Reynolds Addam, Amano Takashi, Scher Clara, Jia Yuane
Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA.
Department of Social Work, School of Arts and Sciences, Rutgers University-Newark, Newark, NJ, USA.
J Appl Gerontol. 2025 Apr;44(4):526-529. doi: 10.1177/07334648241282778. Epub 2024 Sep 9.
Positive adaptation, like higher control beliefs, following a disability diagnosis is important to buffer against excess disability; however, no study has examined how the recent diagnosis of Alzheimer's disease and related dementias (ADRD) impacts control beliefs. The current study addresses this gap in the literature. We use data from the 2012-2016 waves of the Health and Retirement Study. Propensity score weighting was used to address the systematic selection of an ADRD diagnosis to understand how control beliefs (perceived constraints and mastery) are impacted two years following a diagnosis. A new diagnosis of ADRD was associated with a lower mastery score two years later, regardless of baseline functional ability (b = -0.652, < .001). No associations were noted between a new ADRD diagnosis and perceived constraints. Our results suggest that a recent diagnosis of ADRD has negative implications for mastery, which may facilitate excess disability.
积极适应，如更高的控制信念，在残疾诊断后对缓冲过度残疾很重要；然而，没有研究考察过最近被诊断为阿尔茨海默病及相关痴呆症（ADRD）如何影响控制信念。当前的研究填补了这一文献空白。我们使用了2012 - 2016年健康与退休研究的数据。倾向得分加权法用于处理ADRD诊断的系统选择问题，以了解控制信念（感知到的限制和掌控感）在诊断后两年是如何受到影响的。两年后，新诊断出的ADRD与较低的掌控感得分相关，无论基线功能能力如何（b = -0.652，p <.001）。新的ADRD诊断与感知到的限制之间未发现关联。我们的结果表明，最近被诊断为ADRD对掌控感有负面影响，这可能会导致过度残疾。
