Awareness of diagnosis in persons with early-stage alzheimer's disease: an observational study in Spain
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- dc.contributor.author Villarejo-Galende, Alberto
- dc.contributor.author Puig-Pijoan, Albert
- dc.contributor.author Maurino, Jorge
- dc.date.accessioned 2022-11-28T07:57:27Z
- dc.date.available 2022-11-28T07:57:27Z
- dc.date.issued 2022
- dc.description.abstract Introduction: limited information is available on people's experiences of living with Alzheimer's disease (AD) at earlier stages. This study assessed awareness of diagnosis among people with early-stage AD and its impact on different person-centered outcome measures. Methods: we conducted an observational, cross-sectional study in 21 memory clinics in Spain. Persons aged 50-90 years, diagnosed with prodromal or mild AD (NIA/AA criteria), a Mini Mental State Examination (MMSE) score ≥ 22, and a Clinical Dementia Rating-Global score (CDR-GS) of 0.5 or 1.0 were recruited. The Representations and Adjustment to Dementia Index (RADIX) was used to assess participants' beliefs about their condition and its consequences. Results: a total of 149 persons with early-stage AD were studied. Mean (SD) age was 72.3 (7.0) years and 50.3% were female. Mean duration of AD was 1.4 (1.8) years. Mean MMSE score was 24.6 (2.1) and 87.2% had a CDR-GS score of 0.5. Most participants (n = 84, 57.5%) used a descriptive term related to specific AD symptoms (e.g., memory difficulties) when asked what they called their condition. Participants aware of their diagnosis using the term AD (n = 66, 45.2%) were younger, had more depressive symptoms, and poorer life satisfaction and quality of life compared to those without awareness of their specific diagnosis. Practical and emotional consequences RADIX scores showed a significant negative correlation with Quality of Life in Alzheimer's Disease score (rho = - 0.389 and - 0.413, respectively; p < 0.0001). Years of education was the only predictor of awareness of AD diagnosis [OR = 1.04 (95% CI 1.00-1.08); p = 0.029]. Conclusions: awareness of diagnosis was a common phenomenon in persons with early-stage AD negatively impacting their quality of life. Understanding illness representations in earlier stages may facilitate implementing optimized care that supports improved quality of life and well-being.
- dc.format.mimetype application/pdf
- dc.identifier.citation Villarejo-Galende A, García-Arcelay E, Piñol-Ripoll G, Del Olmo-Rodríguez A, Viñuela F, Boada M, et al. Awareness of diagnosis in persons with early-stage alzheimer's disease: an observational study in Spain. Neurol Ther. 2022 Sep; 11(3): 1183-92. DOI: 10.1007/s40120-022-00367-3
- dc.identifier.doi http://dx.doi.org/10.1007/s40120-022-00367-3
- dc.identifier.issn 2193-6536
- dc.identifier.uri http://hdl.handle.net/10230/55010
- dc.language.iso eng
- dc.publisher SpringerOpen
- dc.rights Copyright © Villarejo-Galende A, García-Arcelay E, Piñol-Ripoll G, Del Olmo-Rodríguez A, Viñuela F, Boada M, et al. 2022. Open Access. This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
- dc.subject.keyword Alzheimer’s disease
- dc.subject.keyword Awareness
- dc.subject.keyword Diagnosis
- dc.subject.keyword Illness representation
- dc.subject.keyword Quality of life
- dc.subject.keyword Well-being
- dc.title Awareness of diagnosis in persons with early-stage alzheimer's disease: an observational study in Spain
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion