The Value of Orientation in Time to Predict the Risks of Old Age

3086

Abstract

Changes in orientation across time are considered in foreign literature on geriatrics and geronto-psychiatry as one of the prognostic factors for the development of biological and psychological risks associated with the aging process. The analysis allowed elaborating the following concepts: orientation and disorientation in time, chronotaraxis and mizorientation. Also, analysis allowed to systematize functions and brain mechanisms for orientation in time. The algorithm for assessing the orientation of an elderly person in time, in space, in self and in the situation was systematized, as well. Presented methods for assessing the verbal and behavioral components of orientation. Based on the model, proposed by G. Berrios, the dynamic nature of the violations, the ability to navigate in time in elderly and senile ages are described. Provides classification and clinical features of disorders of orientation in time in somatic and mental disorders at a later age.

General Information

Keywords: elderly age, senile age, time, time perception, orientation in time

Journal rubric: Empirical Research

Article type: scientific article

DOI: https://doi.org/10.17759/cpse.2017060107

For citation: Melehin A. The Value of Orientation in Time to Predict the Risks of Old Age [Elektronnyi resurs]. Klinicheskaia i spetsial'naia psikhologiia = Clinical Psychology and Special Education, 2017. Vol. 6, no. 1, pp. 95–118. DOI: 10.17759/cpse.2017060107. (In Russ., аbstr. in Engl.)

