We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Underrecognition of Dementia by Caregivers Cuts Across Cultures

Raffaele Antonelli Incalzi, MD; Antonella Gemma, MD; PierUgo Carbonin, MD
JAMA. 1997;277(22):1757-1758. doi:10.1001/jama.1997.03540460023015.
Text Size: A A A
Published online


To the Editor.  —In their article, Dr Ross and colleagues1 showed that dementia frequently remains unrecognized by relatives of home-dwelling subjects with dementia. Among factors associated with unrecognized dementia, a few behavioral complications and functional disabilities are worthy of some comment. Indeed, we found that patients whose dementia was recognized on the occasion of an unrelated hospital stay continued to do some activity after retirement, were considered by their relatives to run a negligible risk in performing such activities, and could receive adequate informal support.2 As hypothesized by Ross and colleagues,1 poor awareness of the presentation of dementia and respect for the elderly contributed to prevent dementia recognition. Additionally, relatives of patients unrecognized to be demented thought that drugs and institutionalization could not help manage dementia.2 Interestingly, these conditions clustered in rural areas: rural residence and low occupational role before retirement were independent correlates of unrecognized dementia. In this


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.