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公众是否会因为寻求帮助以早期发现阿尔茨海默病而对该疾病产生联想?

Is there an association between help-seeking for early detection of Alzheimer's disease and illness representations of this disease among the lay public?

机构信息

Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat-Gan, Israel.

Department of Community Mental Health, University of Haifa, Mount Carmel, Haifa, Israel.

出版信息

Int J Geriatr Psychiatry. 2017 Dec;32(12):e100-e106. doi: 10.1002/gps.4661. Epub 2017 Jan 23.

Abstract

OBJECTIVE

Help-seeking (HS) for early detection of Alzheimer's disease (AD) is clearly essential because therapeutic interventions are recognized as being most efficient in the early stages of the disease. Using the Self-Regulation Model as its conceptual framework, the present study examined the relationship between HS for early detection of AD and lay persons' beliefs and emotional reactions towards AD.

METHODS

A convenience sample of 236 community-dwelling adults, aged 50 and above, completed HS measures related to early detection of AD, HS sources, cognitive and emotional representations, perceived threat, familiarity with AD, and socio-demographic questionnaires.

RESULTS

Participants expressed low HS levels for early detection of AD. However, participants expressed higher levels of HS willingness if checking for AD would be included in the routine medical examinations conducted by their GPs. Multiple regression analyses showed that AD consequences and perceived threat were the main predictors of HS for early detection of AD, explaining 9.2% of the variance.

CONCLUSIONS

Our findings stress the need to increase the lay public's knowledge about available treatment options and their efficacy, even in the advances stages of the disease when the consequences of the disease are much more severe. AD awareness programs should also pay attention to the potential fear which may exist in the case of HS for early detection of AD. Copyright © 2017 John Wiley & Sons, Ltd.

摘要

目的

寻求帮助(HS)以早期发现阿尔茨海默病(AD)显然是必要的,因为治疗干预措施在疾病的早期阶段被认为是最有效的。本研究以自我调节模型为概念框架,考察了 AD 早期检测的 HS 与一般民众对 AD 的信念和情绪反应之间的关系。

方法

本研究采用方便样本,共纳入 236 名年龄在 50 岁及以上的社区居民,完成了与 AD 早期检测相关的 HS 测量、HS 来源、认知和情绪表达、感知威胁、AD 熟悉程度以及社会人口学问卷。

结果

参与者对 AD 的早期检测表现出较低的 HS 水平。然而,如果 AD 的检查可以包含在他们的全科医生进行的常规体检中,参与者表示他们有更高的 HS 意愿。多元回归分析显示,AD 后果和感知威胁是 AD 早期检测 HS 的主要预测因素,解释了 9.2%的方差。

结论

我们的研究结果强调了需要增加一般民众对可用治疗选择及其疗效的了解,即使在疾病的晚期,当疾病的后果更加严重时也是如此。AD 意识计划还应注意到在 AD 早期检测中可能存在的潜在恐惧。版权所有 © 2017 约翰威立父子公司

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