The Relationship of Pain and Cognitive Impairment with Social Vulnerability—An Analysis of the Canadian Study of Health and Aging

Aim:The objective of this article is to identify and analyze what is known about characteristics in and around the home that support well-being for those with cognitive impairment. This could provide direction for designers of homes in general, but specifically for designers trying to meet the needs of people with cognitive impairment.Background:It has been established that there is a relationship between psychological well-being and a person’s environment. Research also shows that particular design aspects can reduce the impact of cognitive impairment. However, there is limited design expertise in the Australian housing market to create supportive spaces which will help to reduce the impact of the disability for those with cognitive impairment.Method:A literature review was carried out to determine the extent and details of what is known about the relationship of home design and its impact on emotional, psychological, or social well-being for people with cognitive impairment.Conclusions:The study indicates that researchers in various disciplines understand that pragmatic design inputs such as thermal comfort and adequate lighting are important for people with cognitive impairment. In addition, some researchers have shown or surmise that there are other “intangible” designer-controlled elements that have beneficial impacts on people with cognitive impairment. Details of these intangible elements are sparse, and how much they might improve the quality of life for a person with cognitive impairment is not well understood. Further research is required to meet a growing need.

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The Relationship between Cognitive Impairment and Social Vulnerability among the Elderly: Evidence from an Unconditional Quantile Regression Analysis in China

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16193684 ◽

2019 ◽

Vol 16 (19) ◽

pp. 3684 ◽

Cited By ~ 1

Author(s):

Junkai Zhao ◽

Xinxin Zhang ◽

Zongmin Li

Keyword(s):

Cognitive Impairment ◽

Quantile Regression ◽

Social Vulnerability ◽

Positive Association ◽

The Elderly ◽

Quantile Regression Model ◽

Unconditional Quantile Regression ◽

Quantile Regression Analysis ◽

Physical Limitations ◽

The Relationship

As the global proportion of the elderly population has been growing rapidly, it has become important to better understand the holistic social factors involved in cognitive impairment in the elderly. To investigate the relationship between social vulnerability and cognitive impairment in the elderly, this study applied an unconditional quantile regression model on open source health survey data in China. It was used to estimate the relationship for full sample and subsamples divided by different levels of a specific covariate. It was found that the cognitive impairment had a positive association with social vulnerability, and this relationship is stronger at the higher cognitive impairment quantiles. The cognitive impairment of females and elderly who took less exercise; had lower self-rated health; had greater incidences of depression, chronic diseases, and physical limitations; and consumed less fruit and vegetables, milk and tea were more related to social vulnerability. These results provide some insights into the strategies that could be used by the elderly to decrease the risk of cognitive impairment.

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The association between systemic lupus erythematosus and dementia A meta-analysis

Dementia & Neuropsychologia ◽

10.1590/1980-57642018dn12-020006 ◽

2018 ◽

Vol 12 (2) ◽

pp. 143-151 ◽

Cited By ~ 3

Author(s):

Zhuoxian Zhao ◽

Natalia P. Rocha ◽

Haitham Salem ◽

Breno S. Diniz ◽

Antonio L. Teixeira

Keyword(s):

Systemic Lupus Erythematosus ◽

Cognitive Impairment ◽

Cognitive Dysfunction ◽

Lupus Erythematosus ◽

Meta Analysis ◽

Relevant Literature ◽

Systemic Lupus ◽

Increased Risk ◽

Relationship Of ◽

The Relationship

Abstract A growing body of evidence indicates that systemic lupus erythematosus (SLE) is associated with increased risk of cognitive impairment and dementia. However, to date, no studies have been conducted to quantitatively summarize and evaluate the consistency of data. Objective: To quantitatively evaluate the relationship of SLE and antiphospholipid antibodies (aPL) with cognitive dysfunction and dementia. Methods: All relevant literature was retrieved from Pubmed, Scopus, and PsycINFO databases. The meta-analysis was performed using effect estimates and 95% confidence intervals (CIs) to calculate pooled risk estimates. The heterogeneity among studies was also examined. Results: The meta-analysis included 11 original studies involving a total of 81,668 patients with dementia and 407 patients with cognitive dysfunction. There were significant associations on fixed-effect models between SLE and dementia (3 studies; RR=1.50; 95% CI=1.37-1.64), SLE and cognitive dysfunction (4 studies; OR=2.97; 95% CI=1.72-5.15), and aPL and cognitive dysfunction (5 studies, OR=1.97; 95% CI=1.55-2.52). We also combined cognitive dysfunction and dementia outcomes as they both represented cognitive impairment. There were significant associations between aPL and cognitive impairment (6 studies; OR=2.03; 95% CI=1.62-2.55), and SLE and cognitive impairment (7 studies; OR=1.83; 95% CI=1.42-2.35). Moderate heterogeneity (I2=45.7%) was found in the association between SLE and cognitive impairment, low heterogeneity (I2=21.8%) in the association between SLE and dementia, and near zero heterogeneity for the other three main analyses. Conclusion: Both SLE and aPL are associated with cognitive impairment.

