Swipe om te navigeren naar een ander artikel
We evaluated whether, among persons with type 2 diabetes: (1) impaired executive cognitive functioning (ECF) is more common than among people without diabetes; (2) ECF is associated with the capacity to engage in instrumental health-related behaviors; and (3) worse ECF is associated with increased health services utilization. A population-based sample of 1,063 older people was interviewed regarding medical history and health services utilization; participants were administered the Mini Mental State Exam and the Behavioral Dyscontrol Scale, a measure of ECF. Participants with diabetes performed more poorly on cognitive measures than those without diabetes. Among those with diabetes, lower ECF was associated with more outpatient care and with ever having been in a nursing home. Impaired behavioral self-regulation may affect the capacity to engage in behaviors that could improve clinical status, resulting in greater health services use. The findings suggest the possibility of a positive feedback loop, with ECF deficits adversely affecting adherence, in turn leading to greater cognitive impairment—an issue for future research.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society B, 57, 289–300.
Center for the Study of Aging and Human Development. Multidimensional Functional Assessment. (1978). The OARS methodology. Durham, NC: Duke University Press.
Cuestra-Briand, B., Saggers, S., & McManus, A. (2011). ‘You get the quickest and the cheapest stuff you can’: Food security issues among low-income earners living with diabetes. Australasian Medical Journal, 4, 683–691. CrossRef
Goschke, T. (2003). Voluntary action and cognitive control from a cognitive neuroscience perspective. In S. Maasen, W. Prinz, & G. Roth (Eds.), Voluntary action: Brains, minds, and sociality (pp. 49–85). New York: Oxford University Press.
Grigsby, J., Kaye, K., Baxter, J., Shetterly, S. M., & Hamman, R. F. (1998). Executive cognitive abilities and functional status among community-dwelling older persons in the San Luis Valley health and aging study. Journal of the American Geriatrics Society, 46, 590–596. PubMed
Hamman, R. F., Mulgrew, C. L., Baxter, J., Shetterly, S. M., Swenson, C., & Morgenstern, N. E. (1999). Methods and prevalence of ADL limitations in Hispanic and non-Hispanic white subjects in rural Colorado: The San Luis Valley health and aging study. Annals of Epidemiology, 9, 225–235. PubMedCrossRef
Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffe, M. W. (1963). Studies of illness in the aged. The Index of ADL: A standardized measure of biological and psychosocial function. Journal of the American Medical Association, 185, 94–101.
Park, D. C., & Jones, T. R. (1996). Medication adherence and aging. In A. D. Fisk & W. A. Rogers (Eds.), Handbook of human factors and the older adult (pp. 257–287). Hillsdale, NJ: Erlbaum.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. CrossRef
Seldin, D. W. (1981). The boundaries of medicine. Transactions of the Association of American Physicians, 38, xxv–xxxvi.
- Impairment of executive cognitive control in type 2 diabetes, and its effects on health-related behavior and use of health services
Richard F. Hamman
- Springer US