Investigating dementia worry and its impact on older adults

调查痴呆症担忧及其对老年人的影响

基本信息

批准号：
9357505
负责人：
Molly Maxfield
金额：
$ 17.85万
依托单位：
UNIVERSITY OF COLORADO
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-09-30 至 2020-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9357505
关键词：
Adult Adult Acute Lymphocytic Leukemia Affect Age Aging Alzheimer&apos s Disease Alzheimer&apos s disease risk Anxiety Awareness Caregivers Cause of Death Cognitive Cues Decision Making Dementia Diagnosis Disease Distress Elderly Emotional Exposure to Family Friends Fright Future Goals Health Impaired cognition Individual Institutes Intervention Life Life Expectancy Malignant Neoplasms Measures Mental Health Mental disorders Methodology Methods Mission Older Population Persons Pilot Projects Population Positioning Attribute Preparation Prevalence Prevention Psychological Impact Public Health Publishing Research Research Design Research Support Role Stereotyping Symptoms United States National Institutes of Health Work base end of life experience experimental study follow-up improved innovation insight interest middle age novel population survey prevent protective behavior psychologic risk minimization statistics vigilance

项目摘要

Project Summary/Abstract Rates of dementia diagnoses and personal experience with dementia are staggering. Dementia’s impact is wide ranging, affecting the lives of those diagnosed as well as their caregivers, friends, and family. Therefore, people may worry about the possibility of developing dementia well before they do (if they ever do). Indeed, almost one third of an adult population surveyed identified dementia as their most feared disease, second only to cancer (MetLife, 2011). The proposed research will focus on dementia worry – the anxiety about dementia prior to symptoms or diagnosis. Because dementia worry can exist in persons of varying age and cognitive status, it is important to investigate this phenomenon among middle-aged and older adults. In spite of the prevalence of Alzheimer’s disease and related disorders (ADRD), understanding of dementia, its causes, and symptoms remains low. Increasing awareness of ADRD combined with minimal understanding of ADRD is believed to pose a potent threat to adults of all ages, particularly middle-aged and older individuals. People with high dementia worry are believed to view ADRD as threatening due to the high perceived negativity of dementia, high perceived risk of ADRD, and low perceived control or means for prevention. There is currently little research concerning the impact of dementia worry on daily life, psychological functioning, and future planning. Using experimental methods, the proposed research will induce different levels of dementia worry experimentally (based on commonly encountered environmental cues such as ageist stereotypes, prevalence statistics, and dementia awareness campaigns) to assess some potential psychological and health-related consequences of dementia worry. Finally, we will investigate ways to reduce dementia worry, taking the initial steps in developing and assessing the immediate and short-term impact of interventions, with our final study including a three month follow-up to determine if beneficial effects may last. Consistent with NIH’s mission to increase understanding of mental disorders and NIA’s mission to support research designed to improve the health and well-being of older adults, the proposed studies will increase understanding of dementia worry, its impact on functioning and psychological well-being, with the goal of identifying pragmatic interventions to reduce dementia worry and improve well-being.

项目摘要/摘要痴呆症诊断率和痴呆症的个人经验令人震惊。痴呆的影响是广泛的范围，影响被诊断的人以及他们的照顾者，朋友和家人的生活。因此，人们可能会担心在痴呆之前就有可能患痴呆症的可能性（如果做）。的确，接受调查的成年人中几乎三分之一确定痴呆症是他们最担心的疾病，仅次于癌症（大都会人寿，2011年）。拟议的研究将重点介绍痴呆症的忧虑 - 症状或诊断之前对痴呆症的焦虑。因为痴呆症担心可能存在于不同的年龄和认知状况，研究中年和老年人。尽管阿尔茨海默氏病和相关疾病患病率（ADRD），但对痴呆，其原因和症状的理解仍然很低。提高对ADRD的认识据信，对ADRD的了解最少，对所有年龄段的成年人构成潜在威胁，特别是中年和老年人。据信，痴呆症的人高度担忧会看到由于痴呆症，高度感知的ADRD风险和低感知控制或预防手段。目前几乎没有关于痴呆症担心日常生活，心理功能和未来计划。使用实验方法，拟议的研究将通过实验引起不同水平的痴呆症忧虑（基于通常遇到的环境线索，例如当代主义刻板印象，患病率统计和痴呆症意识运动）评估一些潜在的心理和健康相关后果痴呆症的担忧。最后，我们将调查减少痴呆症担心的方法，采取初步步骤通过我们的最终研究，开发和评估干预措施的直接和短期影响包括三个月的随访，以确定有益影响是否可能持续。与NIH的一致提高对精神障碍的理解和NIA的使命，以支持旨在改善老年人的健康和福祉，拟议的研究将增加对痴呆症的担忧，对功能和心理健康的影响，目的是确定务实的干预措施减少痴呆症的担忧并改善幸福感。