{"id":"https://openalex.org/W2017731478","doi":"https://doi.org/10.1002/gps.946","title":"Diagnosis\u2010seeking at subspecialty memory clinics: trigger events","display_name":"Diagnosis\u2010seeking at subspecialty memory clinics: trigger events","publication_year":2003,"publication_date":"2003-09-11","ids":{"openalex":"https://openalex.org/W2017731478","doi":"https://doi.org/10.1002/gps.946","mag":"2017731478","pmid":"https://pubmed.ncbi.nlm.nih.gov/14533124"},"language":"en","primary_location":{"id":"doi:10.1002/gps.946","doi":"https://doi.org/10.1002/gps.946","is_oa":false,"landing_page_url":"https://doi.org/10.1002/gps.946","pdf_url":null,"source":{"id":"https://openalex.org/S77085303","display_name":"International Journal of Geriatric Psychiatry","issn_l":"0885-6230","issn":["0885-6230","1099-1166"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Geriatric Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026659147","display_name":"Megan E. Streams","orcid":"https://orcid.org/0000-0003-4582-9608","observed_orcids":["https://orcid.org/0000-0003-4582-9608"]},"institutions":[{"id":"https://openalex.org/I143302722","display_name":"University of Kentucky","ror":"https://ror.org/02k3smh20","country_code":"US","type":"education","lineage":["https://openalex.org/I143302722"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Megan E. Streams","raw_affiliation_strings":["Martin School of Public Policy and Administration, University of Kentucky 419 Patterson Office Tower, Lexington, KY 40506-0027, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Martin School of Public Policy and Administration, University of Kentucky 419 Patterson Office Tower, Lexington, KY 40506-0027, USA","institution_ids":["https://openalex.org/I143302722"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054920509","display_name":"Sarah B. Wackerbarth","orcid":"https://orcid.org/0000-0002-4019-2700","observed_orcids":["https://orcid.org/0000-0002-4019-2700"]},"institutions":[{"id":"https://openalex.org/I143302722","display_name":"University of Kentucky","ror":"https://ror.org/02k3smh20","country_code":"US","type":"education","lineage":["https://openalex.org/I143302722"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sarah B. Wackerbarth","raw_affiliation_strings":["Martin School of Public Policy and Administration, University of Kentucky 419 Patterson Office Tower, Lexington, KY 40506-0027, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Martin School of Public Policy and Administration, University of Kentucky 419 Patterson Office Tower, Lexington, KY 40506-0027, USA","institution_ids":["https://openalex.org/I143302722"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103677767","display_name":"Alan J. Maxwell","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I17301866","display_name":"University of Alabama","ror":"https://ror.org/03xrrjk67","country_code":"US","type":"education","lineage":["https://openalex.org/I17301866"]},{"id":"https://openalex.org/I82495205","display_name":"University of Alabama in Huntsville","ror":"https://ror.org/02zsxwr40","country_code":"US","type":"education","lineage":["https://openalex.org/I82495205"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alan Maxwell","raw_affiliation_strings":["Family Medicine Program, University of Alabama School of Medicine, Huntsville, Alabama, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Family Medicine Program, University of Alabama School of Medicine, Huntsville, Alabama, USA","institution_ids":["https://openalex.org/I17301866","https://openalex.org/I82495205"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5054920509"],"corresponding_institution_ids":["https://openalex.org/I143302722"],"apc_list":{"value":4600,"currency":"USD","value_usd":4600},"apc_paid":null,"fwci":0.8169,"has_fulltext":false,"cited_by_count":24,"citation_normalized_percentile":{"value":0.72815534,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"18","issue":"10","first_page":"915","last_page":"924"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13077","display_name":"Cancer-related cognitive impairment studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dementia-diagnosis","display_name":"dementia diagnosis","score":0.6460000276565552},{"id":"https://openalex.org/keywords/memory-clinics","display_name":"memory