DISASTER-RELATED COGNITIVE CHANGES: FROM THE PERSPECTIVE OF NEUROLOGY AND GERONTOLOGY

Yıl 2025, Cilt: 2 Sayı: 3, 22 - 28, 20.03.2025

Özlem Önder , Vedat Semai Bek

https://doi.org/10.5281/zenodo.15055950

Öz

The average age is gradually increasing worldwide. The importance of periodic assessment of healthy geriatric individuals is increasing daily, along with monitoring geriatric individuals with chronic diseases for their conditions. Comprehensive geriatric assessment is essential for elderly individuals to receive a definitive diagnosis and treatment for their diseases, to enhance their quality of life, and to preserve their functional independence. As a result of disasters worldwide, a higher risk to geriatric individuals among vulnerable populations has been observed. Alzheimer's disease, a common geriatric syndrome, not only affects cognitive functions but is also accompanied by various clinical conditions such as behavioral abnormalities, difficulties in daily living activities, decline in motor functions, and sleep and mood disorders. It is known that patients with Alzheimer's disease may experience worsening cognitive dysfunctions after a disaster, and they may face depression and sleep disorders more frequently. However, the disaster itself is not the only reason for the worsening of the existing dementia syndrome; many factors have an impact, starting from the period before the disaster. Preparedness is the initial step in guaranteeing the survival, independence, and health of those impacted by disasters. For this reason, it is important for neurologists and gerontologists to cooperate and adopt a multidisciplinary approach that aligns with the specified requirements. This collaboration is crucial to ensure that all elderly individuals, particularly those with dementia, are adequately prepared for disasters and to safeguard the cognitive functions of healthy elderly individuals from the adverse impacts of disasters.

Anahtar Kelimeler

COVID-19, frailty, caregiver, cognitive decline, disaster preparedness

AFET İLİŞKİLİ BİLİŞSEL DEĞİŞİMLER: NÖROLOJİ ve GERONTOLOJİ BAKIŞ AÇISIYLA

Öz

Tüm dünyada yaş ortalamasının giderek artmasıyla beraber kronik hastalıkları olan geriatrik bireylerin yanında sağlıklı geriatrik bireylerin aralıklı olarak değerlendirilmesinin önemi de her geçen gün artmaktadır. Geriatrik bir bireyin hastalığına yönelik doğru tanı ve tedavi alması, hayat kalitesinin artırılması ve fonksiyonel bağımsızlığını sürdürebilmesi için periyodik kapsamlı geriatrik değerlendirme şarttır. Dünyanın her yerinde yaşanan afetler sonucu geriatrik bireylerin kırılgan bireyler arasında ilk sıralarda yer aldığı görülmüştür. Geriatrik sendromlardan biri olan Alzheimer hastalığı sadece bilişsel fonksiyonlarda etkilenme ile seyreden bir hastalık değildir, bunun yanında davranışsal sorunlar, günlük yaşam aktivitelerinde yetersizlik, motor fonksiyonlarda gerileme, uyku bozukluğu ve duygu durum bozukluğu gibi birçok kliniğin eşlik ettiği bir sendromdur. Afet sonrası Alzheimer hastalarının bilişsel kayıplarında kötüleşme olabildiği, daha sık depresyon ve uyku bozukluğu ile karşı karşıya kaldıkları bilinmektedir. Var olan demans sendromunun kötüleşmesinin tek nedeni afetin kendisi değildir, afet öncesinden dönemden başlayarak birçok faktörün etkisi bulunmaktadır. Hazırlıklı olmak, afetlerden etkilenenlerin hayatta kalmasını, bağımsızlığını ve sağlığını sürdürebilmeyi sağlamanın ilk adımıdır. Bu nedenle başta demanslı bireyler olmak üzere tüm geriatrik bireylerin afete hazırlıklı olmasını sağlamak ve sağlıklı geriatrik bireyleri afetin bilişsel fonksiyonlar üzerindeki olumsuz etkilerinden korumak amacıyla nörologlar ve gerontologların işbirliği içerisinde olması ve belirlenen gereklilikler doğrultusunda multidisipliner bir yaklaşım içerisinde olmaları önemlidir.

