Supporting Resilience of Older Adults with Cognitive Decline Requires a Multi-Level System Approach.

Autor:	Peeters G; Radboud University Medical Center, Radboudumc Institute of Health Sciences, Nijmegen, The Netherlands.; Radboud University Medical Center, Radboudumc Alzheimer Centre, Nijmegen, The Netherlands., Kok A; Department of Epidemiology and Data Science, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; Department of Psychiatry, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., de Bruin SR; Department of Health and Well-being, Research Group Living Well with Dementia, Windesheim University of Applied Sciences, Zwolle, The Netherlands., van Campen C; Netherlands Institute for Social Research/SCP, The Hague, The Netherlands., Graff M; Radboud University Medical Center, Radboudumc Institute of Health Sciences, Nijmegen, The Netherlands.; Radboud University Medical Center, Radboudumc Alzheimer Centre, Nijmegen, The Netherlands.; Department of Rehabilitation, Radboud University Medical Center, Nijmegen, The Netherlands., Nieuwboer M; Radboud University Medical Center, Radboudumc Alzheimer Centre, Nijmegen, The Netherlands.; HAN University of Applied Sciences, Academy of Health and Vitality, Nijmegen, The Netherlands., Huisman M; Department of Epidemiology and Data Science, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.; Department of Sociology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., van Munster B; University of Groningen, University Medical Center Groningen, University Center for Geriatric Medicine, Groningen, The Netherlands., van der Zee EA; Groningen Institute for Evolutionary Life Sciences (GELIFES), Neurobiology, University of Groningen, Groningen, The Netherlands., Kas MJ; Groningen Institute for Evolutionary Life Sciences (GELIFES), Neurobiology, University of Groningen, Groningen, The Netherlands., Perry M; Radboud University Medical Center, Radboudumc Alzheimer Centre, Nijmegen, The Netherlands., Gerritsen DL; Radboud University Medical Center, Radboudumc Institute of Health Sciences, Nijmegen, The Netherlands.; Radboud University Medical Center, Radboudumc Alzheimer Centre, Nijmegen, The Netherlands., Vreede-Chabot E; Patient representative, Driebergen, The Netherlands., The AM; Tao of Care, Amsterdam, The Netherlands.; Department Sociology, Faculty of Social Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., van Hout H; Departments of General Practice and Medicine for Older Persons, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Vrije Universiteit, Amsterdam, The Netherlands., Bakker FC; Department of Health and Well-being, Research Group Living Well with Dementia, Windesheim University of Applied Sciences, Zwolle, The Netherlands., Achterberg WP; Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands., van der Steen JT; Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.; Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands., Smits C; Pharos Center of Expertise on Health Disparities, Utrecht, The Netherlands., Melis R; Radboud University Medical Center, Radboudumc Institute of Health Sciences, Nijmegen, The Netherlands., Olde Rikkert M; Radboud University Medical Center, Radboudumc Alzheimer Centre, Nijmegen, The Netherlands.; Radboud University Medical Center, Donders Institute of Neuroscience, Nijmegen, The Netherlands.
Jazyk:	angličtina
Zdroj:	Gerontology [Gerontology] 2023; Vol. 69 (7), pp. 866-874. Date of Electronic Publication: 2023 Feb 08.
DOI:	10.1159/000529337
Abstrakt:	The concept of resilience, i.e., the capacity of a system to bounce back after a stressor, is gaining interest across many fields of science, policy, and practice. To date, resilience research in people with cognitive decline has predominantly addressed the early stages of decline. We propose that: (1) resilience is a relevant concept in all stages of cognitive decline; and (2) a socio-ecological, multisystem perspective on resilience is required to advance understanding of, and care and support for people with cognitive decline and their support networks. We substantiate our position with literature and examples. Resilience helps understand differences in response to risk factors of (further) cognitive decline and informs personalised prevention. In a curative context, interventions to strengthen resilience aim to boost recovery from cognitive decline. In care for people with dementia, resilience-focused interventions can strengthen coping mechanisms to maintain functioning and well-being of the individual and their support network. A good example of improving resilience in the social and policy context is the introduction of age-friendly cities and dementia-friendly communities. Good care for people with cognitive decline requires a health and social care system that can adapt to changes in demand. Given the interdependency of resilience at micro-, meso- and macro-levels, an integrative socio-ecological perspective is required. Applying the concept of resilience in the field of cognitive decline opens new horizons for research to improve understanding, predicting, intervening on health and social care needs for the increasing population with cognitive decline. (© 2023 The Author(s). Published by S. Karger AG, Basel.)
Databáze:	MEDLINE
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