Apathy, Cognitive Impairment, and Social Support Contribute to Participation Restrictions in Cognitively Demanding Activities Poststroke

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512500027p1
Author(s):  
Amy Ho ◽  
Lisa Connor ◽  
Marjorie Nicholas
Keyword(s):  
Social Support ◽  
Cognitive Impairment ◽  
Participation Restrictions

scholarly journals Pengaruh pelatihan kader yandu lansia dalam menciptakan desa ramah dan sehat lansia di Desa Purwobinangun, Sleman

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Sumarni Sumarni ◽  
Adi Heru Sutomo ◽  
Cempaka Tursina ◽  
Purwanta Purwanta ◽  
Ade Indah Wahdini ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Cognitive Impairment ◽  
Old Age ◽  
Health Problem ◽  
Elderly Care ◽  
Depression Scale ◽  
Secondary Data ◽  
Community Research

Merapi eruption can cause a psychological traumatic for elderly such as depression, increase disability, and decrease quality of life. We need to train the cadres to make an elderly care village. The study aim is to know the influence of cadre training on knowledge and skill for elderly healthiness. This study uses secondary data from community research on May until September 2018 in Desa Purwobinangun, Sleman. The target is cadres and 80 elderlies in Desa Purwobinangun, Sleman. The tools in this study such as Module Ramah dan Sehat Lansia, Geriatric Depression Scale (GDS), Mini-Mental State Examination (MMSE), questionnaire about knowledge and skills of traditional games, and questionnaire about early detection and treatment in old age health. The data will be shown in quantitative data. After trained, the result was showed: 1) average points of knowledge about health problem in old age especially in social support increased 50%; traditional game increased 30%; old friendly increased 45%; and brain games increased 40%. 2) average points of skills to treat elderly health problem especially in social support elevated 19,81%; traditional games rose 17,02%; elderly care increased 27,58%; and brain games increased 28,68%. 3) tendency to get health problem in elderly: hypertension decreased 8,75%, diabetes mellitus stayed at 37 subjects; depression decreased 22,5%; good cognitive increased 16,25%; moderate cognitive impairment decreased 16,28%; and severe cognitive impairment stayed at 9 subjects; and low quality of life was decreased 27,5%). Cadres empowerment can increase knowledge and skill of cadre to treat health problems in elderly.

scholarly journals Prevalence and correlates of depression among Nigerian stroke survivors

2019 ◽  
Vol 25 ◽  
Author(s):  
Olushola Olibamoyo ◽  
Abiodun Adewuya ◽  
Bolanle Ola ◽  
Olurotimi Coker ◽  
Olayinka Atilola
Keyword(s):  
Social Support ◽  
Cognitive Impairment ◽  
Economic Status ◽  
Binary Logistic Regression ◽  
Clinical History ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Stroke Severity ◽  
Stroke Survivors ◽  
Cross Sectional

Background: There is mixed evidence for the hypothesis that the risk of depression after stroke is influenced by the location of lesions in the hemispheres, demographic and clinical factors, and disability of stroke survivors.Aim: The current study determined the prevalence of depression and its socio-demographic and clinico-pathological correlates among stroke survivors in a tertiary hospital in Lagos, Nigeria.Method: The cross-sectional study was carried out among 112 adult patients with a clinical history of stroke confirmed by neuroimaging. Depression was diagnosed using Mini International Neuropsychiatric Interview. The socio-demographic profile was obtained, and cognitive impairment was assessed using the Mini-Mental State Examination. Stroke severity was assessed retrospectively using the National Institute of Health Stroke Scale and current disability was measured using the Modified Rankin Scale.Results: There were 48 (42.9%) stroke survivors with a clinical diagnosis of depression. Using binary logistic regression, the independent determinants of depression were younger age, unemployment, perceived poor social support, increasing number of previous admissions because of stroke, cognitive impairment, severity of stroke and current disability status. However, there was no significant association between depression and lesion location.Conclusion: Depression is a common associate of stroke, and there is a need for sustained focus on young stroke survivors with severe stroke, especially those who do not have social support and have low socio-economic status, who may have a higher risk of developing depression following stroke.

scholarly journals THE EFFECT OF SOCIAL SUPPORT ON QUALITY OF LIFE OF PERSONS WITH COGNITIVE IMPAIRMENT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S906-S906
Author(s):  
Wilma E Afunugo ◽  
Rafael Samper-Ternent
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Cognitive Impairment ◽  
Perceived Social Support ◽  
Cognitive Status ◽  
Study Cohort ◽  
Dementia Caregivers ◽  
Social Strain ◽  
Main Independent Variable

