Impact de l'annonce diagnostique d'un trouble démentiel sur la qualité de vie de la personne âgée

Abstract : Our work in the field of health psychology focuses on the effects of the announcement of a diagnosis of dementia on the quality of life of the elderly in Bourg en Bresse ( France). We postulate that the manner in which announcement is made,could influence people’sexperience of the disease. Our study tries to examine the reactions of patients following this announcement.Several patient groups were developed for the study the effects of the announcement based on several criteria : cognitive impairment levels, attachment type, physician announcement style, timing of the announcement.Thus, a first group consisted of elderly people, referred to as the cross-sectional group ( that is to say, they were met once at the beginning at the time of their announcement or during their medical follow-up). A second group was the longitudinal group ( met at their announcement and then met every 3 months for almost 2 years for the longest follow-up) and the final control group, serving as a reference in order to understand the reactions of the patients.In order to complement the data from the previous groups, we also the caregivers of certain elderly people involved in the diagnostic process in order to study their reactions facing the announcement. Finally, we met with 3 groups of people also implicated in the announcement ( general practitioners, geriatricians and a family group) to study their language and impressions concerning the diagnostic announcement.The results show :-From a statistical point of vie, only the reactions of caregivers are significant in their more prevalent use of active coping : planning and in the use of mature defense mechanisms-Frome a statistical, descriptive and qualitative point of view, we observe that resilience indicators ( self-esteem and quality of life) are present in our subjects diagnosed with dementia when their cognitive decline is measured above 24/30 on the MMS and their cognitive decline is not too rapid.-Our longitudinal subjects show us that in order to be able to develop resilience after a diagnostic announcement of dementia, it is important to have :-A feeling of usefulness which can be linked, in part, to the way the person thinks other perceive his or her dementia disorder.
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Submitted on : Thursday, September 19, 2019 - 2:15:07 PM
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Céline Chemla. Impact de l'annonce diagnostique d'un trouble démentiel sur la qualité de vie de la personne âgée. Psychologie. Université de Lyon, 2017. Français. ⟨NNT : 2017LYSE2065⟩. ⟨tel-02292113⟩

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