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Awareness of Mild Cognitive Impairment and Mild Alzheimer’s Disease Dementia Diagnoses Associated With Lower Self-Ratings of Quality of Life in Older Adults

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  • Shana D Stites PsyD, MS MA
  • Jason KarlawishMD
  • Kristin HarkinsMPH
  • Jonathan D RubrightPhD
  • David WolkMD

Abstract

Objective: This study examined how awareness of diagnostic label impacted self-reported quality of life (QOL) in persons with varying degrees of cognitive impairment. Method: Older adults (n = 259) with normal cognition, Mild Cognitive Impairment (MCI), or mild Alzheimer’s disease dementia (AD) completed tests of cognition and self-report questionnaires that assessed diagnosis awareness and multiple domains of QOL: cognitive problems, activities of daily living, physical functioning, mental wellbeing, and perceptions of one’s daily life. We compared measures of QOL by cognitive performance, diagnosis awareness, and diagnostic group. Results: Persons with MCI or AD who were aware of their diagnosis reported lower average satisfaction with daily life (QOL-AD), basic functioning (BADL Scale), and physical wellbeing (SF-12 PCS), and more difficulties in daily life (DEM-QOL) than those who were unaware (all p ≤ .007). Controlling for gender, those expecting their condition to worsen over time reported greater depression (GDS), higher stress (PSS), lower quality of daily life (QOL-AD, DEM-QOL), and more cognitive difficulties (CDS) compared to others (all p < .05).Discussion: Persons aware of their diagnostic label—either MCI or AD—and its prognosis report lower QOL than those unaware of these facts about themselves. These relationships are independent of the severity of cognitive impairment.

Suggested Citation

  • Shana D Stites PsyD, MS MA & Jason KarlawishMD & Kristin HarkinsMPH & Jonathan D RubrightPhD & David WolkMD, 2017. "Awareness of Mild Cognitive Impairment and Mild Alzheimer’s Disease Dementia Diagnoses Associated With Lower Self-Ratings of Quality of Life in Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 72(6), pages 974-985.
    • Handle: RePEc:oup:geronb:v:72:y:2017:i:6:p:974-985.
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    References listed on IDEAS

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    1. Alexis Dinno, 2015. "Nonparametric pairwise multiple comparisons in independent groups using Dunn's test," Stata Journal, StataCorp LP, vol. 15(1), pages 292-300, March.
    2. Albrecht, Gary L. & Devlieger, Patrick J., 1999. "The disability paradox: high quality of life against all odds," Social Science & Medicine, Elsevier, vol. 48(8), pages 977-988, April.
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    1. Danielle Shaked & Preeti Sunderaraman & Jennifer Piscitello & Sarah Cines & Christiane Hale & Davangere Devanand & Jason Karlawish & Stephanie Cosentino, 2019. "Modification of everyday activities and its association with self-awareness in cognitively diverse older adults," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-15, November.

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