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Titolo:
FREQUENCY AND CHARACTERISTICS OF SILENT DEMENTIA AMONG ELDERLY JAPANESE-AMERICAN MEN - THE HONOLULU-ASIA AGING STUDY
Autore:
ROSS GW; ABBOTT RD; PETROVITCH H; MASAKI KH; MURDAUGH C; TROCKMAN C; CURB JD; WHITE LR;
Indirizzi:
HONOLULU HEART PROGRAM,HONOLULU ASIA AGING STUDY,347 N KUAKINI ST HONOLULU HI 96816 DEPT VET AFFAIRS HONOLULU HI 00000 UNIV VIRGINIA,DIV BIOSTAT CHARLOTTESVILLE VA 00000 UNIV HAWAII,JOHN A BURNS SCH MED,DEPT MED HONOLULU HI 96822 KUAKINI MED CTR,HONOLULU ASIA AGING STUDY HONOLULU HI 00000 NIA BETHESDA MD 20892 UNIV ARIZONA,COLL NURSING TUCSON AZ 85721
Titolo Testata:
JAMA, the journal of the American Medical Association
fascicolo: 10, volume: 277, anno: 1997,
pagine: 800 - 805
SICI:
0098-7484(1997)277:10<800:FACOSD>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
ALZHEIMERS-DISEASE CERAD; MULTI-INFARCT DEMENTIA; MILD SENILE DEMENTIA; NEUROPSYCHOLOGICAL ASSESSMENT; INFORMANT QUESTIONNAIRE; COGNITIVE DECLINE; STROKE; CONSORTIUM; DIAGNOSIS; ESTABLISH;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
42
Recensione:
Indirizzi per estratti:
Citazione:
G.W. Ross et al., "FREQUENCY AND CHARACTERISTICS OF SILENT DEMENTIA AMONG ELDERLY JAPANESE-AMERICAN MEN - THE HONOLULU-ASIA AGING STUDY", JAMA, the journal of the American Medical Association, 277(10), 1997, pp. 800-805

Abstract

Objective.-To determine the frequency of unrecognized dementia in a group of men found to have dementia by population survey, and to identify factors associated with the failure of a family informant to recognize significant memory impairment. Design and Setting.-The Honolulu-Asia Aging Study, a population-based study of dementia among elderly Japanese-American men living on the island of Oahu, Hawaii, Data for thisstudy were from the dementia prevalence survey, 1991-1993.Study Participants.-A total of 191 noninstitutionalized men with dementia who hada reliable family informant. Main Outcome Measures.-Failure of familyinformants to recognize a problem with thinking or memory in subjectswith dementia, Results.-A total of 21% of family informants failed torecognize a problem with memory among subjects subsequently found to have dementia, Among subjects with very mild dementia, 52% of family informants failed to recognize a significant memory problem compared with 13% among more severely demented subjects. Of the subjects with dementia whose family informants did recognize a memory problem, 53% failed to receive a medical evaluation for this problem. For all family informants, increasing age, fewer years of education, less severe dementia, fewer behavioral complications, fewer functional disabilities, andbetter performance on certain tests of memory and language were significantly associated with the family informant's failure to recognize aproblem with memory, When the family informants were wives living with husbands, less severe dementia, fewer behavioral complications, fewer functional disabilities, and intact remote memory were associated with unrecognized dementia. Conclusions.-Unrecognized dementia was common in our population, especially among mild cases. Cognitive screening programs for the elderly and public education policies designed to increase awareness of early signs of dementia are needed if interventionsfor individuals with potentially treatable dementias are to be implemented.

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Documento generato il 09/04/20 alle ore 00:17:32