{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T09:07:13Z","timestamp":1789549633470,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alzheimer's disease prevalence has risen. Although public perceptions of AD may influence attitudes toward cognitive decline and help\u2010seeking behaviours, little is known about how cognitively healthy older adults conceptualise the disease. This study explored older adults' metaphorical perceptions of Alzheimer's disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative study employed a phenomenological design using metaphor analysis. Participants were 196 cognitively healthy, community\u2010dwelling older adults. Data were collected using a researcher\u2010developed questionnaire including sociodemographic questions and the prompt, \u2018Alzheimer's disease is like \u2026 because \u2026\u2019 Content analysis was used to identify and categorise metaphors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 196 valid metaphors were identified and organised into four categories: Change and Loss, Hopelessness, Care Dependency and No Return Journey. Participants predominantly described Alzheimer's disease through metaphors reflecting memory and identity loss, helplessness, dependence on care and irreversible cognitive decline, indicating predominantly negative perceptions of the disease among cognitively healthy older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings suggest that cognitively healthy older adults understand Alzheimer's disease not only as a biomedical condition but also through culturally shared metaphorical meanings centred on loss, dependency and irreversibility. These perceptions may shape attitudes toward dementia before clinical diagnosis and highlight the importance of community\u2010based educational initiatives that address both factual knowledge and stigma surrounding Alzheimer's disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psyg.70212","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T04:50:50Z","timestamp":1787547050000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceptions of Alzheimer's Disease Among Cognitively Healthy, Community\u2010Dwelling Older Adults: A Metaphor Study"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4723-8174","authenticated-orcid":false,"given":"Tu\u011f\u00e7e T\u00fcrten","family":"Kaymaz","sequence":"first","affiliation":[{"name":"Nursing Department, Health Sciences Faculty Ankara Y\u0131ld\u0131r\u0131m Beyaz\u0131t University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9635-1539","authenticated-orcid":false,"given":"G\u00fcler Duru","family":"A\u015firet","sequence":"additional","affiliation":[{"name":"Nursing Department, Health Sciences Faculty Aksaray University  Aksaray Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7819-2020","authenticated-orcid":false,"given":"Arzu","family":"Y\u00fcksel","sequence":"additional","affiliation":[{"name":"Nursing Department, Health Sciences Faculty Aksaray University  Aksaray Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,23]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.13809"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-018-4377-y"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2008.03.001"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610211001529"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.038255"},{"key":"e_1_2_13_7_1","unstructured":"The Value of Knowing \u201cAlzheimer Europe 2011 \u201d2011 https:\/\/www.alzheimer\u2010europe.org\/resources\/publications\/valueknowing?language_content_entity=en#:~:text=The%20survey%20found%20a%20large severe%20(27%25%2D63%25)."},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-014-0008-4"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13909"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.4274\/ejgg.galenos.2021.2021-9-2"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/dad2.70067"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.47141\/geriatrik.1232072"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnp088"},{"key":"e_1_2_13_14_1","unstructured":"World Health Organization \u201cGlobal Status Report on the Public Health Response to Dementia \u201d2001 accessed August 1 2026 https:\/\/www.who.int\/publications\/i\/item\/9789240033245."},{"key":"e_1_2_13_15_1","volume-title":"Nitel Ara\u015ft\u0131rma Desen Ve Uygulama i\u00e7in Bir Rehber [Qualitative Research: A Guide to Design and Implementation] (S. 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