Aboriginal Experiences of Aging and Dementia in a Context of Sociocultural Change: Qualitative Analysis of Key Informant Group Interviews with Aboriginal Seniors
Aboriginal Experiences of Aging and Dementia in a Context of Sociocultural Change: Qualitative Analysis of Key Informant Group Interviews with Aboriginal Seniors
复制标题
社会文化变迁背景下的原住民老龄化和痴呆症经历：对原住民老年人关键信息群体访谈的定性分析
DOI：
10.1007/s10823-010-9136-4
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发表时间：
2011
影响因子：
2
通讯作者：
A. Cammer
中科院分区：
文献类型：
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作者：
Shawnda C. Lanting;M. Crossley;D. Morgan;A. Cammer
研究文化和文化观念在识别、诊断和治疗与年龄相关的认知障碍中的作用仍然是临床神经心理学的一个未充分研究的领域。本文介绍了一个定性研究的基础上，一系列的关键线人组访谈的土著祖母组在萨斯喀彻温省。主题分析是在探索土著人的正常老化和痴呆症的看法和调查有关的问题，发展文化上适当的评估技术。确定了三个相关的主题，突出了土著人在医疗保健系统中的老龄化、痴呆和痴呆症经历：（1）认知和行为变化被视为衰老过程的正常预期，并确定了寿命的循环概念，衰老被视为“回到婴儿阶段”，（2）祖母将“文化的巨大变化”与土著人的健康联系起来，疾病（包括痴呆症）和正常衰老过程中的变化，以及（3）基于文化的医疗保健的重要性，既与评估工具的审查有关，也与医疗保健系统经验的更一般性讨论有关。社会文化变化导致生活方式的改变和家庭单位和社区生活方式的破坏，以及将记忆丧失和行为变化视为老龄化过程的正常部分，这些主题与以前对少数民族的工作是一致的。这项研究指出，有必要了解土著人对老龄化和痴呆症的看法，以便为土著老年人与年龄有关的认知障碍和痴呆症的适当评估和治疗提供信息。
Examining the role of culture and cultural perceptions of aging and dementia in the recognition, diagnosis, and treatment of age-related cognitive impairment remains an understudied area of clinical neuropsychology. This paper describes a qualitative study based on a series of key informant group interviews with an Aboriginal Grandmothers Group in the province of Saskatchewan. Thematic analysis was employed in an exploration of Aboriginal perceptions of normal aging and dementia and an investigation of issues related to the development of culturally appropriate assessment techniques. Three related themes were identified that highlighted Aboriginal experiences of aging, caregiving, and dementia within the healthcare system: (1) cognitive and behavioural changes were perceived as a normal expectation of the aging process and a circular conception of the lifespan was identified, with aging seen as going back “back to the baby stage”, (2) a “big change in culture” was linked by Grandmothers to Aboriginal health, illness (including dementia), and changes in the normal aging process, and (3) the importance of culturally grounded healthcare both related to review of assessment tools, but also within the context of a more general discussion of experiences with the healthcare system. Themes of sociocultural changes leading to lifestyle changes and disruption of the family unit and community caregiving practices, and viewing memory loss and behavioural changes as a normal part of the aging process were consistent with previous work with ethnic minorities. This research points to the need to understand Aboriginal perceptions of aging and dementia in informing appropriate assessment and treatment of age-related cognitive impairment and dementia in Aboriginal seniors.
切罗基印第安人患阿尔茨海默病的遗传因素。
影响因子：
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作者：
Rosenberg,RN;Richter,RW;Risser,RC;Taubman,K;Prado-Farmer,I;Ebalo,E;Posey,J;Kingfisher,D;Dean,D;Weiner,MF;Svetlik,D;Adams,P;Honig,LS;Cullum,CM;Schaefer,FV;Schellenberg,GD
通讯作者：
Schellenberg,GD