{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T02:19:39Z","timestamp":1778552379968,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T00:00:00Z","timestamp":1620086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100007312","name":"National Center for Geriatrics and Gerontology","doi-asserted-by":"publisher","award":["30\u201026"],"award-info":[{"award-number":["30\u201026"]}],"id":[{"id":"10.13039\/501100007312","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study aims to reconsider diagnostic approaches to dementia where pharmacological approaches are not available to reverse the pathological changes caused by dementia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A questionnaire survey was conducted with 524 physicians specialising in dementia management in Aichi, Japan, with 163 (31.1%) valid responses. The survey gathered information on the perceived merits and demerits of the early diagnosis of dementia and the priorities in treating those with mild cognitive impairment (MCI), mild dementia, and moderate or advanced dementia. In the interview survey, 27 outpatients with mild Alzheimer's disease (76.2\u2009\u00b1\u20097.6\u2009years old; Mini\u2010Mental State Examination score 23.3\u2009\u00b1\u20092.7 points; 21 women, six men) and 24 family members (12 spouses, 12 children) were asked about their priorities in treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 61.3% of physicians answered that persons with dementia having more time to accept the diagnosis is a merit of early diagnosis, while 61.3% answered that the possibility of causing anxiety was a demerit. Around 45% of the physicians chose the option \u2018maintaining cognitive function\u2019 as the first priority in cases of MCI and mild dementia, while 39.3% considered it the last priority in moderate or advanced cases. About 22.2% of persons with dementia and 37.5% of their families assigned the highest priority to \u2018maintaining cognitive function\u2019, whereas 37.0% of persons with dementia prioritised \u2018maintaining quality of life for them and their families\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although it is important to build therapeutic alliances among persons with dementia, their families, and physicians by sharing a common perspective for better treatment of dementia, this study suggested that the three parties do not always share the same vision. Future research is needed to determine how to build therapeutic alliances for better approaches to dementia, especially to ensure that timely diagnosis is beneficial for persons with dementia and their families.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psyg.12710","type":"journal-article","created":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T22:26:17Z","timestamp":1620167177000},"page":"596-604","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Discrepancies in persons with dementia, family members, and physician perspectives of dementia treatment: a descriptive study"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6082-957X","authenticated-orcid":false,"given":"Yohko","family":"Maki","sequence":"first","affiliation":[{"name":"National Centre for Geriatrics and Gerontology  Obu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wataru","family":"Ohashi","sequence":"additional","affiliation":[{"name":"National Centre for Geriatrics and Gerontology  Obu Japan"},{"name":"Division of Biostatistics, Clinical Research Center Aichi Medical University  Nagakute Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideyuki","family":"Hattori","sequence":"additional","affiliation":[{"name":"National Centre for Geriatrics and Gerontology  Obu Japan"},{"name":"Aisei Century Hospital  Nagoya, Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takao","family":"Suzuki","sequence":"additional","affiliation":[{"name":"National Centre for Geriatrics and Gerontology  Obu Japan"},{"name":"J. F. Oberlin University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4066"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h3029"},{"key":"e_1_2_6_4_1","first-page":"123","article-title":"Alzheimer's disease \u2010 why we need early diagnosis","volume":"9","author":"Rasmussen J","year":"2019","journal-title":"Degener Neurol Neuromuscul Dis"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-150692"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607860802343043"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721707312398"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnagi.2020.00009"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.4782"},{"key":"e_1_2_6_10_1","first-page":"3","article-title":"Proposal for the empowerment of interdependent self\u2010management support for people with dementia","volume":"6","author":"Maki Y","year":"2019","journal-title":"J Geriatr Care Res"},{"key":"e_1_2_6_11_1","first-page":"CD013069","article-title":"Cognitive training for people with mild to moderate dementia","volume":"3","author":"Bahar\u2010Fuchs A","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_12_1","first-page":"CD012278","article-title":"Computerised cognitive training for maintaining cognitive function in cognitively healthy people in midlife","volume":"3","author":"Gates NJ","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_13_1","first-page":"CD011961","article-title":"Cognitive training interventions for dementia and mild cognitive impairment in Parkinson's disease","volume":"2","author":"Orgeta V","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_14_1","first-page":"CD003477","article-title":"Music\u2010based therapeutic interventions for people with dementia","volume":"7","author":"Steen JT","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_15_1","first-page":"CD001120","article-title":"Reminiscence therapy for dementia","volume":"3","author":"Woods B","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2018.01058"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13517"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/geriatrics4010026"},{"key":"e_1_2_6_19_1","first-page":"56","article-title":"Communication support for persons with dementia through \u2018self\u2010management of autonomous interdependent life empowerment\u2019","volume":"6","author":"Maki Y","year":"2019","journal-title":"J Geriatr Care Res"}],"container-title":["Psychogeriatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/psyg.12710","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/psyg.12710","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/psyg.12710","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T06:23:56Z","timestamp":1693203836000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/psyg.12710"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,4]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1111\/psyg.12710"],"URL":"https:\/\/doi.org\/10.1111\/psyg.12710","archive":["Portico"],"relation":{},"ISSN":["1346-3500","1479-8301"],"issn-type":[{"value":"1346-3500","type":"print"},{"value":"1479-8301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,4]]},"assertion":[{"value":"2020-10-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}