PILOT FEASIBILITY STUDY OF EMR-BASED IDENTIFICATION OF PSYCHOLOGICAL DISTRESS AROUND RECENT DEMENTIA DIAGNOSES
2024

Identifying Psychological Distress in Dementia Diagnoses

Sample size: 12249 publication Evidence: moderate

Author Information

Author(s): Bannon Sarah, Divecha Ayushi, Dams-O’Connor Kristen, Federman Alex

Primary Institution: Icahn School of Medicine at Mount Sinai

Hypothesis

Can EMR-based identification effectively reveal psychological distress in individuals recently diagnosed with ADRD?

Conclusion

The study found that while structured data can identify some psychological distress, many individuals remain unassessed.

Supporting Evidence

  • 32.73% of the sample had ICD-10 diagnoses of depression.
  • 27.58% of the sample had ICD-10 diagnoses of anxiety.
  • Only 4.1% of individuals had self-report measures available at the time of diagnosis.
  • 22% of those with self-report measures indicated clinically elevated distress.

Takeaway

This study looked at how to find out if people feel sad or anxious after being told they have dementia, and it found that many don't get checked for these feelings.

Methodology

Secondary data analysis of EMR records from the Mount Sinai Data Warehouse.

Limitations

Only a small proportion of individuals had self-report measures available for assessing distress.

Participant Demographics

Individuals aged 65 and older with recent ADRD diagnoses.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.1381

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