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Awareness of Diagnosis in Persons with Early-Stage Alzheimer's Disease: An Observational Study in Spain

Authors :
Roche
Centro Investigación Biomédica en Red Enfermedades Neurodegenerativas (España)
European Commission
European Federation of Pharmaceutical Industries and Associations
Instituto de Salud Carlos III
Grifols
Fundación la Caixa
Villarejo-Galende, Alberto
García-Arcelay, Elena
Piñol-Ripoll, Gerard
Olmo-Rodríguez, Antonio del
Viñuela, Félix
Boada, Mercè
Franco-Macías, Emilio
Ibáñez de la Peña, Almudena
Riverol, Mario
Puig-Pijoan, Albert
Abizanda-Soler, Pedro
Arroyo, Rafael
Baquero, Miquel
Feria-Vilar, Inmaculada
Balasa, Mircea
Berbel, Ángel
Rodríguez-Rodríguez, Eloy
Vieira-Campos, Alba
García-Ribas, Guillermo
Rodrigo-Herrero, Silvia
Lleó, Alberto
Maurino, Jorge
Roche
Centro Investigación Biomédica en Red Enfermedades Neurodegenerativas (España)
European Commission
European Federation of Pharmaceutical Industries and Associations
Instituto de Salud Carlos III
Grifols
Fundación la Caixa
Villarejo-Galende, Alberto
García-Arcelay, Elena
Piñol-Ripoll, Gerard
Olmo-Rodríguez, Antonio del
Viñuela, Félix
Boada, Mercè
Franco-Macías, Emilio
Ibáñez de la Peña, Almudena
Riverol, Mario
Puig-Pijoan, Albert
Abizanda-Soler, Pedro
Arroyo, Rafael
Baquero, Miquel
Feria-Vilar, Inmaculada
Balasa, Mircea
Berbel, Ángel
Rodríguez-Rodríguez, Eloy
Vieira-Campos, Alba
García-Ribas, Guillermo
Rodrigo-Herrero, Silvia
Lleó, Alberto
Maurino, Jorge
Publication Year :
2022

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.<br />[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.<br />[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].<br />[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.

Details

Database :
OAIster
Notes :
English
Publication Type :
Electronic Resource
Accession number :
edsoai.on1373160019
Document Type :
Electronic Resource