Coping with cognitive decline in older adults with mild cognitive impairment or mild dementia: a scoping review.

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2025-01-21 DOI:10.1080/13607863.2025.2453819
Youngmin Cho, Donruedee Kamkhoad, Natalie G Regier, Lixin Song, Ruth A Anderson, Bei Wu, Baiming Zou, Anna S Beeber
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Abstract

Objectives: This scoping review aims to map out the coping strategies among Persons with Mild Cognitive Impairment (PwMCI) and Persons with Mild Dementia (PwMD), identifying the facilitators and the barriers to the use of the strategies.

Method: We conducted a systematic search of peer-reviewed studies in PubMed, CINAHL, EMBASE, and PsycINFO. Under the guidance of the Coping Circumflex Model, we identified coping strategies and then conducted thematic synthesis.

Results: Our review of 17 studies revealed 13 themes for coping strategies among PwMCI and PwMD, categorized into problem-solving, positive emotional, problem avoidance, and negative emotional strategies. The strategies included utilization of reminders, active engagement in daily tasks, acceptance, and concealing memory problems. The themes for facilitators and barriers encompassed social interactions, assistance from informal care partners, support from professionals, and the influence of emotion.

Conclusion: The review revealed the practical types of coping strategies and the influence of context on their use and development, highlighting the need for personalized coping strategies. These insights are crucial for developing tailored interventions to improve quality of life in PwMCI and PwMD. Future research should focus on how PwMCI and PwMD develop their effective coping strategies, considering their trajectory of cognitive decline.

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应对老年人轻度认知障碍或轻度痴呆的认知能力下降:一项范围综述。
目的:本研究旨在探讨轻度认知障碍患者(PwMCI)和轻度痴呆患者(PwMD)的应对策略,并确定这些策略使用的促进因素和障碍。方法:我们在PubMed, CINAHL, EMBASE和PsycINFO中进行了系统的同行评审研究。在应对回旋模型的指导下,确定应对策略并进行专题综合。结果:通过对17项研究的回顾,我们发现了PwMCI和PwMD在应对策略方面的13个主题,分为解决问题策略、积极情绪策略、问题回避策略和消极情绪策略。这些策略包括使用提醒、积极参与日常任务、接受和隐藏记忆问题。促进因素和障碍的主题包括社会互动、非正式护理伙伴的援助、专业人员的支持和情感的影响。结论:本综述揭示了应对策略的实际类型以及情境对其使用和发展的影响,强调了个性化应对策略的必要性。这些见解对于制定有针对性的干预措施以改善PwMCI和PwMD的生活质量至关重要。未来的研究应该关注PwMCI和PwMD如何在认知能力下降的轨迹下制定有效的应对策略。
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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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