Said, Glorianne; (2018) Exploring fear of dementia, subjective cognitive complaints and common mental health difficulties in screening for Mild Cognitive Impairment. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

This thesis focuses on different factors which might have an effect on screening for Mild Cognitive Impairment and the uptake of cognitive health behaviours which may serve as a preventative health strategy to counter the onset of dementia. Part 1 consists of a systematic review of existing literature exploring the impact of common mental health difficulties among individuals with subjective cognitive complaints on cognitive decline over time. This identified consistent effects for depression and anxiety on progression to dementia. The importance of a standardised measure of subjective cognitive complaints emerged as part of this review. Part 2 consists of an original piece of research investigating the effects of online feedback following screening for mild cognitive impairment on fear of dementia, subjective cognitive complaints and general anxiety symptoms. This examines the interaction of these variables in a pre-post design. This part of the thesis also identifies what factors may predict fear of dementia at follow up. Part 3 consists of a critical appraisal of this dissertation, setting out a number of reflections on the processes of carrying out the empirical paper, the literature review and the contribution Clinical Psychology might make within the public health domain.

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