社区老年人记忆丧失恐惧与回避量表的验证
Validation of the Fear and Avoidance of Memory Loss scale in community-based older adults.
作者信息
Farina Francesca R, Pavithra Pavithra, An Hosanna, Marquez Melissa, O'Loughlin Patricia, Regan John, Taddeo Michelle, Bennett Marc, Lenaert Bert, Griffith James W
机构信息
Feinberg School of Medicine Department of Medical Social Sciences Northwestern University Chicago Illinois USA.
Global Brain Health Institute Trinity College Dublin Dublin Ireland.
出版信息
Alzheimers Dement (Amst). 2023 Apr 23;15(2):e12432. doi: 10.1002/dad2.12432. eCollection 2023 Apr-Jun.
INTRODUCTION
Alzheimer's disease and related dementias (ADRD) are among the most feared conditions. However, research around ADRD-specific fear and avoidance behaviors is lacking. Here, we validated a novel measure of fear and avoidance specific to memory loss, the Fear and Avoidance of Memory Loss (FAM) scale, and examined associations between fear avoidance and psychosocial functioning in older adults.
METHODS
We assessed FAM Scale internal reliability and concurrent validity, and candidate subscales across two samples (total = 813). We then examined associations between fear avoidance and memory performance, anxiety, depressive symptoms, sleep, social functioning, and quality of life.
RESULTS
We identified two subscales: fear and avoidance, which yielded strong psychometric validity. Higher fear was associated with memory failures and sleep disturbance. Higher avoidance was associated with memory failures, poorer verbal memory, reduced social functioning, and quality of life.
DISCUSSION
We present the first measure of fear avoidance specific to memory loss. We propose that targeting fear avoidance can promote ADRD risk reduction and resiliency.
引言
阿尔茨海默病及相关痴呆症（ADRD）是最令人恐惧的病症之一。然而，针对ADRD特异性恐惧和回避行为的研究却很匮乏。在此，我们验证了一种针对记忆丧失的新型恐惧和回避测量方法，即记忆丧失恐惧与回避（FAM）量表，并研究了老年人恐惧回避与心理社会功能之间的关联。
方法
我们评估了FAM量表的内部信度和同时效度，以及两个样本（总计 = 813）中的候选子量表。然后，我们研究了恐惧回避与记忆表现、焦虑、抑郁症状、睡眠、社会功能和生活质量之间的关联。
结果
我们确定了两个子量表：恐惧和回避，它们具有很强的心理测量效度。较高的恐惧与记忆失误和睡眠障碍有关。较高的回避与记忆失误、较差的言语记忆、社会功能减退和生活质量有关。
讨论
我们提出了首个针对记忆丧失的恐惧回避测量方法。我们认为，针对恐惧回避可以促进降低ADRD风险和恢复力。
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