clinics","score":0.8230000138282776},{"id":"https://openalex.org/keywords/trigger-events","display_name":"triggering events","score":0.621999979019165},{"id":"https://openalex.org/keywords/caregivers","display_name":"caregivers","score":0.6710000038146973},{"id":"https://openalex.org/keywords/early-diagnosis","display_name":"early diagnosis","score":0.7450000047683716},{"id":"https://openalex.org/keywords/memory-testing","display_name":"memory assessment","score":0.46399998664855957},{"id":"https://openalex.org/keywords/cognitive-decline","display_name":"cognitive decline","score":0.4959999918937683},{"id":"https://openalex.org/keywords/behavioral-and-personality-changes","display_name":"behavioral and personality changes","score":0.9039999842643738},{"id":"https://openalex.org/keywords/memory-loss","display_name":"memory loss","score":0.7409999966621399},{"id":"https://openalex.org/keywords/referral-sources","display_name":"referral sources","score":0.6000000238418579},{"id":"https://openalex.org/keywords/family-caregivers","display_name":"family caregivers","score":0.35199999809265137}],"concepts":[{"id":"https://openalex.org/C2776656118","wikidata":"https://www.wikidata.org/wiki/Q6815713","display_name":"Memory clinic","level":4,"score":0.8107070326805115},{"id":"https://openalex.org/C2780642338","wikidata":"https://www.wikidata.org/wiki/Q7632042","display_name":"Subspecialty","level":2,"score":0.6523127555847168},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.6257103681564331},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.6119235754013062},{"id":"https://openalex.org/C187288502","wikidata":"https://www.wikidata.org/wiki/Q641118","display_name":"Personality","level":2,"score":0.5433604717254639},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5179675817489624},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.483224481344223},{"id":"https://openalex.org/C2779198410","wikidata":"https://www.wikidata.org/wiki/Q3525894","display_name":"Personality changes","level":3,"score":0.4425108730792999},{"id":"https://openalex.org/C3018842126","wikidata":"https://www.wikidata.org/wiki/Q11072","display_name":"Memory impairment","level":3,"score":0.41127827763557434},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4069013297557831},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.39999449253082275},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3883495628833771},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.3452285826206207},{"id":"https://openalex.org/C2984915365","wikidata":"https://www.wikidata.org/wiki/Q5141203","display_name":"Cognitive impairment","level":3,"score":0.26766979694366455},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.14881384372711182},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003072","descriptor_name":"Cognition Disorders","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003704","descriptor_name":"Dementia","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D003704","descriptor_name":"Dementia","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008569","descriptor_name":"Memory Disorders","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009069","descriptor_name":"Movement Disorders","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010554","descriptor_name":"Personality Disorders","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D015577","descriptor_name":"Geriatric Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017028","descriptor_name":"Caregivers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020521","descriptor_name":"Stroke","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1002/gps.946","doi":"https://doi.org/10.1002/gps.946","is_oa":false,"landing_page_url":"https://doi.org/10.1002/gps.946","pdf_url":null,"source":{"id":"https://openalex.org/S77085303","display_name":"International Journal of Geriatric Psychiatry","issn_l":"0885-6230","issn":["0885-6230","1099-1166"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Geriatric Psychiatry","raw_type":"journal-article"},{"id":"pmid:14533124","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/14533124","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of geriatric psychiatry","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9789000153541565}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320309825","display_name":"University of