Living With Ambiguity: A Metasynthesis of Qualitative Research on Mild Cognitive Impairment

Area of Science:

• Gerontology
• Cognitive Neurology
• Qualitative Health Research

Background:

• Mild Cognitive Impairment (MCI) is a diagnostic category for individuals between normal aging and dementia.
• The MCI diagnosis faces criticism regarding its conceptual clarity and societal implications for aging.
• There is a noted tension between medical and sociological perspectives on normal aging.

Purpose of the Study:

• To explore the lived experiences of individuals diagnosed with and living with MCI.
• To understand the subjective impact of an MCI diagnosis on personal identity and daily life.
• To investigate the challenges faced by individuals in comprehending and navigating their MCI diagnosis.

Main Methods:

• A qualitative systematic review was conducted.
• Metasynthesis was employed as the methodological framework.
• Published qualitative literature on MCI experiences was examined.

Main Results:

• Two key themes emerged: 'MCI and myself-in-time' and 'Living with Ambiguity'.
• The diagnosis significantly altered individuals' self-perception and place in the world, influenced by social support and personal interpretation.
• Participants experienced difficulties in making sense of their diagnosis due to inconsistent information and uncertainty about their condition.

Conclusions:

• Making an MCI diagnosis involves an inherent ethical tension.
• Early support through diagnosis may be counterbalanced by increased anxiety regarding future uncertainty.
• Addressing the ongoing concerns and needs of individuals with MCI requires careful consideration of this ethical dilemma.