Identifying Adaptive and Maladaptive Behaviors following a Diagnosis of Mild Cognitive Impairment

Allison Gibson; Shoshana H. Bardach; Gregory A. Jicha

doi:10.1097/WAD.0000000000000379

Identifying Adaptive and Maladaptive Behaviors following a Diagnosis of Mild Cognitive Impairment

Allison Gibson, Shoshana H. Bardach, Gregory A. Jicha

Research output: Contribution to journal › Article › peer-review

Abstract

Introduction:Individual reactions to a diagnosis of mild cognitive impairment (MCI) can vary in a wide range of both adaptive and maladaptive responses. Understanding such reactions to diagnosis is important to maximize adaptive responses that can promote continued independence.Methods:In this pilot study, the Aging and Memory Quality of Life survey was developed to facilitate an understanding of adaptive and maladaptive behaviors results from a diagnosis of MCI. The Aging and Memory Quality of Life was administered to 45 individuals diagnosed with MCI and 45 cognitively normal participants serving as control subjects matched for age, sex, and education. Study partners were surveyed to collect corroborating and or discrepant observer responses.Results:Inconsistent with study partners' reporting, MCI subjects may be underreporting physical limitations, and overreporting medication compliance. MCI subjects identified challenges to managing financial affairs.Discussion:Developing strategies to circumvent the development of maladaptive behaviors could significantly reduce morbidity and mortality in MCI patients.

Original language	English
Pages (from-to)	262-266
Number of pages	5
Journal	Alzheimer Disease and Associated Disorders
Volume	34
Issue number	3
DOIs	https://doi.org/10.1097/WAD.0000000000000379
State	Published - Jul 1 2020

Bibliographical note

Funding Information:
Received for publication August 29, 2019; accepted February 21, 2020. From the *College of Social Work; ‡College of Public Health, Graduate Center for Gerontology; §Department of Neurology, College of Medicine, University of Kentucky; and †Alzheimer’s Disease Cen-ter, Sanders-Brown Center on Aging, Lexington, KY. Supported by the National Institute of Health/National Institute on Aging (1 P30 AG028383). The authors declare no conflicts of interest. Reprints: Allison Gibson, PhD, MSW, College of Social Work, Uni-versity of Kentucky, 619 Patterson Office Tower, Lexington, KY 40506 (e-mail: allison.gibson@uky.edu). Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

Publisher Copyright:
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

Keywords

Alzheimer disease
adaptive behaviors
assessment
biopsychosocial
maladaptive behaviors
mild cognitive impairment

ASJC Scopus subject areas

Clinical Psychology
Gerontology
Geriatrics and Gerontology
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1097/WAD.0000000000000379

Cite this

@article{454432db06694d52b3718575e7af75ab,

title = "Identifying Adaptive and Maladaptive Behaviors following a Diagnosis of Mild Cognitive Impairment",

abstract = "Introduction:Individual reactions to a diagnosis of mild cognitive impairment (MCI) can vary in a wide range of both adaptive and maladaptive responses. Understanding such reactions to diagnosis is important to maximize adaptive responses that can promote continued independence.Methods:In this pilot study, the Aging and Memory Quality of Life survey was developed to facilitate an understanding of adaptive and maladaptive behaviors results from a diagnosis of MCI. The Aging and Memory Quality of Life was administered to 45 individuals diagnosed with MCI and 45 cognitively normal participants serving as control subjects matched for age, sex, and education. Study partners were surveyed to collect corroborating and or discrepant observer responses.Results:Inconsistent with study partners' reporting, MCI subjects may be underreporting physical limitations, and overreporting medication compliance. MCI subjects identified challenges to managing financial affairs.Discussion:Developing strategies to circumvent the development of maladaptive behaviors could significantly reduce morbidity and mortality in MCI patients.",

keywords = "Alzheimer disease, adaptive behaviors, assessment, biopsychosocial, maladaptive behaviors, mild cognitive impairment",

