{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T17:54:08Z","timestamp":1762192448882,"version":"build-2065373602"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,3,1]],"date-time":"2016-03-01T00:00:00Z","timestamp":1456790400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine the neuropsychological and clinical profile of help\u2010seekers in an early\u2010detection community dementia program and to explore any relationship between profiles and time to seek help.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Early\u2010detection community dementia program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Help\u2010seekers (N = 1,005) with subjective cognitive complaints or complaints from an informant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      Neurocognitive testing, including the Cantonese Mini\u2010Mental State Examination (\n                      <jats:styled-content style=\"fixed-case\">MMSE<\/jats:styled-content>\n                      ), Clock Drawing Test, Digit Span, and Fuld Object Memory Evaluation and other clinical and functioning assessments, including the Clinical Dementia Rating (\n                      <jats:styled-content style=\"fixed-case\">CDR<\/jats:styled-content>\n                      ), activities of daily living (\n                      <jats:styled-content style=\"fixed-case\">ADL<\/jats:styled-content>\n                      s), instrumental\n                      <jats:styled-content style=\"fixed-case\">ADL<\/jats:styled-content>\n                      s (\n                      <jats:styled-content style=\"fixed-case\">IADL<\/jats:styled-content>\n                      s), and depressive symptoms. Time since the person or an informant reported that they first noticed symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighty\u2010six percent of help\u2010seekers had at least very mild dementia (\n                      <jats:styled-content style=\"fixed-case\">CDR<\/jats:styled-content>\n                      score \u22650.5). Cognitive performance was moderately impaired (mean\n                      <jats:styled-content style=\"fixed-case\">MMSE<\/jats:styled-content>\n                      score 18.4 \u00b1 6.1). They required some assistance with\n                      <jats:styled-content style=\"fixed-case\">IADL<\/jats:styled-content>\n                      s, had very mild\n                      <jats:styled-content style=\"fixed-case\">ADL<\/jats:styled-content>\n                      impairments, and had few depressive symptoms. Median time to seek assessment was 12 months (interquartile range 7\u201330 months) according to the person or the informant (an adult child in 75% of the sample). Using the median\u2010split method, time to seek assessment was classified as early (0\u201312 months) and late (&gt;12 months). Worse cognitive and\n                      <jats:styled-content style=\"fixed-case\">IADL<\/jats:styled-content>\n                      performance but not\n                      <jats:styled-content style=\"fixed-case\">ADL<\/jats:styled-content>\n                      performance or depressive symptoms were observed in late than in early help\u2010seekers. Longer time intervals between symptom recognition and early assessment showed a trend of further impairments on all measures except\n                      <jats:styled-content style=\"fixed-case\">ADL<\/jats:styled-content>\n                      s.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A time interval of more than 12 months between symptom recognition and early assessment appears to be associated with worse cognitive function upon presentation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.13938","type":"journal-article","created":{"date-parts":[[2016,3,1]],"date-time":"2016-03-01T08:13:15Z","timestamp":1456819995000},"page":"584-589","source":"Crossref","is-referenced-by-count":15,"title":["Neuropsychological Profile and Dementia Symptom Recognition in Help\u2010Seekers in a Community Early\u2010Detection Program in Hong Kong"],"prefix":"10.1111","volume":"64","author":[{"given":"Jennifer Y.\u2010M.","family":"Tang","sequence":"first","affiliation":[{"name":"Sau Po Centre on Ageing University of Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gloria H.\u2010Y.","family":"Wong","sequence":"additional","affiliation":[{"name":"Sau Po Centre on Ageing University of Hong Kong Hong Kong"},{"name":"Department of Psychiatry LKS Faculty of Medicine University of Hong Kong Hong Kong"},{"name":"Department of Social Work and Social Administration University of Hong Kong Hong Kong"},{"name":"Hong Kong Alzheimer's Disease Association Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen K.\u2010M.","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Social Work and Social Administration University of Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorothy T.\u2010S.","family":"Kwok","sequence":"additional","affiliation":[{"name":"Sau Po Centre on Ageing University of Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maggie N.\u2010Y.","family":"Lee","sequence":"additional","affiliation":[{"name":"Hong Kong Alzheimer's Disease Association Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David L.\u2010K.","family":"Dai","sequence":"additional","affiliation":[{"name":"Sau Po Centre on Ageing University of Hong Kong Hong Kong"},{"name":"Hong Kong Alzheimer's Disease Association Hong Kong"},{"name":"Department of Medicine and Therapeutics Faculty of Medicine Chinese University of Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terry Y.\u2010S.","family":"Lum","sequence":"additional","affiliation":[{"name":"Sau Po Centre on Ageing University of Hong Kong Hong Kong"},{"name":"Department of Social Work and Social Administration University of Hong 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