Higher Incidence of Deteriorated Mental Health in Older People Being Mistakenly Labeled as Dementia: A Two-Year Consecutive Community-Dwelling Study in Shanghai, China

doi:10.1620/tjem.238.317

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	Higher Incidence of Deteriorated Mental Health in Older People Being Mistakenly Labeled as Dementia: A Two-Year Consecutive Community-Dwelling Study in Shanghai, China
	Xie, Chunyan 1,2; Chen, Duo 1,2; Jin, Chunlin 1,2,3; Du, Lixia 1,2; Wang, Changying 1,2; Xin, Hongyun 1,2; Feng, Zeyun 1,2; Yang, Yitong 4; Ding, Hansheng 1,2
刊名	TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE
	2016-04
卷号	238 期号:4 页码:317-324
关键词	dementia labeling theory older people Shanghai stigma
ISSN号	0040-8727
DOI	10.1620/tjem.238.317
英文摘要	Dementia has been increasingly paid attention by policymakers in China. However, the majority of the public has an indistinct concept of dementia and its diagnostic criteria. Therefore, many abnormal characteristics and actions of older people are labeled as having dementia while diagnosed without dementia. We examined a multi-stage cluster sample of 11,223 participants aged 60 years and above who have been clinically confirmed by general practitioners as not having dementia in 2013, and 7,861 participants were willing to participate the following study and were followed-up in 2014. To assess the differences of status of older people who were mistakenly labeled as having dementia or not, we asked main caregivers 'Do you think this older person suffers from dementia?', and found out that 244 participants had been mistakenly labeled as having dementia since 2013. Related effects were measured using international generic scales as well, and the results showed that participants with better physical status deteriorated more rapidly if they were mistakenly labeled as having dementia. Additionally, the mental health of these 244 participants also deteriorated more quickly. Older adults that were not labeled as having dementia were more willing to participate in social activities relative to their labeled counterparts. In conclusion, being mistakenly labeled as having dementia without a medical diagnosis impaired older adults' physical functioning and mental health. Moreover, the reduction of social activities of labeled older people leads to separation and social exclusion.
WOS研究方向	General & Internal Medicine ; Research & Experimental Medicine
语种	英语
出版者	TOHOKU UNIV MEDICAL PRESS
WOS记录号	WOS:000374920500008
内容类型	期刊论文
源URL	[http://10.2.47.112/handle/2XS4QKH4/1311]
专题	上海财经大学
通讯作者	Ding, Hansheng
作者单位	1.Shanghai Hlth Dev Res Ctr, Jianguo W Rd 602, Shanghai 200031, Peoples R China; 2.Shanghai Med Informat Ctr, Jianguo W Rd 602, Shanghai 200031, Peoples R China; 3.Shanghai Populat Dev Res Ctr, Shanghai, Peoples R China; 4.Shanghai Univ Finance & Econ, Shanghai, Peoples R China
推荐引用方式 GB/T 7714	Xie, Chunyan,Chen, Duo,Jin, Chunlin,et al. Higher Incidence of Deteriorated Mental Health in Older People Being Mistakenly Labeled as Dementia: A Two-Year Consecutive Community-Dwelling Study in Shanghai, China[J]. TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE,2016,238(4):317-324.
APA	Xie, Chunyan.,Chen, Duo.,Jin, Chunlin.,Du, Lixia.,Wang, Changying.,...&Ding, Hansheng.(2016).Higher Incidence of Deteriorated Mental Health in Older People Being Mistakenly Labeled as Dementia: A Two-Year Consecutive Community-Dwelling Study in Shanghai, China.TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE,238(4),317-324.
MLA	Xie, Chunyan,et al."Higher Incidence of Deteriorated Mental Health in Older People Being Mistakenly Labeled as Dementia: A Two-Year Consecutive Community-Dwelling Study in Shanghai, China".TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE 238.4(2016):317-324.