Anahtar Kelimeler

COVID-19, kırılganlık, bakım veren, bilişsel gerileme, afete hazırlık

Kaynakça

• Referans1 Greer SL, Lynch J, Reeves A, ve ark. Ageing and Health. Cambridge University Press; 2021. doi:10.1017/9781108973236
• Referans2 World Health Organization. Constitution of the world health organization. World Health Organization: handbook of basic documents. 1952; 3-20.
• Referans3 Boss GR, Seegmiller JE. Age-related physiological changes and their clinical significance. Western Journal of medicine. 1981; 135(6):434.
• Referans4 Gustavsson A, Norton N, Fast T, ve ark. Global estimates on the number of persons across the Alzheimer's disease continuum. Alzheimer's & Dementia. 2023; 19(2):658-70. doi:10.1002/alz.12694
• Referans5 Pinter L, Bizikova L. Background Paper Prepared for the United Nations Department of Economic and Social Affairs. 2015.
• Referans6 Taşcı F, Gökçe OZ. 6 Şubat Sonrası Deprem Bölgesinde Yaşlılar: Mevcut Durum, İhtiyaçlar ve Öneriler. Senectus. 2023; 6;1(2):271-91. doi:10.26650/senectus.2023.1.2.0011
• Referans7 İpekçi NN. Afetlerde Kirilgan Gruplarin Sağliği. Sağlık Bilimleri ve Klinik Araştırmaları Dergisi. 2023; 2(3):147-56. doi:10.5281/zenodo.10445745
• Referans8 Blaikie P, Cannon T, Davis I, ve ark. At risk: natural hazards, people's vulnerability and disasters. Routledge; 2014. doi:10.4324/9780203714775
• Referans9 Malik S, Lee DC, Doran KM, ve ark. Vulnerability of older adults in disasters: emergency department utilization by geriatric patients after Hurricane Sandy. Disaster medicine and public health preparedness. 2018; 12(2):184-93. doi:10.1017/dmp.2017.44
• Referans10 Okamoto N, Greiner C, Paul G. Lesson and learned from the older people in case of Great East Japan Earthquake and Tsunami of 2011. Procedia Engineering. 2015; 107:133-9. doi:10.1016/j.proeng.2015.06.066
• Referans11 Salagnac JL. Lessons from the 2003 heat wave: a French perspective. Building Research & Information. 2007; 35(4):450-7. doi:10.1080/09613210601056554
• Referans12 Soonthornchaiya R, Tuicomepee A, Romano JL. Impacts of tsunami disaster in Thai elderly survivors. Ageing International. 2019; 44:154-69. doi:10.1007/s12126-018-9324-z
• Referans13 Boccardi V, Ruggiero C, Mecocci P. COVID-19: a geriatric emergency. Geriatrics. 2020; 5(2):24. doi:10.3390/geriatrics5020024
• Referans14 Zhu Y, Liu Y, Jiang H. Geriatric health care during the COVID-19 pandemic: managing the health crisis. Clinical Interventions in Aging. 2022; 1365-78. doi:10.2147/CIA.S376519
• Referans15 Paton D, Johnston D. Disasters and communities: vulnerability, resilience and preparedness. Disaster Prevention and Management: An International Journal. 2001; 10(4):270-7. doi:10.1108/EUM0000000005930
• Referans16 Shiba K, Hikichi H, Okuzono SS, ve ark. Long-term associations between disaster-related home loss and health and well-being of older survivors: nine years after the 2011 Great East Japan earthquake and tsunami. Environmental health perspectives. 2022; 130(7):077001. doi:10.1289/EHP10903
• Referans17 Chen Y, Tan Y, Luo Y. Post-disaster resettlement and livelihood vulnerability in rural China. Disaster Prevention and Management: An International Journal. 2017; 26(1):65-78. doi:10.1108/DPM-07-2016-0130
• Referans18 Ozkazanc S, Yuksel UD. Evaluation of disaster awareness and sensitivity level of higher education students. Procedia-Social and Behavioral Sciences. 2015; 197:745-53. doi:10.1016/j.sbspro.2015.07.168
• Referans19 Kitagawa K. Disaster preparedness, adaptive politics and lifelong learning: a case of Japan. International Journal of Lifelong Education. 2016; 35(6):629-47. doi:10.1080/02601370.2016.1231230
• Referans20 Furukawa K, Ootsuki M, Kodama M, ve ark. Exacerbation of dementia after the earthquake and tsunami in Japan. Journal of neurology. 2012; 259:1243-.. doi:10.1007/s00415-011-6329-x
