How positive can you be when your doctor knows nothing and does nothing to get you 100% recovered? I'm positive I'm going to live to 100 which means I'll be disabled half my life.
Part of my Hunter S. Thompson journey;
“Life
should not be a journey to the grave with the intention of arriving
safely in a pretty and well preserved body, but rather to skid in
broadside in a cloud of smoke, thoroughly used up, totally worn out, and
loudly proclaiming "Wow! What a Ride!”
Therapy gets in the way of living, so I
stopped attempting it until somebody comes up with EXACT protocols. I
can't waste my time on guidelines.
I'm not afraid of dying. I'm afraid I haven't been alive enough. It
should be written on every school room blackboard: Life is a playground —
or nothing.
— "Mr. Nobody," 2009
"Your body is not a temple: It's an amusement park. Enjoy the ride." Anthony Bourdain
Oops, I'm not playing by the polite rules of Dale Carnegie; 'How to Win Friends and Influence People'.
Telling supposedly smart stroke medical persons they know nothing about stroke is a no-no even if it is true.
Politeness will never solve anything in stroke. Yes, I'm a bomb thrower and proud of it. Someday a stroke 'leader' will try to ream me out for making them look bad by being truthful, I look forward to that day.
The latest here:
Cognition Boosted by Thinking Positively About Aging
Adults with mild cognitive impairment more likely to recover if they held positive age beliefs
Older adults with mild cognitive impairment were more likely to regain normal cognition if they held positive beliefs about aging, a cohort study showed.
Across 1,716 participants with mild cognitive impairment and a mean baseline age of 78, those with positive age beliefs had a 30.2% greater likelihood of recovery than those with negative age beliefs, reported Becca Levy, PhD, of the Yale School of Public Health, and Martin Slade, PhD, of the Yale School of Medicine, both in New Haven, Connecticut.
This recovery advantage persisted regardless of how severe mild cognitive impairment was at baseline, they said in a JAMA Network Openopens in a new tab or window research letter.
People with positive age beliefs also had a faster transition from mild cognitive impairment to normal cognition (HR 1.26, 95% CI 1.08-1.46, P=0.003) and recovered cognition up to 2 years earlier than people with negative age beliefs.
Nearly half of older adults with mild cognitive impairment can regain normal cognitionopens in a new tab or window. "Little is known about why some recover while others don't," Levy said in a statement. "That's why we looked at positive age beliefs, to see if they would help provide an answer."
"Our previous research has demonstrated that age beliefs can be modified," she added. "Therefore, age-belief interventions at the individual and societal levels could increase the number of people who experience cognitive recovery."
Participants came from the national longitudinal Health and Retirement Studyopens in a new tab or window (HRS), were 65 or older, and had mild cognitive impairment. They had at least one follow-up cognition assessment measured by the Telephone Interview for Cognitive Status (TICSopens in a new tab or window) and a positive age-belief measure assessed by a subscale of the Philadelphia Geriatric Center Morale Scaleopens in a new tab or window, which gauged disagreement with the statement "the older I get, the more useless I feel."
Levy and Slade dichotomized participants based on whether they had positive or negative age beliefs. Age, sex, race, education, marital status, smoking history, APOE status, depression, cardiovascular or diabetes diagnosis, social isolation, sleep issues, and physical inactivity were covariates in their analysis.
The primary outcome was cognitive recovery, defined as the first transition from mild cognitive impairment to normal cognition based on TICS cut points. Seven data collection waves were performed in the study, every 2 years from 2008-2020.
Of 1,716 participants in the primary analysis, 55.5% were women. Most participants (74.2%) were white; 21.5% were Black and 11.5% were Hispanic. About half (51.6%) were married at baseline.
A total of 609 (35.5%) people were in the positive age-belief group and 1,107 (64.5%) were in the negative age-belief group. At baseline, participants in the positive age-belief group were less likely to have chronic disease (77.3% vs 83%), depression (8.3% vs 24.0%), or to often feel isolated (2.4% vs 10.9%) than those in the negative age-belief group (all P<o.05).
In a secondary analysis that included a wider sample of HRS participants with normal cognition at baseline, those with positive age beliefs were less likely to develop mild cognitive impairment over the next 12 years than those with negative age beliefs, regardless of baseline age and physical health.
A limitation is that the study did not examine mechanisms of positive age beliefs and cognitive recovery, Levy and Slade acknowledged. "However, previous studies have reported that cognition is predicted by stress levels and health behaviors, both of which can be improvedopens in a new tab or window by positive age beliefs," they noted.
Disclosures
This study was supported by the National Institute on Aging.
Levy and Slade reported no disclosures.
Primary Source
JAMA Network Open
Source Reference: opens in a new tab or windowLevy BR, Slade MD "Role of positive age beliefs in recovery from mild cognitive impairment among older persons" JAMA Netw Open 2023; DOI: 10.1001/jamanetworkopen.2023.7707.
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