References

  1. Balashova E.Ju., Mikeladze L.I. Vozrastnye razlichija v vosprijatii i perezhivanii vremeni [Age differences in perception and experience of time]. Psihologicheskie issledovanija [Psychological research], 2013, vol. 6, no. 30, pp. 9. URL: http://psystudy.ru/index.php/num/2013v6n30/854-balashova30.html (Accessed 12.01.17).
  2. Degriz Ja.M., Frolova E.V. Strukturirovannyj podhod k vyjavleniju potrebnostej pozhilogo cheloveka v medicinskoj pomoshhi [A structured approach to identifying the needs of the elderly in health care]. Rossijskij semejnyj vrach [Russian family doctor], 2014, vol. 18, no. 1. pp. 12–19.
  3. Demencii: rukovodstvo dlja vrachej [Dementia: a guide for doctors]. In N.N. Jahno (ed.). Moscow, 2011. 272 p.
  4. Zozulja T.V. Psihicheskoe zdorov'e pozhilyh ljudej. Metodicheskoe posobie dlja social'nyh rabotnikov [Mental health of the elderly. Methodical manual for social workers]. Moscow, 2008. 144 p.
  5. Meljohin A.I. Algoritm kompleksnoj geriatricheskoj ocenki sostojanija zdorov'ja v pozhilom i starcheskom vozraste [The algorithm of complex geriatric evaluation of the state of health in the elderly]. Klinicheskaja i medicinskaja psihologija: issledovanija, obuchenie, praktika: jelektron. nauch. zhurn [Clinical and medical psychology: research, training, practice], 2016, no. 3. URL: http://medpsy.ru/climp/2016_3_13/article04.php (Accessed: 18.02.2017).
  6. Mikeladze L.I. Vosprijatie vremeni pri affektivnyh rasstrojstvah v pozdnem vozrast: diss… kand. psihol. nauk. [Perception of time in affective disorders in late age. PhD (Psychology) thesis]. Moscow, 2016. 196 p.
  7. Osnovy diagnostiki psihicheskih rasstrojstv: rukovodstvo dlja vrachej [The basics of diagnosing mental disorders: a guide for physicians. In Ju.A. Antropova, et al. (Eds.). Moscow, 2010. 384 p.
  8. Roshhina I.V., Zharikov G.A. Nejropsihologicheskij metod v diagnostike mjagkoj demencii u lic pozhilogo i starcheskogo vozrasta [Neuropsychological method in the diagnosis of mild dementia in elderly and senile patients]. Zhurnal nevrologii i psihiatrii [Journal of Neurology and Psychiatry], 1998, no. 2, pp. 34–40.
  9. Rukovodstvo po geriatricheskoj psihiatrii [Guide to geriatric psychiatry]. In
    S.I. Gavrilovoj (Ed.). Moscow, 2014. 384 p.
  10. Alverzo J.P. Predictors of disorientation among brain injury and stroke patients during rehabilitation. Rehabil Nurs, 2005, vol. 30, no. 6, pp. 230–238. doi: 10.1002/j.2048-7940.2005.tb00117.
  11. American psychiatric publishing textbook of Alzheimer's disease and other dementias: the app textbook of geriatric psychiatry diagnostic issues in dementia. In
    M.F. Weiner, A.M. Lipton (Eds.). New York, NY: American Psychiatric Publishing, 2009.
    577 p.
  12. Baldelli M.V., et al. Evaluation of temporal and spatial disorientation in elderly patients with cognitive impairment. Neri Archives of Gerontology and Geriatrics, 2002,
    vol. 35, pp. 29–34. doi: https://doi.org/10.1016/S0167-4943(02)00100-0
  13. Baltes P.B., Baltes M.M. Psychological perspectives on successful aging: The model of selective optimization with compensation. In P.B. Baltes, M.M. Baltes (Eds.), Successful aging: Perspectives from the behavioral sciences. New York, NY: Cambridge University Press, 1990, pp. 1–34.
  14. Benton A.L., Sivan A.B. Temporal orientation. Contributions to neuropsychological assessment. New York, NY: Oxford University Press, 1994, pp. 3–11.
  15. Benton A.L., Van Allen M.W. Temporal orientation in cerebral disease Applied Neurophysiology, 1975, vol. 38, pp. 56–60. doi:10.1159/000102643
  16. Berrios G.E. Orientation failures in medicine and psychiatry: discussion paper.
    J R Soc Med, 1983, vol. 76, no. 5, pp. 379–385.
  17. Brotchie J., Brenna J. Temporal orientation in the pre-senium and old age. British Journal of Psychiatry, 1985, vol. 147, no. 6, pp. 692–695. doi: 10.1192/bjp.147.6.692
  18. Choi J., et al. Global prevalence of physical frailty by Fried's criteria in community-dwelling elderly with national population-based surveys. Journal of the American Medical Directors Association, 2015, vol. 16, no. 7, pp. 548–50. doi: 10.1016/j.jamda.2015.02.004
  19. Delpolyi A.R., et al. Spatial cognition and the human navigation network in AD and MCI. Neurology, 2007, vol. 69, pp. 986–997. doi: 10.1212/01.wnl.0000271376.19515.c6
  20. Dumurgier J., et al. Time orientation and 10 years risk of dementia in elderly adults: the three-city study. Journal of Alzheimer's Disease, 2016, vol. 53, no. 4, pp. 1411–1418. doi: 10.3233/JAD-160295
  21. Eichenbaum H., Dudchenko P. The hippocampus, memory, and place cells: is it spatial memory or a memory space? Neuron, 1999, vol. 23, pp. 209–226. doi: https://doi.org/10.1016/S0896-6273(00)80773-4
  22. Engelhart C.I., Eisenstein N. Determination of closed ward placement for chronic geropsychiatric patients: cognitive and behavioral factors. Journal of Nervous and Mental Disease, 1996, vol. 184, pp. 190–191.
  23. Fernández-Turrado T., et al. Temporal orientation and cognitive impairment. Reviews Neurology, 2011, vol. 52, no. 6, pp. 341–348.
  24. Fogel M.L. Temporal orientation in cerebral disease. Journal of Nervous and Mental Disease, 1964, vol. 139, pp. 110–119.
  25. Friedman W.J. The development psychology of time. New York, NY: Academic Press, 1982. 272 p.
  26. Giannakopoulos P., et al. Neural substrates of spatial and temporal disorientation in Alzheimer's disease. Acta Neuropathology, 2000, vol. 100, no. 2, pp.189–195. doi: 10.1007/s004019900166
  27. Guerrero-Berroa E., Luo X. The MMSE orientation for time domain is a strong predictor of subsequent cognitive decline in the elderly. International Journal of Geriatric Psychiatry, 2009, vol. 24, no. 12, pp. 1429–1437. doi: 10.1002/gps.2282