• Referans21 Cherry KE, Galea S, Su LJ, ve ark. Cognitive and psychosocial consequences of Hurricanes Katrina and Rita among middle‐aged, older, and oldest‐old adults in the Louisiana Healthy Aging Study (LHAS). Journal of applied social psychology. 2010; 40(10):2463-87. doi:10.1111/j.1559-1816.2010.00666.x
• Referans22 Cherry KE, Brown JS, Marks LD, ve ark. Longitudinal assessment of cognitive and psychosocial functioning after Hurricanes Katrina and Rita: exploring disaster impact on middle‐aged, older, and oldest‐old adults. Journal of applied biobehavioral research. 2011; 16(3‐4):187-211. doi:10.1111/j.1751-9861.2011.00073.x
• Referans23 Meguro K, Akanuma K, Toraiwa K, ve ark. Behavioral improvement of dementia residents in a group home with an increased number of residents after the Great East Japan Earthquake 2011. International Psychogeriatrics. 2014; 26(5):871-2. doi:10.1017/S1041610213002305
• Referans24 Hikichi H, Aida J, Kondo K, ve ark. Persistent impact of housing loss on cognitive decline after the 2011 Great East Japan earthquake and tsunami: evidence from a 6-year longitudinal study. Alzheimer's & Dementia. 2019; 15(8):1009-18. doi:10.1016/j.jalz.2019.04.016
• Referans25 Chi S, Wang C, Jiang T, ve ark. The prevalence of depression in Alzheimer’s disease: a systematic review and meta-analysis. Current Alzheimer Research. 2015; 12(2):189-98. doi:10.2174/1567205012666150204124310
• Referans26 Ishiki A, Okinaga S, Tomita N, ve ark. Changes in cognitive functions in the elderly living in temporary housing after the Great East Japan Earthquake. PloS one. 2016; 11(1):e0147025. doi:10.1371/journal.pone.0147025
• Referans27 Kuiper JS, Zuidersma M, Voshaar RC, ve ark. Social relationships and risk of dementia: A systematic review and meta-analysis of longitudinal cohort studies. Ageing research reviews. 2015; 22:39-57. doi:10.1016/j.arr.2015.04.006
• Referans28 Ma M, Dorstyn D, Ward L, ve ark. Alzheimers’ disease and caregiving: a meta-analytic review comparing the mental health of primary carers to controls. Aging & mental health. 2018; 22(11):1395-405. doi:10.1080/13607863.2017.1370689
• Referans29 Daimon H, Miyamae R, Wang W. A critical review of cognitive and environmental factors of disaster preparedness: research issues and implications from the usage of “awareness (ishiki)” in Japan. Natural Hazards. 2023; 117(2):1213-43. doi:10.1007/s11069-023-05909-y
• Referans30 Hattori Y, Isowa T, Hiramatsu M, ve ark. Disaster preparedness of persons requiring special care ages 75 years and older living in areas at high risk of earthquake disasters: A cross-sectional study from the Pacific coast region of Western Japan. Disaster medicine and public health preparedness. 2021; 15(4):469-77. doi:10.1017/dmp.2020.39
• Referans31 Hikichi H, Tsuboya T, Aida J, ve ark. Social capital and cognitive decline in the aftermath of a natural disaster: a natural experiment from the 2011 Great East Japan Earthquake and Tsunami. The Lancet Planetary Health. 2017; 1(3):e105-13. doi:10.1016/S2542-5196(17)30041-4
• Referans32 Bethel JW, Foreman AN, Burke SC. Disaster preparedness among medically vulnerable populations. American journal of preventive medicine. 2011; 40(2):139-43. doi:10.1016/j.amepre.2010.10.020
• Referans33 Chang KY, Villeneuve M, Crawford T, ve ark. Disaster preparedness, capabilities, and support needs: The lived experience perspectives of people with disability. Disabilities. 2023; 3(4):648-65. doi:103390/disabilities3040042
• Referans34 Adam EK. Natural disasters as natural experiments: Lessons for human stress science. Proceedings of the National Academy of Sciences. 2023; 120(44):e2316231120. doi:10.1073/pnas.2316231120
• Referans35 Tufan İ, Koç O, Özgür Ö, ve ark. Afetlerde yaşlılara yardım ve destek: Afet gerontolojisi. Geriatrik Bilimler Dergisi. 2022; 5(1):14-20.doi:10.47141/geriatrik.985224