J Korean Acad Community Health Nurs.  2018 Jun;29(2):206-219. 10.12799/jkachn.2018.29.2.206.

A Concept Analysis of Fear of Dementia

Affiliations
  • 1Graduate School, Ewha Womans University, Seoul, Korea.
  • 2College of Nursing, Ewha Womans University, Seoul, Korea. dyjung@ewha.ac.kr

Abstract

PURPOSE
This study tries to identify and clarify the concept of fear of dementia.
METHODS
The hybrid model method was used to perform a conceptual analysis of fear for dementia. Results from both the theoretical review of 35 studies and the field study with 8 community-dwelling older adults were included in the final stage.
RESULTS
Fear for dementia had 4 dimensions with 14 attributes including cognitive factors (direct experience of precursor symptoms of dementia, indirect experience of dementia, preliminary knowledge of dementia, impossibility of cognitive control, and confidence in dementia), emotional factors (negative feelings and pessimistic thoughts), social factors (social isolation, economic instability, embarrassment), and behavioral factors (existing health problems, making efforts to maintain health, impossibility of body control, peripheral autonomic nervous system response) along with 34 indicators.
CONCLUSION
This study is meaningful because it reveals the attributes of Korean elderly adults' fear for dementia. In addition, the results may serve as a basis for the early assessment and management of fear for dementia.

Keyword

Aged; Alzheimer disease; Dementia; Fear

MeSH Terms

Adult
Aged
Alzheimer Disease
Autonomic Nervous System
Dementia*
Humans
Methods

Figure

  • Figure 1. Concepts related to fear of dementia.