Kentucky","ror":"https://ror.org/02k3smh20"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":32,"referenced_works":["https://openalex.org/W152148878","https://openalex.org/W1704771326","https://openalex.org/W1847168837","https://openalex.org/W1964288177","https://openalex.org/W1970090194","https://openalex.org/W1976981274","https://openalex.org/W1978023680","https://openalex.org/W1990721039","https://openalex.org/W2009974826","https://openalex.org/W2011602875","https://openalex.org/W2013464620","https://openalex.org/W2019452433","https://openalex.org/W2022780938","https://openalex.org/W2028388139","https://openalex.org/W2032052112","https://openalex.org/W2038074592","https://openalex.org/W2041014733","https://openalex.org/W2057895171","https://openalex.org/W2059639644","https://openalex.org/W2070734752","https://openalex.org/W2086115560","https://openalex.org/W2098102691","https://openalex.org/W2100072124","https://openalex.org/W2104297846","https://openalex.org/W2121272790","https://openalex.org/W2126763754","https://openalex.org/W2181482116","https://openalex.org/W2328469930","https://openalex.org/W2407040423","https://openalex.org/W2465166996","https://openalex.org/W2503343299","https://openalex.org/W3004061036"],"related_works":["https://openalex.org/W2126763754","https://openalex.org/W2340670014","https://openalex.org/W2889566347","https://openalex.org/W1977643405","https://openalex.org/W2789741846","https://openalex.org/W4393091447","https://openalex.org/W2167062798","https://openalex.org/W2900183449","https://openalex.org/W1991842156","https://openalex.org/W2328469930"],"abstract_inverted_index":{"BACKGROUND:":[0],"Research":[1],"has":[2],"shown":[3],"that":[4,82],"dementia":[5],"often":[6,13],"goes":[7],"unrecognized,":[8],"and":[9,44,101,178,185,232],"diagnostic":[10,51],"assessment":[11,52,71,89,100,242],"is":[12,25,243],"further":[14],"delayed.":[15],"Understanding":[16],"families'":[17],"decision":[18],"to":[19,27,29,49,69,85,213,224,237],"seek":[20,50,86,214],"care":[21,39],"at":[22,40,72,155,163,216],"memory":[23,42,75,88,218,241],"clinics":[24,43],"relevant":[26],"efforts":[28],"facilitate":[30],"early":[31],"diagnosis.":[32],"OBJECTIVE:":[33],"To":[34],"examine":[35],"the":[36,45,91,107,125,140,148,189,230],"population":[37],"seeking":[38],"two":[41,73],"triggers":[46,222],"causing":[47],"caregivers":[48,64,126,212,239],"for":[53,90,115],"a":[54,60,67,87,145,151,217,240],"family":[55],"member.":[56],"METHOD:":[57],"We":[58],"surveyed":[59],"consecutive":[61],"sample":[62],"of":[63,117,124,193,203,221,234],"who":[65,96,143],"accompanied":[66],"patient":[68,108,129,149],"an":[70,99],"university":[74],"disorders":[76],"clinics.":[77],"Caregivers":[78,183],"(n=416)":[79],"described":[80],"events":[81,120,235],"led":[83],"them":[84],"patient,":[92],"as":[93,95,150],"well":[94],"first":[97],"suggested":[98],"diagnosis":[102,215],"received.":[103],"RESULTS:":[104],"Changes":[105],"in":[106,147],"(cognitive,":[109],"personality/behavioral,":[110],"physical,":[111],"or":[112,181,208],"unspecified)":[113],"accounted":[114],"81%":[116],"903":[118],"trigger":[119,173,204],"reported.":[121],"Nearly":[122],"half":[123],"noting":[127],"specific":[128],"changes":[130,137],"recorded":[131],"some":[132],"combination,":[133],"rather":[134],"than":[135],"cognitive":[136,158,207],"alone.":[138],"Of":[139],"338":[141],"respondents":[142],"noted":[144,195],"change":[146],"trigger,":[152],"85%":[153],"specified":[154,162],"least":[156,164],"one":[157,165],"change,":[159],"while":[160],"40%":[161],"personality/behavioral":[166],"change.":[167],"Memory":[168],"loss":[169],"was":[170],"most":[171,190],"frequent":[172,191],"reported,":[174],"followed":[175],"by":[176,196],"disorientation":[177],"recommendations":[179,194],"(lay":[180],"professional).":[182],"themselves":[184],"non-specialist":[186],"physicians":[187,228],"were":[188],"sources":[192],"all":[197],"respondents.":[198],"CONCLUSION:":[199],"A":[200],"broad":[201],"range":[202],"events,":[205],"beyond":[206],"symptomatic":[209],"changes,":[210],"caused":[211],"clinic.":[219],"Awareness":[220],"significant":[223],"families":[225],"may":[226],"help":[227],"reduce":[229],"number":[231],"severity":[233],"needed":[236],"convince":[238],"indicated.":[244]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":2},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
