Мобильная версия

Доступно журналов:

3 288

Доступно статей:

3 891 637

 

Скрыть метаданые

Автор Taussig, Maribel
Автор Mack, Wendy, J.
Дата выпуска 1995
dc.description The pattern of initial symptoms reported by caregivers of Alzheimerʼs disease (AD) subjects were described and compared in 45 Spanish-speaking (SS) and 84 English-speaking (ES) caregivers. The majority (56 percent) of SS caregivers were monolingual. All caregivers were given a standard interview in their respective language which included information on the age at onset and initial symptoms observed in the AD subject. First symptoms reported most frequently by ES caregivers fell into the following categories: memory (27 percent), activities of daily living (ADLs, 21 percent), disorientation (13 percent), and personality changes (13 percent). In contrast, SS caregivers reported memory (47 percent), psychological problems (16 percent), and personality changes (11 percent) at the first sign of the disease process. After adjusting for duration of illness, significantly more SS than ES caregivers reported memory loss, and sign ficantly less SS than ES caregivers reported difficulty with ADLs as an initial symptom of dementia. In addition to cultural group, older caregivers were significantly less likely than younger caregivers to report memory loss as a first symptom. Caregivers of AD subjects with onset before, versus after age 70 were more likely to report ADL deficits as thefirst symptom. Finally, the report ofpsychological problems as afirst symptom was related to lower caregiver education and longer duration between disease onset and interview. These results highlight the need for professionals to consider potential cultural differences when assessing impairment in elderly persons. In addition, the high prevalence of non-English-speaking caregivers emphasizes the need for Spanish-speaking professionals to optimally service and research health needs in this growing elderly Hispanic population.
Издатель Sage Publications
Название A comparison of Spanish versus English-speaking caregiversʼ perception of early symptoms of Alzheimerʼs disease
Тип Journal Article
DOI 10.1177/153331759501000506
Print ISSN 1533-3175
Журнал American Journal of Alzheimer's Disease and Other Dementias
Том 10
Первая страница 33
Последняя страница 39
Аффилиация Taussig, Maribel, School of Gerontology, University of Southern California, Los Angeles, California
Аффилиация Mack, Wendy, J., Department of Preventive Medicine of School of Medicine, University of Southern California, Los Angeles, California
Выпуск 5
Библиографическая ссылка 1. US Bureau of the Census. 1992 census of population and housing data paperlisting(CPH-L74).Washington,DCGovemment Printing Office, 1992.
Библиографическая ссылка 2. 1990 Total Population by Race/Ethnic Group and Age, and year 2000 Population Projections by Race/Ethnic Group and Age. CaliforniaDepartment of Finance, 1990.
Библиографическая ссылка 3. American Association of Retired Persons. AARP-PF 4371/2. D 13739, 1990.
Библиографическая ссылка 4. Angel R, Thoit P: The impact of culture on the cognitive structure of illness. Culture, Medicine and Psychiatry. 1987; 11: 465-494.
Библиографическая ссылка 5. Angel R, Cleary PD: The effects of social structure and culture on reported health. Social Science Quarterly. 1984; 65: 814-828.
Библиографическая ссылка 6. Henderson J N, Gutierrez-Mayka M: Ethnocultural themes in caregiving to Alzheimerʼs disease patients in Hispanic families. Clinical Gerontologist. 1992; 11: 59-74.
Библиографическая ссылка 7. Heilman, KM, Valenstein E: Clinical Neuropsychology. New York, Oxford University Press, 1979.
Библиографическая ссылка 8. Cummings JL, Benson DF: Dementia: AClinical Approach, Boston, Butterworth Publishers, 1983.
Библиографическая ссылка 9. Stanley B: Geriatric Psychiatry. Ethical and Legal Issues. Washington, DC, American Psychiatric Press, 1985.
Библиографическая ссылка 10. Zarit SH,Orr NKZarit JM: Thehiddenvictimsof Alzheirrerʼs Disease: Families under Stress. New York, New York University Press, 1985.
Библиографическая ссылка 11. Taussig IM, Mack WJ: Caregiversʼ observations and report of early symptoms of Alzheimerʼs Disease. The American Journal of Alzheimerʼs Care and Related Disorders and Research. 1992; March/April: 28-34.
Библиографическая ссылка 12. McKahnn G, Drachman D, Folstein M, Katzman R, Price D, Standlan EM: Clinical diagnosis of Alzheimerʼs disease: Report of the NINCDS-ADRDA Work Group under the auspices of the Department of the Health and Human Services Task Force on Alzheimerʼs Disease. Neurology, 1984; 34: 939-944.
Библиографическая ссылка 13. Taussig IM, Henderson VW, Mack W: Spanish translation and validation of a neuropsychological battery: performance of Spanish- and English-speaking Alzheimerʼs disease patients and normal comparisons subjects, Clinical Gerontologist, 1992; 11: 3/4, 95-108.
Библиографическая ссылка 14. Cubillo HL, Prieto MM: The Hispanic Elderly: A Demographic Profile. Washington DC: Policy Analysis Center, Office of La Raza, Advocacy and Legislation, National Council of La Raza, 1987.

Скрыть метаданые