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Cited by 38Dementia and Cognitive Impairment ResearchAging and Gerontology ResearchAlzheimer's disease research and treatments

The Influence of Psychosocial and Cognitive Factors on Perceived Threat of Alzheimer’s Disease

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Ostergren, Jenny E., Heeringa, Steven G., Leon, Carlos F. Mendes de, Connell, Cathleen M, Roberts, J. Scott·2017·American Journal of Alzheimer's Disease & Other Dementiasr
DOI 10.1177/1533317517714552PMC PMC5886712
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Abstract

This study explored psychosocial and cognitive predictors of perceived threat of Alzheimer’s disease (AD). Respondents were 1641 adults (mean age: 64.4; 54% female; 82% white) who completed a module in the Health and Retirement Study, a nationally representative survey of adults aged ≥50. Findings show that perceived threat was significantly higher for those aged 50 to 64 ( P < .001) and 65 to 74 ( P < .05) than for those ≥75. Respondents with a family history of AD had significantly greater perceived threat ( P < .001) than those with no experience. Stronger endorsement of the beliefs that stress ( P < .01) or genetics ( P < .01) are important AD risk factors was significantly associated with greater perceived threat, as was having more depressive symptoms ( P < .01), poorer self-rated memory ( P < .01), and lower cognitive function ( P < .01). Personal experience moderated the relationship between perceived threat and 2 variables: age and self-rated memory. Understanding perceived AD threat may inform practice and policies centered on early and accurate diagnosis.

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  • Family history of dementia is a strong predictor of ADRD diagnosis, particularly for Alzheimer's disease.

    “Besides age, family history of dementia has been acknowledged as a strong predictor of ADRD diagnosis, particularly for AD (Cutler & Hodgson, 2001; Ostergren, Heeringa, Leon, Connell, & Roberts, 2017; Roberts & Connell, 2000).”

    From Correlates of dementia-related anxiety: self-perceived dementia risk and ageism (2020) · cites this paper as Ostergren, Heeringa, Leon, Connell, & Roberts, 2017

    The Discussion (page unavailable) describes family history and genetics as important contributors to AD risk. But the study examines perceived threat of AD, not whether family history strongly predicts an ADRD diagnosis; it also does not establish the claimed strength of that prediction. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

  • The finding of no significant difference in dementia-related anxiety by genetic ADRD exposure is inconsistent with prior literature that family history of AD and caregiving for someone with AD are associated with greater dementia-related anxiety.

    “The lack of significant difference in DRA between those with and without genetic ADRD exposure is inconsistent with previous literature showing that having a family member with AD (Cutler & Hodgson, 2001; Ostergren et al., 2017; Roberts & Connell, 2000) and caregiving for someone with AD (Cantegreil-Kallen & Pin, 2012; Suhr & Kinkela, 2007) are associated with greater levels of DRA.”

    From Correlates of dementia-related anxiety: self-perceived dementia risk and ageism (2020) · cites this paper as Ostergren et al., 2017

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Research works printed but not linked: 1

  1. [24]Warwick HMC Salkovskis PM Hypochrondriasis Behav Res Ther 1990 28 105 117 2183757

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Authors
Ostergren, J. E., Heeringa, S. G., Leon, C. F. M. D., Connell, C. M., & Roberts, J. S.
Affiliations
University of Michigan (US)
Corresponding author
Ostergren, Jenny E.
ORCID
Venue
American Journal of Alzheimer's Disease & Other Dementiasr
Publisher
SAGE Publications
Published
2017-06-13
Volume
32
Issue
5
Pages
289-299
ISSN
  • 0888-4897 (ISSN-L)
  • 1533-3175
  • 1938-2731
DOI
10.1177/1533317517714552
PMC
PMC5886712
OpenAlex
W2624699962
Cited by
38
References
37
Citations by year
2026: 5 · 2025: 5 · 2024: 4 · 2023: 4 · 2022: 3 · 2021: 7 · 2020: 3 · 2019: 5 · 2018: 2
FWCI
2.25
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • American Journal of Alzheimer s Disease & Other Dementias® (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute on Aging (P30AG053760, U01AG009740, T32AG027708)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
Keywords
Alzheimer's disease, threat perception, psychosocial factors, cognitive factors, family history (medicine), stress as risk factor, depressive symptoms, self-rated memory, cognitive function, age differences, older adults, early diagnosis
MeSH terms
Age Factors, Aged, Alzheimer Disease, Depression, Fear, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Memory Disorders, Middle Aged, Early Diagnosis, Cognitive Dysfunction

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