Medical help-seeking intentions among patients with early Alzheimer's disease

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• dc.contributor.author Villarejo-Galende, Alberto
• dc.contributor.author Puig-Pijoan, Albert
• dc.contributor.author Maurino, Jorge
• dc.date.accessioned 2024-10-15T06:20:18Z
• dc.date.available 2024-10-15T06:20:18Z
• dc.date.issued 2023
• dc.description.abstract Background: Limited information is available on the active process of seeking medical help in patients with Alzheimer's disease (AD) at early stages. The aim of this study was to assess the phenomenon of medical help-seeking in early AD and to identify associated factors. Methods: A multicenter, non-interventional study was conducted including patients of 50-90 years of age with prodromal or mild AD (National Institute on Aging/Alzheimer's Association criteria), a Mini-Mental State Examination (MMSE) score ≥ 22, and a Clinical Dementia Rating-Global score (CDR-GS) of 0.5-1.0. A multivariate logistic regression analysis was conducted. Results: A total of 149 patients were included. Mean age (SD) was 72.3 (7.0) years, 50.3% were female, and 87.2% had a CDR-GS score of 0.5. Mean disease duration was 1.4 (1.8) years. Ninety-four (63.1%) patients sought medical help, mostly from neurologists. Patients with help-seeking intentions were mostly female (60.6%) with a CDR-GS score of 0.5 (91.5%) and had a greater awareness of diagnosis, poorer quality of life, more depressive symptoms, and a more severe perception of their condition than their counterparts. Lack of help-seeking intentions was associated with male sex (p = 0.003), fewer years of education (p = 0.005), a low awareness of diagnosis (p = 0.005), and a low emotional consequence of the condition (p = 0.016). Conclusion: Understanding the phenomenon of active medical help-seeking may facilitate the design of specific strategies to improve the detection of cognitive impairment, especially in patients with a lower level of educational attainment and poor awareness of their condition.
• 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. Medical help-seeking intentions among patients with early Alzheimer's disease. Front Psychiatry. 2023 Dec 19;14:1290002. DOI: 10.3389/fpsyt.2023.1290002
• dc.identifier.doi http://dx.doi.org/10.3389/fpsyt.2023.1290002
• dc.identifier.issn 1664-0640
• dc.identifier.uri http://hdl.handle.net/10230/61403
• dc.language.iso eng
• dc.publisher Frontiers
• dc.relation.ispartof Front Psychiatry. 2023 Dec 19;14:1290002
• dc.rights © 2023 Villarejo-Galende, García-Arcelay, Piñol-Ripoll, del Olmo-Rodríguez, Viñuela, Boada, Franco-Macías, Ibañez de la Peña, Riverol, Puig-Pijoan, Abizanda-Soler, Arroyo, Baquero-Toledo, Feria-Vilar, Balasa, Berbel, Rodríguez-Rodríguez, Vieira-Campos, Garcia-Ribas, Rodrigo-Herrero, Lleó and Maurino. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Alzheimer’s disease
• dc.subject.keyword Awareness
• dc.subject.keyword Early diagnosis
• dc.subject.keyword Help-seeking
• dc.subject.keyword Illness representation
• dc.title Medical help-seeking intentions among patients with early Alzheimer's disease
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion