties of the instrumental activities of daily living: compensation scale. Archives of Clinical Neuropsychology. 2014;29(8):776–92. doi: 10.1093/arclin/acu053 25344901
18. Clare L. Awareness in early-stage Alzheimer's disease: a review of methods and evidence. British Journal of Clinical Psychology. 2004;43(Pt 2):177–96. doi: 10.1348/014466504323088042 15169617.
19. Cosentino S, Stern Y. Metacognitive theory and assessment in dementia: do we recognize our areas of weakness? Journal of the International Neuropsychological Society. 2005;11(7):910–9. 16519270.
20. Morris R, Hannesdottir K. Loss of Awareness in Alzheimer's Disease. Cognitive Neuropsychology of Alzheimer's Disease. 2004:275–96.
21. Reed BR, Jagust WJ, Coulter L. Anosognosia in Alzheimer's disease: relationships to depression, cognitive function, and cerebral perfusion. Journal of Clinical and Experimental Neuropsychology. 1993;15(2):231–44. doi: 10.1080/01688639308402560 8491848.
22. Nobili F, Mazzei D, Dessi B, Morbelli S, Brugnolo A, Barbieri P, et al. Unawareness of memory deficit in amnestic MCI: FDG-PET findings. J Alzheimers Dis. 2010;22(3):993–1003. Epub 2010/09/23. B55J7120773M4314 [pii] doi: 10.3233/JAD-2010-100423 20858977.
23. Vogel A, Stokholm J, Gade A, Andersen BB, Hejl AM, Waldemar G. Awareness of deficits in mild cognitive impairment and Alzheimer's disease: do MCI patients have impaired insight? Dementia and Geriatric Cognitive Disorders. 2004;17(3):181–7. doi: 10.1159/000076354 14739542.
24. Galeone F, Pappalardo S, Chieffi S, Iavarone A, Carlomagno S. Anosognosia for memory deficit in amnestic mild cognitive impairment and Alzheimer's disease. International journal of geriatric psychiatry. 2011;26(7):695–701. doi: 10.1002/gps.2583 21495076
25. Onor M, Trevisiol M, Negro C, Aguglia E. Different perception of cognitive impairment, behavioral disturbances, and functional disabilities between persons with mild cognitive impairment and mild Alzheimer’s disease and their caregivers. American Journal of Alzheimer's Disease & Other Dementias. 2006;21(5):333–8.
26. Roberts J, Clare L, Woods R. Subjective memory complaints and awareness of memory functioning in mild cognitive impairment: a systematic review. Dementia and geriatric cognitive disorders. 2009;28(2):95–109. doi: 10.1159/000234911 19684399
27. Maki Y, Amari M, Yamaguchi T, Nakaaki S, Yamaguchi H. Anosognosia: patients’ distress and self-awareness of deficits in Alzheimer’s disease. American Journal of Alzheimer's Disease & Other Dementias. 2012;27(5):339–45.
28. Cosentino S, Metcalfe J, Cary MS, De Leon J, Karlawish J. Memory awareness influences everyday decision making capacity about medication management in Alzheimer's disease. International journal of Alzheimer’s disease. 2011;2011.
29. Starkstein SE. Anosognosia in Alzheimer's disease: Diagnosis, frequency, mechanism and clinical correlates. Cortex. 2014;61:64–73. doi: 10.1016/j.cortex.2014.07.019 25481465
30. Kelleher M, Tolea MI, Galvin JE. Anosognosia increases caregiver burden in mild cognitive impairment. International journal of geriatric psychiatry. 2015.
31. Mattis S. Dementia Rating Scale: Professional manual. 1988;Odessa, FL: Psychological Assessment Resources.
32. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research. 1975;12(3):189–98. doi: 10.1016/0022-3956(75)90026-6 1202204
33. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatry Research. 1975;12(3):189–98. doi: 10.1016/0022-3956(75)90026-6 1202204.
34. Morris JC. The Clinical Dementia Rating (CDR): current version and scoring rules. Neurology. 1993.
35. Stites SD, Harkins K, Rubright JD, Karlawish J. Relationships between cognitive complaints and quality of life in older adults with mild cognitive impairment, mild Alzheimer disease dementia, and normal cognition. Alzheimer Disease & Associated Disorders. 2018;32(4):276–83.
36. Stites SD, Karlawish J, Harkins K, Rubright JD, Wolk D. Awareness of mild cognitive impairment and mild Alzheimer’s disease dementia diagnoses associated with lower self-ratings of quality of life in older adults. Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2017;72(6):974–85.
37. Stern Y, Gu Y, Cosentino S, Azar M, Lawless S, Tatarina O. The Predictors study: Development and baseline characteristics of the Predictors 3 cohort. Alzheimer's & Dementia. 2017;13(1):20–7.
38. Devanand D, Folz M, Gorlyn M, Moeller JR, Stern Y. Questionable dementia: clinical course and predictors of outcome. Journal of the American Geriatrics Society. 1997;45(3):321–8. doi: 10.1111/j.1532-5415.1997.tb00947.x 9063278
39. Cosentino S, Metcalfe J, Butterfield B, Stern Y. Objective metamemory testing captures awareness of deficit in Alzheimer's disease. Cortex. 2007;43(7):1004–19. doi: 10.1016/s0010-9452(08)70697-x 17941356
40. Dean KJ. Exploring the healthcare experiences and quality of life of people with mild cognitive impairment and their caregivers: UCL (University College London); 2013.
41. Buckley RF, Saling MM, Frommann I, Wolfsgruber S, Wagner M. Subjective cognitive decline from a phenomenological perspective: A review of the qualitative literature. Journal of Alzheimer's Disease. 2015;48(s1):S125–S40.
42. Jessen F, Wiese B, Bachmann C, Eifflaender-Gorfer S, Haller F, Kolsch H, et al. Prediction of dementia by subjective memory impairment: effects of severity and temporal association with cognitive impairment. Archives of general psychiatry. 2010;67(4):414–22. Epub 2010/04/07. doi: 10.1001/archgenpsychiatry.2010.30 20368517.
43. Tremont G, Alosco ML. Relationship between cognition and awareness of deficit in mild cognitive impairment. Int J Geriatr Psychiatry. 2011;26(3):299–306. Epub 2010/07/14. doi: 10.1002/gps.2529 20623477.
44. Cotrell V, Wild K. Longitudinal study of self-imposed driving restrictions and deficit awareness in patients with Alzheimer disease. Alzheimer's Disease and Associated Disorders. 1999;13(3):151–6. 10485574.
45. Cosentino S, Metcalfe J, Cary M, De Leon J, Karlawish JH. Memory Awareness Influences Everyday Decision Making Capacity in Alzheimer's Disease. International Journal of Alzheimer's Disease. 2011;Article ID 483897.
46. Mograbi DC, Brown RG, Salas C, Morris RG. Emotional reactivity and awareness of task performance in Alzheimer's disease. Neuropsychologia. 2012;50(8):2075–84. Epub 2012/05/23. doi: 10.1016/j.neuropsychologia.2012.05.008 22609573.
47. Rosas-Salazar C, Apter AJ, Canino G, Celedón JC. Health literacy and asthma. Journal of Allergy and Clinical Immunology. 2012;129(4):935–42. doi: 10.1016/j.jaci.2012.01.040 22326486
48. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Annals of internal medicine. 2011;155(2):97–107. doi: 10.7326/0003-4819-155-2-201107190-00005 21768583
49. Zimmerman EB, Woolf SH, Haley A. Understanding the relationship between education and health: a review of the evidence and an examination of community perspectives. Population health: behavioral and social science insights Rockville (MD): Agency for Health-care Research and Quality. 2015:347–84.
50. Walsh KW. Neuropsychology: A clinical approach: Churchill Livingstone; 1978.
51. Koriat A, Goldsmith M. Monitoring and control processes in the strategic regulation of memory accuracy. Psychol Rev. 1996;103(3):490–517. doi: 10.1037/0033-295x.103.3.490 8759045.
52. Turken AU, Vuilleumier P, Mathalon DH, Swick D, Ford JM. Are impairments of action monitoring and executive control true dissociative dysfunctions in patients with schizophrenia? American Journal of Psychiatry. 2003;160(10):1881–3. Epub 2003/09/30. doi: 10.1176/appi.ajp.160.10.1881 14514505.
53. Koren D, Seidman LJ, Poyurovsky M, Goldsmith M, Viksman P, Zichel S, et al. The neuropsychological basis of insight in first-episode schizophrenia: a pilot metacognitive study. Schizophr Res. 2004;70(2–3):195–202. doi: 10.1016/j.schres.2004.02.004 15329296.
54. Cicerone KD, Langenbahn DM, Braden C, Malec JF, Kalmar K, Fraas M, et al. Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Archives of physical medicine and rehabilitation. 2011;92(4):519–30. doi: 10.1016/j.apmr.2010.11.015 21440699
55. Goverover Y, Johnston MV, Toglia J, DeLuca J. Treatment to improve self-awareness in persons with acquired brain injury. Brain Injury. 2007;21(9):913–23. doi: 10.1080/02699050701553205 17729044
56. Cheng S, Man D. Management of impaired self-awareness in persons with traumatic brain injury. Brain Injury. 2006;20(6):621–8. doi: 10.1080/02699050600677196 16754287
57. Lawton MP. The functional assessment of elderly people. Journal of the American Geriatrics Society. 1971;19(6):465–81. doi: 10.1111/j.1532-5415.1971.tb01206.x 5094650
Článok vyšiel v časopise
PLOS One
2019 Číslo 11
- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
- Nejasný stín na plicích – kazuistika
- Masturbační chování žen v ČR − dotazníková studie
- Je Fuchsova endotelová dystrofie rohovky neurodegenerativní onemocnění?
- Fixní kombinace paracetamol/kodein nabízí synergické analgetické účinky
Najčítanejšie v tomto čísle
- A daily diary study on maladaptive daydreaming, mind wandering, and sleep disturbances: Examining within-person and between-persons relations
- A 3’ UTR SNP rs885863, a cis-eQTL for the circadian gene VIPR2 and lincRNA 689, is associated with opioid addiction
- A substitution mutation in a conserved domain of mammalian acetate-dependent acetyl CoA synthetase 2 results in destabilized protein and impaired HIF-2 signaling
- Molecular validation of clinical Pantoea isolates identified by MALDI-TOF