Reconsidering the overdiagnosis of mild cognitive impairment for dementia prevention among adults aged ≥80 years
ABSTRACT A diagnosis at the stage of mild cognitive impairment (MCI) is encouraged to promote dementia prevention since intensive intervention during the mild stage is thought to be effective for dementia prevention. Many adults aged ≥80 years hope to prevent dementia; however, several issues should...
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| Format: | Article |
| Language: | English |
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CSIRO Publishing
2021-01-01
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| Series: | Journal of Primary Health Care |
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| Online Access: | https://www.publish.csiro.au/hc/pdf/HC20115 |
| _version_ | 1797979905610219520 |
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| author | Yohko Maki |
| author_facet | Yohko Maki |
| author_sort | Yohko Maki |
| collection | DOAJ |
| description | ABSTRACT
A diagnosis at the stage of mild cognitive impairment (MCI) is encouraged to promote dementia prevention since intensive intervention during the mild stage is thought to be effective for dementia prevention. Many adults aged ≥80 years hope to prevent dementia; however, several issues should be considered regarding the diagnosis of MCI. First, the diagnosis of MCI is not clear-cut in actual medical practice, with the differentiation of MCI from normal states and mild dementia being blurred. Second, although MCI due to Alzheimer's disease can be differentiated from MCI without pathological changes, interventions specific to MCI due to Alzheimer's disease have not been developed. Third, the diagnosis of MCI can cause self-stigma, leading to psychological effects such as depression and anxiety for both the patients and their families, which can be risk factors for developing dementia for patients. In addition, medical resources are limited and diagnosing MCI is costly in medical human resources. Considering these issues, diagnosing MCI to promote dementia prevention should be viewed from the perspective of the individual patient's interests, especially for those aged ≥80 years. The final decision regarding receiving a diagnosis or not should be the patient's; therefore, it is necessary to increase patients' health literacy, which requires medical professionals to provide them with appropriate evidence-based information. At the same time, it is important to provide psychological support to people who have been diagnosed. |
| first_indexed | 2024-04-11T05:46:09Z |
| format | Article |
| id | doaj.art-e5a3a9bdabcc4fcc81464a4a67046921 |
| institution | Directory Open Access Journal |
| issn | 1172-6156 |
| language | English |
| last_indexed | 2024-04-11T05:46:09Z |
| publishDate | 2021-01-01 |
| publisher | CSIRO Publishing |
| record_format | Article |
| series | Journal of Primary Health Care |
| spelling | doaj.art-e5a3a9bdabcc4fcc81464a4a670469212022-12-22T04:42:14ZengCSIRO PublishingJournal of Primary Health Care1172-61562021-01-01132112115HC20115Reconsidering the overdiagnosis of mild cognitive impairment for dementia prevention among adults aged ≥80 yearsYohko Maki0<sup>1</sup>National Center for Geriatrics and Gerontology, 7-430 Morioka, Obu, Aichi, 474-8511, Japan. Email: makiyk@ncgg.go.jpABSTRACT A diagnosis at the stage of mild cognitive impairment (MCI) is encouraged to promote dementia prevention since intensive intervention during the mild stage is thought to be effective for dementia prevention. Many adults aged ≥80 years hope to prevent dementia; however, several issues should be considered regarding the diagnosis of MCI. First, the diagnosis of MCI is not clear-cut in actual medical practice, with the differentiation of MCI from normal states and mild dementia being blurred. Second, although MCI due to Alzheimer's disease can be differentiated from MCI without pathological changes, interventions specific to MCI due to Alzheimer's disease have not been developed. Third, the diagnosis of MCI can cause self-stigma, leading to psychological effects such as depression and anxiety for both the patients and their families, which can be risk factors for developing dementia for patients. In addition, medical resources are limited and diagnosing MCI is costly in medical human resources. Considering these issues, diagnosing MCI to promote dementia prevention should be viewed from the perspective of the individual patient's interests, especially for those aged ≥80 years. The final decision regarding receiving a diagnosis or not should be the patient's; therefore, it is necessary to increase patients' health literacy, which requires medical professionals to provide them with appropriate evidence-based information. At the same time, it is important to provide psychological support to people who have been diagnosed.https://www.publish.csiro.au/hc/pdf/HC20115Mild cognitive impairmentquality of liferight to be diagnosedright to not be diagnoseddementiadementia prevention |
| spellingShingle | Yohko Maki Reconsidering the overdiagnosis of mild cognitive impairment for dementia prevention among adults aged ≥80 years Journal of Primary Health Care Mild cognitive impairment quality of life right to be diagnosed right to not be diagnosed dementia dementia prevention |
| title | Reconsidering the overdiagnosis of mild cognitive impairment for dementia prevention among adults aged ≥80 years |
| title_full | Reconsidering the overdiagnosis of mild cognitive impairment for dementia prevention among adults aged ≥80 years |
| title_fullStr | Reconsidering the overdiagnosis of mild cognitive impairment for dementia prevention among adults aged ≥80 years |
| title_full_unstemmed | Reconsidering the overdiagnosis of mild cognitive impairment for dementia prevention among adults aged ≥80 years |
| title_short | Reconsidering the overdiagnosis of mild cognitive impairment for dementia prevention among adults aged ≥80 years |
| title_sort | reconsidering the overdiagnosis of mild cognitive impairment for dementia prevention among adults aged ≥80 years |
| topic | Mild cognitive impairment quality of life right to be diagnosed right to not be diagnosed dementia dementia prevention |
| url | https://www.publish.csiro.au/hc/pdf/HC20115 |
| work_keys_str_mv | AT yohkomaki reconsideringtheoverdiagnosisofmildcognitiveimpairmentfordementiapreventionamongadultsaged80years |