Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNS), Alzheimer Centre Limburg, Maastricht University, Maastricht, The Netherlands.
Department of Geriatric Medicine, Radboudumc Alzheimer Center, Radboud University Medical Center, Nijmegen, The Netherlands.
Aging Ment Health. 2023 May;27(5):862-875. doi: 10.1080/13607863.2022.2084505. Epub 2022 Jun 28.
To explore the preferences of people with memory complaints (PwMC) and their significant others regarding starting a diagnostic trajectory for dementia.
A systematic literature search was conducted in PubMed, PsycINFO, CINAHL, Web of Science, and Embase. Selection of abstracts and papers was performed independently by two researchers. Methodological quality was assessed with the Mixed Method Appraisal Tool. Result sections of the selected papers were thematically synthesized.
From 2497 citations, seven qualitative studies and two mixed methods studies published between 2010 and 2020 were included. Overall quality of the studies was high to moderate. A thematic synthesis showed that preferences for starting a diagnostic trajectory arose from the feeling of needing to do something about the symptoms, beliefs on the necessity and expected outcomes of starting a diagnostic trajectory. These views were influenced by normalization or validation of symptoms, the support or wishes of the social network, interactions with health care professionals, the health status of the PwMC, and societal factors such as stigma and socioeconomic status.
A variety of considerations with regard to decision-making on starting a diagnostic trajectory for dementia were identified. This emphasizes the need to explore individual preferences to facilitate a timely dementia diagnosis.
探索有记忆主诉的人（PwMC）及其重要他人对启动痴呆诊断轨迹的偏好。
在 PubMed、PsycINFO、CINAHL、Web of Science 和 Embase 中进行了系统文献检索。两名研究人员独立进行了摘要和论文的选择。使用混合方法评估工具评估了方法学质量。对选定论文的结果部分进行了主题综合。
从 2497 条引文中，纳入了 2010 年至 2020 年期间发表的 7 项定性研究和 2 项混合方法研究。研究的总体质量较高至中等。主题综合表明，启动诊断轨迹的偏好源于对症状采取行动的需求感、对启动诊断轨迹的必要性和预期结果的信念。这些观点受到症状的正常化或验证、社交网络的支持或愿望、与医疗保健专业人员的互动、PwMC 的健康状况以及污名化和社会经济地位等社会因素的影响。
确定了与启动痴呆诊断轨迹的决策相关的多种考虑因素。这强调了需要探索个体偏好以促进及时的痴呆诊断。
