Measuring Uncertainty-Related Stress in Older Adults With Mild Cognitive Impairment

Avery, Jennifer; Washington, Vicki Lynn

doi:10.1093/geroni/igy023.1877

Cited by 2 publications

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“…For example, while one study reported no significant differences in psychological distress by MCI subtype [18], others have demonstrated higher rates of depression in persons with aMCI compared to naMCI [19][20][21]. Psychological distress influenced by uncertainty and coping, is the final consequence of MCI, commonly identified through different reactions, among them anger, sadness, self-worth [22]. Studies conducted with samples in the U.S. demonstrated significant differences between the symptoms of sub-types of MCI with naMCI reporting higher degrees of distress than those with aMCI [23,24].…”

Section: Subtypesmentioning

confidence: 99%

The effect of Mild Cognitive Impairment (MCI) on psychological distress among older adults in Ukraine

2023

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Objectives Understanding the negative consequences of Mild Cognitive Impairment (MCI) in Ukraine among a population who have collectively experienced difficult life events, provided the impetus for the current study which analyzed whether the perception of psychological distress differed among older adults with two types of MCI (amnestic MCI [aMCI] & nonamnestic MCI [naMCI]) compared to their cognitively intact peers. Method A sample of 132 older adults were selected from an outpatient regional hospital in Lviv, Ukraine and assigned into either an MCI or non-MCI control group. A demographic survey, and the Symptom Questionnaire (SQ) were administered to both groups. Results Results of an ANOVA comparing the SQ sub-scales between the Ukrainian MCI and control groups were analyzed. A multiple hierarchical regression analysis assessed the predictive value of MoCA scores on the SQ sub-scales. Compared to adults in the MCI group, adults in the control group reported significantly lower rates of anxiety, somatic, depressive symptoms, and total psychological distress. Discussion While the level of cognitive impairment was a significant predictor for each sub-type of distress, the explained variance was minimal suggesting that other factors also played a role. Reference was made to a similar MCI sample in the U.S. which had lower SQ psychological distress scores than the Ukraine sample, further suggesting possible environmental effects on symptoms. The importance of depression and anxiety screening and treatment for older adults with MCI was also discussed.

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Section: Subtypesmentioning

confidence: 99%

The effect of Mild Cognitive Impairment (MCI) on psychological distress among older adults in Ukraine

2023

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“…Individuals with dementia may experience more severe NPS beyond the scope of management through mindfulness training, resulting in non‐responsive treatment effects. In contrast, individuals with SCD and MCI exhibit NPS that are more related to stress‐coping mechanisms, 28 and may derive greater benefits from mindfulness training, which enhances purposeful focus on present activities to solicit intrinsic coping strategies and attention to address sources of distress. Furthermore, the preserved cognitive functioning in pre‐dementia cohorts may improve adherence and engagement in interventions compared to those with dementia 29 .…”

Section: Introductionmentioning

confidence: 99%

Effects of mindfulness‐based interventions on neuropsychiatric symptoms and psychological well‐being on people with subjective cognitive decline and mild cognitive impairment: A meta‐analysis

Rose Sin Yi,

Jing Jing,

Hammoda

et al. 2023

Int J Geriat Psychiatry

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ObjectivesNeuropsychiatric symptoms (NPS) are highly prevalent in individuals with subjective cognitive decline (SCD) and mild cognitive impairment (MCI), and are strongly linked to accelerated cognitive decline and dementia onset. While mindfulness‐based interventions have shown promise in improving psychological well‐being in clinical and community settings, their efficacy for individuals in these pre‐dementia stages remains unclear. This meta‐analysis examined the effects of mindfulness‐based interventions on NPS and psychological outcomes in these preclinical cohorts.MethodsEligible studies were retrieved from PubMed, EMBASE, JBI EPB, Web of Science, and Cochrane library. Two independent researchers conducted the literature search and data extraction. Cochrane Risk‐of‐Bias Assessment Tool was used to assess the methodological quality of included studies. Quality of evidence was evaluated using the GRADE approach. Intervention effects were estimated by Hedge's g and 95% confidence interval (CI).ResultsA total of 18 randomized controlled trials (including 974 participants from 21 studies) were included in the meta‐analysis. The results demonstrated statistically significant immediate post‐intervention effects of mindfulness‐based interventions on anxiety (g = −0.30, 95% CI −0.49 to −0.11), stress (g = −0.58, 95% CI −0.91 to −0.24), and quality of life (g = 0.50, 95% CI 0.12–0.87). However, no significant effects were found for depression, apathy, mindfulness, and stress‐related biomarkers. Follow‐up data analysis also did not reveal significant effects for depression and anxiety.ConclusionsThe findings of this meta‐analysis suggest that mindfulness‐based interventions may improve anxiety, stress, and quality of life in individuals with SCD and MCI. However, more rigorous randomized controlled trials with larger sample sizes and evaluation using physiological parameters are needed to establish more definitive conclusions. Future interventions could consider incorporating cognitive training and health education to address the specific needs of the pre‐dementia population.Registration NumberPROSPERO: CRD42022359906.

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Measuring Uncertainty-Related Stress in Older Adults With Mild Cognitive Impairment

Cited by 2 publications

References 0 publications

The effect of Mild Cognitive Impairment (MCI) on psychological distress among older adults in Ukraine

The effect of Mild Cognitive Impairment (MCI) on psychological distress among older adults in Ukraine

Effects of mindfulness‐based interventions on neuropsychiatric symptoms and psychological well‐being on people with subjective cognitive decline and mild cognitive impairment: A meta‐analysis

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