Mild cognitive impairment: coping with an uncertain label
Abstract
Background: The recently introduced diagnostic label of Mild Cognitive Impairment (MCI) identifies patients with a cognitive decline that is more pronounced than is usual for a person's age and educational level but does not notably interfere with activities of daily living (ADL). The natural course of the syndrome is uncertain although MCI sufferers have a higher risk of developing dementia. Objectives: To investigate how patients fulfilling MCI criteria experience and cope with their cognitive decline with the secondary aim to derive key themes for a prospective MCI support‐group programme. Methods: The grounded theory approach. Results: Analysis of guided interviews with eight MCI patients revealed four common themes. C hanges related to cognitive abilities, mobility, affect, vitality and somatic complaints. Attributions were numerous and concerned aetiologies such as personality traits and overload of information. Consequences were all negative and concerned the patients themselves such as anxiety and loss of self‐confidence, others such as feelings of irritation and anger towards others or activities like abandoning leisure activities. Patients applied emotion‐oriented, problem‐focused and avoidant coping strategies. Conclusion: MCI patients encounter stress‐inducing practical, social and psychological difficulties. Based on the current preliminary findings, the key themes for an MCI support‐group programme should include the provision of information about the syndrome's causes, course, concomitant symptoms, attributions, social consequences, and available treatments. The impact of receiving an MCI label warrants further investigation. Copyright © 2007 John Wiley & Sons, Ltd.
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Individuals with MCI encounter difficulties in social, psychological, and daily living contexts, which may lead to depression or anxiety, and they specifically ask for information about the causes of the syndrome, the potential disease course, accompanying symptoms, social consequences, and available treatments.
“We know from literature that individuals with MCI encounter difficulties in social, psychological, and daily living context, which may lead to depression or anxiety and they specifically ask for information about the causes of the syndrome, the potential disease course, accompanying symptoms, social consequences, and available treatments [26].”
From Psychotherapeutic interventions in individuals at risk for Alzheimer’s dementia: a systematic review (2022) · cites this paper as [26]
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- Authors
- Joosten‐Weyn Banningh, L., Vernooij‐Dassen, M., Rikkert, M. O., & Teunisse, J.
- Affiliations
- Radboud University Medical Center (NL)
- ORCID
- Teunisse, Jan‐Pieter
- Venue
- International Journal of Geriatric Psychiatry
- Publisher
- Wiley
- Published
- 2007-06-19
- Volume
- 23
- Issue
- 2
- Pages
- 148-154
- ISSN
- 0885-6230 (ISSN-L)
- 1099-1166
- OpenAlex
- W2167523750
- Cited by
- 127
- References
- 24
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 4 · 2023: 8 · 2022: 7 · 2021: 7 · 2020: 13 · 2019: 7 · 2018: 8 · 2017: 6 · 2016: 8 · 2015: 9 · 2014: 5 · 2013: 9 · 2012: 11
- FWCI
- 2.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Funders
- Alzheimer Society
- Radboud Universiteit
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- mild cognitive impairment, coping strategies, patient experience, dementia risk, anxiety, self-confidence, social consequences, cognitive decline, somatic symptoms, mobility change
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Aged, Aged, 80 and over, Anxiety, Cognition Disorders, Depression, Educational Status, Female, Humans, Interview, Psychological, Male, Middle Aged, Geriatric Assessment, Disease Progression
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