Extrinsic and Intrinsic Help-Seeking Motivation in the Assessment of Cognitive Decline

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Robert Haussmann - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden (Author)
  • René Mayer-Pelinski - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden (Author)
  • Maike Borchardt - , Chair of Behavioral Psychotherapy, University Hospital Carl Gustav Carus Dresden, Pestalozzi High School, Germany (Author)
  • Fabrice Beier - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden (Author)
  • Franziska Helling - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden (Author)
  • Maria Buthut - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden, Municipal Hospital Dresden (Author)
  • Gisa Meissner - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden (Author)
  • Jan Lange - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden (Author)
  • Anne Zweiniger - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden (Author)
  • Markus Donix - , Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Dresden, German Center for Neurodegenerative Diseases (DZNE) - Partner Site Dresden (Author)

Abstract

Diagnostic assessments for dementia include the evaluation of subjective memory impairment, dementia worries, or depressive symptoms. Data on the predictive value of these factors remain unclear, and varying help-seeking behavior may contribute to this finding. We investigate whether differentiating help-seeking motivation from other psychological factors associated with cognitive impairment would enhance the prediction of diagnostic outcomes in a memory clinic. We obtained information on help-seeking motivation from 171 patients who underwent routine diagnostic assessments. Utilizing a discriminant correspondence analysis, our results indicate that extrinsic motivation increases the likelihood of receiving a dementia diagnosis, whereas depression or the duration of deficits carries discriminatory information to further guide the differentiation of prodromal dementia. Recognizing motivational aspects of help-seeking behavior can complement the clinical evaluation of cognitive performance.

Details

Original languageEnglish
Pages (from-to)215-220
Number of pages6
JournalAmerican journal of Alzheimer's disease and other dementias
Volume33
Issue number4
Publication statusPublished - Jun 2018
Peer-reviewedYes

External IDs

PubMedCentral PMC10852475
Scopus 85046821334
ORCID /0000-0002-2936-5180/work/196687354

Keywords

Keywords

  • Aged, Anxiety/psychology, Cognitive Dysfunction/diagnosis, Dementia/diagnosis, Depression/psychology, Female, Help-Seeking Behavior, Humans, Male, Middle Aged, Motivation/physiology