Reference

References

1. Lee DK. Clinical approach to dementia. Korean Journal of Clinical Geriatrics. 2013; 14(1):11–19.
2. Kwon S, Tae YS. The experience of adult Korean children caring for parents institutionalized with dementia. Journal of Korean Academy of Nursing. 2014; 44(1):41–54. https://doi.org/10.4040/jkan.2014.44.1.41.
Article
3. Alzheimer's Association. 2014 Alzheimer's disease facts and figures. Alzheimer's & Dementia. 2014; 10(2):e47–e92. https://doi.org/10.1016/j.jalz.2014.02.001.
4. Cutler SJ, Hodgson LG. Anticipatory dementia: A link between memory appraisals and concerns about developing Alzheimer's disease. The Gerontologist. 1996; 36(5):657–664. https://doi.org/10.1093/geront/36.5.657.
Article
5. French SL, Floyd M, Wilkins S, Osato S. The fear of Alzheimer's disease scale: A new measure designed to assess anticipatory dementia in older adults. International Journal of Geriatric Psychiatry. 2012; 27(5):521–528. https://doi.org/10.1002/gps.2747.
Article
6. Sun F, Gao X, Coon DW. Perceived threat of Alzheimer's disease among Chinese American older adults: The role of Alz- heimer's disease literacy. Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2013; 70(2):245–255. https://doi.org/10.1093/geronb/gbt095.
7. Kessler EM, Südhof J, Frölich L. "Dementia worry" in memory clinic patients not diagnosed with organic mental disorder. International Psychogeriatrics. 2014; 26(6):1049–1051. https://doi.org/10.1017/S1041610214000349.
Article
8. Kim HJ, Jung DY. A study of cognitive impairment, knowledge and attitudes about dementia among community-dwelling older adults. Journal of the Korean Gerontological Society. 2015; 35(3):731–743.
9. Kim JS, Kim EH, An M. Experience of dementia-related anxiety in middle-aged female caregivers for family members with dementia: A phenomenological study. Asian Nursing Research. 2016; 10(2):128–135. https://doi.org/10.1016/j.anr.2016.02.001.
Article
10. Kim S, Sargent-Cox KA, Anstey KJ. A qualitative study of older and middle aged adults' perception and attitudes towards dementia and dementia risk reduction. Journal of Advanced Nursing. 2015; 71(7):1694–1703. https://doi.org/10.1111/jan.12641.
11. Batsch NL, Mittelman MS. World Alzheimer Report 2012: Overcoming the stigma of dementia [Internet]. London: Alzhei-mer's Disease International;2012. [cited 2015 April 25]. Available from:. https://www.alz.co.uk/research/WorldAlzheimerReport2012.pdf.
12. Petkus AJ, Reynolds CA, Wetherell JL, Kremen WS, Pedersen NL, Gatz M. Anxiety is associated with increased risk of dementia in older Swedish twins. Alzheimer's & Dementia. 2016; 12(4):399–406. https://doi.org/10.1016/j.jalz.2015.09.008.
Article
13. Chin AL, Negash S, Hamilton R. Diversity and disparity in dementia: The impact of ethnoracial differences in Alzheimer's disease. Alzheimer Disease and Associated Disorders. 2011; 25(3):187–195. https://doi.org/10.1097/WAD.0b013e318211c6c9.
14. Boustani M, Perkins AJ, Monahan P, Fox C, Watson L, Hopkins J, et al. Measuring primary care patients' attitudes about dementia screening. International Journal of Geriatric Psychiatry. 2008; 23(8):812–820. https://doi.org/10.1002/gps.1983.
Article
15. Schwartz-Barcott D, Kim, HS. An expansion and elaboration of the hybrid model of concept development. Rodgers BL, Knafl KA, editors. Concept development in nursing: Foundations, techniques, and applications. 2nd ed. PA: Saunders;2000. p. 129–159.
16. Walker LO, Avant KC. Strategies for theory construction in nursing. 5th ed. Boston: Prentice Hall;2011. p. 243.
17. Strauss A, Corbin JM. Basics of qualitative research: Techniques and procedures for developing grounded theory. 2nd ed. CA: Sage Publications;1998. p. 312.
18. National Institute of the Korean Language. Basic Korean dictionary [Internet]. Seoul: Doosan Donga;1999. [cited 2015 Apr 25]. Available from:. http://stdweb2.korean.go.kr/main.jsp.
19. Ponds RW, Commissaris KJ, Jolles J. Prevalence and covariates of subjective forgetfulness in a normal population in the Netherlands. The International Journal of Aging and Human Development. 1997; 45(3):207–221. https://doi.org/10.2190/MVQ1-WB58-875H-Y4X0.
Article
20. Kessler EM, Bowen CE, Baer M, Froelich L, Wahl HW. Dementia worry: A psychological examination of an unexplored phenomenon. European Journal of Ageing. 2012; 9(4):275–284.
Article
21. Moon Y, Kim HJ, Choi H, Oh SI, Han SH. Validity of the Korean version of the Fear of Alzheimer's Disease Scale for the assessment of anticipatory dementia. Journal of Korean Medical Science. 2014; 29(3):411–415. https://doi.org/10.3346/jkms.2014.29.3.411.
Article
22. Belling C. A condition of doubt: The meanings of hypochondria. Oxford: Oxford University Press;2012. p. 288.
23. Lazarus RS. Psychological stress and the coping process. NY: McGraw-Hill;1966. p. 466.
24. Lewis M, Haviland-Jones JM, Barrett LF. Handbook of emotions. 3rd ed. NY: The Guilford Press;2008. p. 928.
25. Sargent-Cox KA, Rippon M, Burns RA. Measuring anxiety about aging across the adult lifespan. International Psychogeriatric. 2014; 26(1):135–145. https://doi.org/10.1017/S1041610213001798.
Article
26. Taylor S. Anxiety sensitivity: Theoretical perspectives and recent findings. Behaviour Research and Therapy. 1995; 33(3):243–258. https://doi.org/10.1016/0005-7967(94)00063-P.
Article
27. Kong ES, Choi MS. Study on nursing students' experience of caring older patients with dementia. Korean Journal of Research in Gerontology. 2014; 23:9–36.
28. Ha J. Disease awareness process in elderly with early dementia [dissertation]. [Seoul]: Hanyang University;2007. p. 100.
29. Riley RJ, Burgener S, Buckwalter KC. Anxiety and stigma in dementia: A threat to aging in place. Nursing Clinics of North America. 2014; 49(2):213–231. https://doi.org/10.1016/j.cnur.2014.02.008.
Full Text Links
  • JKACHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr