在晚年生活中导航记忆问题和轻度认知障碍:定性二次数据分析
Christine Carter1, Penny Rapaport2, Claudia Cooper1,3
1Centre for Psychiatry and Mental Health, Wolfson Institute of Population Health, Queen Mary University of London, UK.
Dementia (London, England)
|April 17, 2025
概括
患有记忆障碍的老年人往往感到困惑,因为像轻度认知障碍 (MCI) 这样的诊断标签可能会增加不确定性,而不是提供保证. 当能力下降时,通过活动保持身份变得具有挑战性.
科学领域:
- 老年学是一门学科.
- 认知心理学 认知心理学
- 衰老的社会学 衰老的社会学
背景情况:
- 许多老年人经历记忆问题,导致不确定性和混乱.
- 有些人寻求专业帮助,接受轻度认知障碍 (MCI) 或主观认知衰退 (SCD) 等诊断,而许多人没有.
- 了解认知问题在衰老中的主观经验至关重要.
研究的目的:
- 探索60岁及以上有记忆问题的人的生活经历.
- 调查记忆障碍在更广泛的衰老背景下如何被理解.
- 检查诊断标签对经历认知变化的个体的影响.
主要方法:
- 18次深度半结构面试的二次数据分析.
- 参与者是60岁以上的成年人,有记忆问题,9人寻求专业帮助.
- 用专题分析来确定数据中的关键主题.
主要成果:
- 三个核心主题出现了:在矛盾的话语 (医学与正常衰老) 中定位记忆问题,通过社会角色和活动肯定自我,并保持身份和关系.
- 诊断标签,虽然对亲属有效,但往往无法为个人提供支持或安慰,有时导致隐藏担忧.
- 对身份肯定至关重要的活动的能力下降,造成了严重的痛苦和负面的自我比较.
结论:
- 老年人对记忆问题的主观经验的标志是混乱,诊断标签可能会加剧这种情况.
- 身份通常通过社会角色和活动来肯定,而这些能力的下降可能会导致痛苦.
- 社会对衰老和认知衰退的看法显著影响个人如何感知和管理他们的记忆问题.
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