Patient Perspectives about Mild Cognitive Impairment: A Systematic Review

Area of Science:

• Gerontology
• Neurology
• Psychology

Background:

• Mild cognitive impairment (MCI) is a controversial diagnosis with unclear patient understanding and perceived benefit of disclosure.
• Prognostic uncertainty and the nebulous nature of MCI contribute to patient and caregiver confusion.

Purpose of the Study:

• To explore patient and care partner perceptions and experiences of the Mild Cognitive Impairment (MCI) label.
• To understand the impact of being informed about an MCI diagnosis on individuals and their support systems.

Main Methods:

• A systematic review of literature from ISI Web of Science, PubMed, and PsycINFO was conducted.
• Thematic synthesis was used to analyze findings from fourteen selected papers adhering to PRISMA guidelines.

Main Results:

• Patient adjustment to the MCI label is influenced by individual differences, coping styles, and personal experiences.
• Perceptions of MCI's utility are affected by the construct's ambiguity and available information.
• Care partners express uncertainty regarding MCI's meaning and how to manage cognitive difficulties.

Conclusions:

• Patient and care partner perspectives on MCI are shaped by the quality of information and support provided by clinicians.
• Tailored support and clear communication from healthcare professionals are crucial for improving patient adjustment and coping with MCI.