author = "Allison Gibson and Bardach, {Shoshana H.} and Jicha, {Gregory A.}",

note = "Funding Information: Received for publication August 29, 2019; accepted February 21, 2020. From the *College of Social Work; ‡College of Public Health, Graduate Center for Gerontology; §Department of Neurology, College of Medicine, University of Kentucky; and †Alzheimer{\textquoteright}s Disease Cen-ter, Sanders-Brown Center on Aging, Lexington, KY. Supported by the National Institute of Health/National Institute on Aging (1 P30 AG028383). The authors declare no conflicts of interest. Reprints: Allison Gibson, PhD, MSW, College of Social Work, Uni-versity of Kentucky, 619 Patterson Office Tower, Lexington, KY 40506 (e-mail: allison.gibson@uky.edu). Copyright {\textcopyright} 2020 Wolters Kluwer Health, Inc. All rights reserved. Publisher Copyright: Copyright {\textcopyright} 2020 Wolters Kluwer Health, Inc. All rights reserved.",

year = "2020",

month = jul,

day = "1",

doi = "10.1097/WAD.0000000000000379",

language = "English",

volume = "34",

pages = "262--266",

number = "3",

}

TY - JOUR

T1 - Identifying Adaptive and Maladaptive Behaviors following a Diagnosis of Mild Cognitive Impairment

AU - Gibson, Allison

AU - Bardach, Shoshana H.

AU - Jicha, Gregory A.

N1 - Funding Information: Received for publication August 29, 2019; accepted February 21, 2020. From the *College of Social Work; ‡College of Public Health, Graduate Center for Gerontology; §Department of Neurology, College of Medicine, University of Kentucky; and †Alzheimer’s Disease Cen-ter, Sanders-Brown Center on Aging, Lexington, KY. Supported by the National Institute of Health/National Institute on Aging (1 P30 AG028383). The authors declare no conflicts of interest. Reprints: Allison Gibson, PhD, MSW, College of Social Work, Uni-versity of Kentucky, 619 Patterson Office Tower, Lexington, KY 40506 (e-mail: allison.gibson@uky.edu). Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved. Publisher Copyright: Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

PY - 2020/7/1

Y1 - 2020/7/1

N2 - Introduction:Individual reactions to a diagnosis of mild cognitive impairment (MCI) can vary in a wide range of both adaptive and maladaptive responses. Understanding such reactions to diagnosis is important to maximize adaptive responses that can promote continued independence.Methods:In this pilot study, the Aging and Memory Quality of Life survey was developed to facilitate an understanding of adaptive and maladaptive behaviors results from a diagnosis of MCI. The Aging and Memory Quality of Life was administered to 45 individuals diagnosed with MCI and 45 cognitively normal participants serving as control subjects matched for age, sex, and education. Study partners were surveyed to collect corroborating and or discrepant observer responses.Results:Inconsistent with study partners' reporting, MCI subjects may be underreporting physical limitations, and overreporting medication compliance. MCI subjects identified challenges to managing financial affairs.Discussion:Developing strategies to circumvent the development of maladaptive behaviors could significantly reduce morbidity and mortality in MCI patients.

AB - Introduction:Individual reactions to a diagnosis of mild cognitive impairment (MCI) can vary in a wide range of both adaptive and maladaptive responses. Understanding such reactions to diagnosis is important to maximize adaptive responses that can promote continued independence.Methods:In this pilot study, the Aging and Memory Quality of Life survey was developed to facilitate an understanding of adaptive and maladaptive behaviors results from a diagnosis of MCI. The Aging and Memory Quality of Life was administered to 45 individuals diagnosed with MCI and 45 cognitively normal participants serving as control subjects matched for age, sex, and education. Study partners were surveyed to collect corroborating and or discrepant observer responses.Results:Inconsistent with study partners' reporting, MCI subjects may be underreporting physical limitations, and overreporting medication compliance. MCI subjects identified challenges to managing financial affairs.Discussion:Developing strategies to circumvent the development of maladaptive behaviors could significantly reduce morbidity and mortality in MCI patients.

KW - Alzheimer disease

KW - adaptive behaviors

KW - assessment

KW - biopsychosocial

KW - maladaptive behaviors

KW - mild cognitive impairment

UR - http://www.scopus.com/inward/record.url?scp=85085053718&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85085053718&partnerID=8YFLogxK

U2 - 10.1097/WAD.0000000000000379

DO - 10.1097/WAD.0000000000000379

M3 - Article

C2 - 32218064

AN - SCOPUS:85085053718

VL - 34

SP - 262

EP - 266

IS - 3

ER -

Identifying Adaptive and Maladaptive Behaviors following a Diagnosis of Mild Cognitive Impairment

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this