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德国中老年人的痴呆症担忧:社会人口学、健康相关及心理因素

Dementia worry in middle-aged and older adults in Germany: sociodemographic, health-related and psychological correlates.

作者信息

Bowen Catherine E, Kessler Eva-Marie, Segler Julia

机构信息

1MSB Medical School Berlin, Calandrellistrasse 1-9, 12247 Berlin, Germany.

2Zentrum für Kinder-und Jugendmedizin, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 153, 69120 Heidelberg, Germany.

出版信息

Eur J Ageing. 2018 Feb 28;16(1):39-52. doi: 10.1007/s10433-018-0462-7. eCollection 2019 Mar.

Abstract

"Dementia worry" (DW; i.e., concern about developing dementia) is highly prevalent in the general population. However, research on the characteristics associated with lower and higher levels of DW is still limited. Based on previous empirical and conceptual work, we examined the extent to which DW was related to a comprehensive range of objective and subjective characteristics (sociodemographics, contact with people with dementia, physical health-related risk factors, well-being/psychological distress, aging self-perceptions, social-cognitive health beliefs about dementia). A convenience sample of  = 219 German adults 40 + years ( = 65.50 years, SD = 11.34; 40-94 years) reporting no dementia or cognitive impairment diagnosis completed questionnaires. We improved upon previous research by using a ten-item scale to measure DW. We used bivariate correlations and multivariate regression to examine the extent to which DW was related to the potential concomitants. 41.1% of the participants indicated DW. Together, the predictor variables explained 53.3% of the variance in DW. DW was related to psychological distress, perceived memory change, aging anxiety, and personal risk perception in both the bivariate and multivariate analyses. There was a quadratic (reverse U shape) relationship between age and DW. Physical health-related risk factors were not related to DW. Our findings suggest that DW represents a hybrid of psychological distress, aging self-perceptions, and a specific type of health concern. Healthcare practitioners should consider a person's psychological characteristics when deciding how to intervene when someone indicates moderate or high DW.

摘要

“痴呆症担忧”(DW;即对患痴呆症的担忧)在普通人群中极为普遍。然而,关于与较低和较高水平的痴呆症担忧相关特征的研究仍然有限。基于先前的实证和概念性研究,我们考察了痴呆症担忧在多大程度上与一系列全面的客观和主观特征(社会人口统计学、与痴呆症患者的接触、与身体健康相关的风险因素、幸福感/心理困扰、对衰老的自我认知、对痴呆症的社会认知健康信念)相关。一个由219名40岁及以上德国成年人组成的便利样本(平均年龄=65.50岁,标准差=11.34;年龄范围40 - 94岁),这些人未被诊断患有痴呆症或认知障碍,他们完成了问卷调查。我们通过使用一个包含十个条目的量表来测量痴呆症担忧,从而改进了先前的研究。我们使用双变量相关性和多元回归来考察痴呆症担忧与潜在伴随因素的相关程度。41.1%的参与者表示有痴呆症担忧。预测变量共同解释了痴呆症担忧变异的53.3%。在双变量和多变量分析中,痴呆症担忧都与心理困扰、感知到的记忆变化、衰老焦虑和个人风险感知相关。年龄与痴呆症担忧之间存在二次(倒U形)关系。与身体健康相关的风险因素与痴呆症担忧无关。我们的研究结果表明,痴呆症担忧代表了心理困扰、对衰老的自我认知以及一种特定类型的健康担忧的混合体。当有人表示有中度或高度的痴呆症担忧时,医疗从业者在决定如何进行干预时应考虑一个人的心理特征。

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Dementia worry: a psychological examination of an unexplored phenomenon.
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