Montiel-Aponte Mariel Carolina, Bertolucci Paulo Henrique Ferreira, Rocha Gustavo Gil Velho
Universidade Federal de São Paulo, Escola Paulista de Medicina, Programa de Pós-Graduação em Neurologia e Neurociências, São Paulo SP, Brazil.
Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Neurologia, São Paulo SP, Brazil.
Dement Neuropsychol. 2023 May 29;17:e20220090. doi: 10.1590/1980-5764-DN-2022-0090. eCollection 2023.
Till present, only a few countries have developed support programs for caregivers and families of patients with dementia aimed to improve knowledge, skills, and strategies to deal with the patient's symptoms. However, prior to offering this special support, it is important to identify beliefs and thoughts shared by informants related to cognition in elderly people. Questionnaires are instruments that allow having this information, such as the Knowledge of Memory Aging Questionnaire (KMAQ), which was designed to assess normal and pathological changes in the aging process.
The aim of this study was to assess the knowledge about cognition, aging, and dementia as evaluated by the KMAQ in people who are in contact with elderly people, with and without cognitive impairment.
A total of 78 relatives and caregivers of elderly patients were classified into two groups: group 1: relatives of patients with dementia (n1=48), and group 2: relatives of patients without cognitive impairment (n2=30). They were asked to answer some questionnaires about dementia, including the KMAQ.
Comparing the questionnaire's scores for normal cognitive changes items (g1: 0.53 g2: 0.53, p-value: 0.99) did not show differences between the knowledge in both groups, nor shows the scores for pathological cognitive changes items (g1: 0.55 g2: 0.55, p-value: 0.969).
It seems that being in contact with dementia does not improve knowledge about it. Knowledge of normal changes in cognition could make it possible to recognize "red flags" suggestive of neurodegenerative processes, allowing for earlier diagnosis and more options for treatment.
到目前为止,只有少数国家为痴呆症患者的照料者和家庭制定了支持计划,旨在提高应对患者症状的知识、技能和策略。然而,在提供这种特殊支持之前,识别被调查者对老年人认知的共同信念和想法很重要。问卷是获取此类信息的工具,例如记忆老化知识问卷(KMAQ),它旨在评估衰老过程中的正常和病理变化。
本研究的目的是评估通过KMAQ对接触老年人(有或无认知障碍)的人群进行评估的关于认知、衰老和痴呆症的知识。
总共78名老年患者的亲属和照料者被分为两组:第1组:痴呆症患者的亲属(n1 = 48),第2组:无认知障碍患者的亲属(n2 = 30)。他们被要求回答一些关于痴呆症的问卷,包括KMAQ。
比较两组在正常认知变化项目问卷得分(第1组:0.53,第2组:0.53,p值:0.99),两组知识之间没有差异,病理认知变化项目得分也无差异(第1组:0.55,第2组:0.55,p值:0.969)。
似乎接触痴呆症并不能提高对它的认识。对认知正常变化的了解可以使人识别出提示神经退行性过程的“危险信号”,从而实现更早的诊断和更多的治疗选择。