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The relationship of plasma Aβ levels to dementia in aging individuals with mild cognitive impairment

Journal of the Neurological Sciences ◽

10.1016/j.jns.2011.03.005 ◽

2011 ◽

Vol 305 (1-2) ◽

pp. 92-96 ◽

Cited By ~ 24

Author(s):

Ma Fei ◽

Wang Jianghua ◽

Miao Rujuan ◽

Zhao Wei ◽

Wang Qian

Keyword(s):

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Relationship Of ◽

The Relationship

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Mild traumatic brain injury: The relationship of the MMPI-2 and cognitive impairment Freeman, R. Q., Maitz, E., Gordon, J., & Massari, D.

Archives of Clinical Neuropsychology ◽

10.1016/s0887-6177(97)83510-x ◽

1997 ◽

Vol 12 (4) ◽

pp. 318-319

Keyword(s):

Traumatic Brain Injury ◽

Cognitive Impairment ◽

Brain Injury ◽

Mild Traumatic Brain Injury ◽

Relationship Of ◽

The Relationship

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Behavioural and Psychological Symptoms in Poststroke Vascular Cognitive Impairment

Behavioural Neurology ◽

10.1155/2014/430128 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 19

Author(s):

Meena Gupta ◽

Abhijit Dasgupta ◽

Geeta Anjum Khwaja ◽

Debashish Chowdhury ◽

Yogesh Patidar ◽

...

Keyword(s):

Cognitive Impairment ◽

Rating Scale ◽

Psychological Symptoms ◽

Vascular Cognitive Impairment ◽

Neuropsychiatric Symptom ◽

Neuropsychiatric Inventory ◽

Clinical Dementia Rating ◽

Behavioural And Psychological Symptoms ◽

Relationship Of ◽

The Relationship

Background.Behavioural and psychological symptoms of dementia (BPSD) cause significant patient and caregiver morbidity in vascular cognitive impairment (VCI).Objectives. To study and compare the occurrence and severity of BPSD between multi-infarct dementia (MID), subcortical ischaemic vascular disease (SIVD), and strategic infarct subtypes of poststroke VCI and to evaluate the relationship of these symptoms with the severity of cognitive impairment.Methods. Sixty patients with poststroke VCI were classified into MID, SIVD, and strategic infarct subtypes. BPSD were studied by the neuropsychiatric inventory (NPI). The severity of cognitive impairment was evaluated by the clinical dementia rating scale (CDR).Results. 95% of cases had at least one neuropsychiatric symptom, with depression being the commonest, irrespective of subtype or severity of VCI. Strategic infarct patients had the lowest frequency of all symptoms. SIVD showed a higher frequency and severity of apathy and higher total NPI scores, compared to MID. Apathy and appetite disturbances occurred more commonly with increasing CDR scores. The total NPI score correlated positively with the CDR score.Conclusion. Depression was the commonest neuropsychiatric symptom in VCI. The neuropsychiatric profiles of MID and SIVD were similar. The frequency and severity of apathy and the net burden of BPSD increased with increasing cognitive impairment.

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Prevalence of cognitive and functional impairment in community-dwelling elderly: importance of evaluating activities of daily living

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2005000200003 ◽

2005 ◽

Vol 63 (2a) ◽

pp. 207-212 ◽

Cited By ~ 34

Author(s):

Jerson Laks ◽

Elienai Maria Rubim Batista ◽

Elza Rocha Lima Guilherme ◽

Ana Lúcia Barros Contino ◽

Maria Eliete Vieira Faria ◽

...

Keyword(s):

Cognitive Impairment ◽

Functional Impairment ◽

Family Health ◽

Community Dwelling ◽

Chi Square ◽

Highly Correlated ◽

And Gender ◽

Stratified Analysis ◽

Relationship Of ◽

The Relationship

The study aims to evaluate the prevalence of cognitive/functional impairment in community-dwelling elderly above 60 years of age (n= 870; m=297, f=573) and the relationship of age, gender, and functional impairment with cognitive impairment using Mini-Mental State Examination (MMSE) and Pfeffer Functional Activities Questionnaire (PFAQ). Chi-square and Student's tests were used to compare cognitive and functional deficits. Linear regression assessed MMSE/PFAQ relationship. Stratified analysis assessed confounding factors. Logistic regression assessed the relationship among age/gender/functional status with cognitive impairment (p<0.05). Prevalence of cognitive/functional impairment was 19.2%. Functional and cognitive impairment are negatively correlated (Pearson= 0.737), despite educational level (illiterate/literate: OR=15.60; p=0/OR = 16.40; p=0). Age and gender (female) were associated with cognitive/functional impairment. Functional impairment is highly correlated to cognitive impairment. Family/health professionals may recognize functional impairment more easily than cognitive impairment. Thus, the use in combination of cognitive and functional scales is important when screening for dementia.

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