Abstract According to the Alzheimer’s Association, 5.6 million Americans age 65 and older are living with Alzheimer’s Disease. Since pharmacological treatments have yet to be developed, we want to determine whether the amount and quality of social support influence the quality of life (QoL) of persons with dementia so they can lead active and purposeful lives. We analyzed data from 22,030 individuals aged 50+ from the 2010 Health and Retirement Study cohort. The dependent variable, QoL, was measured as self-rated health. The main independent variable, cognitive status, was obtained through direct and proxy interview measurements of cognition. For social support, a composite score including the number of social contacts/close relationships and perceived social support/strain was created. Lastly, several covariates were included. Longitudinally, we examined how QoL changed between 2010 and 2012 using 3 stepwise regression models. Model 1 found those with normal cognition have lower odds of poor QoL vs. those with cognitive impairment (OR = 0.38, p <.0001), number of relationships and perceived social support decreases the odds of poor QoL (p = 0.003, p <.0001), while social strain increases the odds of poor QoL (p <.0001). Model 3 revealed similar findings but also, persons with comorbidities have increased odds of poor QoL (p <.0001), while persons with better function have decreased odds of poor QoL (p <.0001). In conclusion, these results can be used to design interventions to improve social support and reduce social strain, which can also improve QoL for dementia caregivers.

scholarly journals The association between low social support and risk of cognitive impairment is partially mediated by neuroanatomic biomarkers of Alzheimer’s disease

2020 ◽  
Vol 16 (S7) ◽  
Author(s):  
Andrew J Petkus ◽  
Tara L Gruenewald ◽  
Xinhui Wang ◽  
Diana Younan ◽  
Mark A Espeland ◽  
...  
Keyword(s):  
Social Support ◽  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Impairment

Modeling causal associations between frailty components and mortality in older patients with cancer: A structural equation approach.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e23021-e23021
Author(s):  
Florence Canoui-Poitrine ◽  
Claudia Martinez-Tapia ◽  
Frédéric Pamoukdjian ◽  
Simone Mathoulin-Pélissier ◽  
Matthieu Frasca ◽  
...  
Keyword(s):  
Social Support ◽  
Cognitive Impairment ◽  
Nutritional Status ◽  
Older Patients ◽  
Structural Equation ◽  
Sem Analysis ◽  
Model Fit ◽  
Patients With Cancer ◽  
Anti Cancer ◽  
Indirect Impact

e23021 Background: The independent prognostic value of both oncological and geriatric parameters is well-established in older cancer patients. Yet little is known about the causal pathways between them and how they may interact to affect mortality. Using structural equation modeling (SEM), we aimed to assess the direct and indirect impact of geriatric impairments and oncological parameters on mortality in older patients with cancer. Methods: Patients ≥70 years recruited in the ELCAPA cohort for geriatric assessment (GA), between 2007 and 2016, were included. The six following geriatric domains were assessed: function and mobility, nutrition, cognition, mood, comorbidities and polypharmacy, and social support. SEM analysis tested prespecified relationships between geriatric and oncological characteristics (i.e. stage, cancer site and anti-cancer treatment) and their influence on 6- and 12-months mortality following GA. Model fit was assessed through Root Mean Squared Error of Approximation (RMSEA) and Tucker-Lewis Index (TLI). Results: This analysis included 1434 patients (mean age, 80 years (±5.6); female, 48%; 48% metastasis; main localizations: colorectal (19%), upper digestive tract (17%), and breast (17%)). The 6- and 12-months mortality were 56% and 68%, respectively. Significant direct paths to increased mortality were identified for functional impairment (standardized coefficient (SC): 0.37; p < 0.001 and 0.32; p < 0.001), poor nutritional status (SC: 0.11; p = 0.005 and 0.14; p = 0.001) and poor social support (SC = 0.07; p = 0.08 and 0.09; p = 0.02), along with tumor site, metastatic status and anti-cancer treatment. SEM additionally revealed the indirect effects on mortality of comorbidities, cognitive impairment and depression mediated through functional and nutritional status. Model fit was excellent (RMSEA = 0.036, TLI = 0.941). Conclusions: SEM analysis showed the direct effects of functional and nutritional impairments on mortality and also revealed their central mediating role in the indirect impact of comorbidities, depression and cognitive impairment on mortality. Clinical trial information: NCT02884375.

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