  28. Hartley T., Lever C. Space in the brain: how the hippocampal formation supports spatial cognition. Philosophical Transactions of the Royal Society B: Biological Sciences, 2013, vol. 23, URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866435/ (Accessed 11.09.16).
  29. High W.M., et al. Recovery of orientation following closed-head injury. Journal of Clinical and Experimental Neuropsychology, 1990, vol. 12, pp. 703–714. URL: https://doi.org/10.1080/01688639008401013 (Accessed 12.01.2016).
  30. Iwamoto Y. Time orientation and orientation in the elderly persons. Occupational Therapy International, 2011, vol. 18, no. 4, pp. 194–200. doi: 10.1002/oti.322
  31. Iwamoto Y., et al. Time orientation during the day in the elderly with dementia. Physical & Occupational Therapy in Geriatrics, 2012, vol. 30. URL: http://ir.nul.nagoya-u.ac.jp/jspui/bitstream/2237/18273/1/k10004.pdf (Accessed 12.01.2017).
  32. Jefferson A.L., et al. Errors produced on the mini-mental state examination and neuropsychological test performance in Alzheimer's disease, ischemic vascular dementia, and Parkinson's disease. The Journal of Neuropsychiatry and Clinical Neurosciences, 2002, vol. 14, no. 3, pp. 311–320.
  33. Jobst K.A. Time, perception and the aging mind: the National Alzheimer's Project Act 2011 enacted is this the beginning of a new era in health care research? Journal of Alternative and Complementary Medicine, 2011, vol. 17, no. 1, pp. 1–2. doi:10.1089 /acm.2011.0020
  34. Joslyn D., Hutzell R.R. Temporal disorientation in schizophrenic and brain-damaged patients. American Journal of Psychiatry, 1979, vol. 136, no. 9, pp. 1220–1222. URL: https://doi.org/10.1176/ajp.136.9.1220 (Accessed 12.01.2017).
  35. Kington J., Stewart R. Temporal orientation in a national community sample of older people. Journal of Geriatric Psychiatry, 2011, vol. 26, no. 2, pp. 144–149. doi: 10.1002/gps.2505
  36. Koriat A., Fischhoff B. What day is today? An inquiry into the process
    of time orientation. Memory & Cognition, 1974, vol. 2, pp. 201–205. doi: 10.3758/BF03208982
  37. Kumral E., Gulluoglu H. Thalamic chronotaraxis: isolated time disorientation. Journal of Neurology, Neurosurgery, and Psychiatry, 2007, vol. 78, no. 8, pp. 880–882. doi: 10.1136/jnnp.2006.113654
  38. Lezak M.D. Neuropsychological assessment. New York, NY: Oxford University Press, 1995. 1026 p.
  39. Lipowski Z.J. Delirium: Acute confusional states. New York, NY: Oxford University press, 1991. 490 p.
  40. Livesey A.C., et al. Time perception: manipulation of task difficulty dissociates clock functions from other cognitive demands. Neuropsychologia, 2007, vol. 45, pp. 321–331. doi:10.1016/j.neuropsychologia.2006.06.033
  41. Lou M.F., Dai Y.T. Postoperative cognitive changes among older Taiwanese patients. Journal of Clinical Nursing, 2003, vol. 12, pp. 579–588. doi: 10.1046/j.1365-2702.2003.00753.x
  42. Lustig C., Meck W.H. Paying attention to time as one gets older. Psychological Science, 2001, vol. 12, pp. 478–484. doi: 10.1111/1467-9280.00389
  43. Malek-Ahmadi M., Davis K. Informant-reported cognitive symptoms that predict amnestic mild cognitive impairment. BMC Geriatrics, 2012, vol. 12, no. 3. URL: http://bmcgeriatr.biomedcentral.com/articles/10.1186/1471-2318-12-3 (Accessed 12.01.2017)
  44. Melton L.J., et al. Fracture risk in patients with Alzheimer’s disease. Journal of the American Geriatrics Society, 1994, vol. 42, no. 6, pp. 614–619. doi: 10.1111/j.1532-5415.1994.tb06859.x
  45. Meulen E.F., et al. The seven minute screen: a neurocognitive screening test highly sensitive to various types of dementia. Journal of Neurology, Neurosurgery, and Psychiatry, vol. 75, pp. 700–705. doi:10.1136/jnnp.2003.021055
  46. Miller C.A. Nursing for Wellnessin Older Adults. 6-th ed, 2012. New York,
    NY: Wolters Kluwer Health. 589 p.
  47. O’Keeffe E., Mukhtar O. Orientation to time as a guide to the presence and severity of cognitive impairment in older hospital patients. Journal of Neurology, Neurosurgery and Psychiatry. BMJ, 2010, vol. 82, no. 5. URL: http://jnnp.bmj.com/content/82/5/500.long (Accessed 12.01.2017).
  48. Oxford Textbook of Old Age Psychiatry. In R. Jacoby, C. Oppenheimer (Eds.). Oxford, UK: OUP Oxford, 2008. 860 p.
  49. Peer M., et al. Brain system for mental orientation in space, time, and person. Proceedings of the National Academy of Sciences, 2015, vol. 112, no. 35, pp. 1072–1077. doi: 10.1073/pnas.1504242112
  50. Practical Psychiatry of Old Age. In J. Wattis, M. Church (Eds.). New York,
    NY: Springer US, 1994. 256 p.
  51. Rockwood K., Black S. Specific symptomatic changes following donepezil treatment of Alzheimer's disease: a multi-centre, primary care, open-label study. International Journal Of Geriatric Psychiatry, 2007, vol. 22, pp. 312–319. URL: https://doi.org/10.1002/ gps.1188 (Accessed 12.01.2017).
  52. Ryan J.J., et al. Temporal Disorientation Base Rates in Alzheimer’s Disease and Parkinson’s Disease. Gerontology and Geriatrics Research, 2015, vol. 4, no. 3. URL: http://www.omicsgroup.org/journals/temporal-disorientation-base-rates-in-alzheimers-disease-and-parkinsonsdisease-2167-7182-1000221.pdf (Accessed 12.01.2017).
  53. Ryan J.J., Glass L.A. Predicting neuropsychological test performance on the basis of temporal orientation. Aging Neuropsychology and Cognition, 2009, vol. 16, pp. 330–337. URL: https://doi.org/10.1080/13825580902741344 (Accessed 12.01.2017).
  54. Sandholzer H., et al. STEP – standardized assessment of elderly people in primary care. Deutsche medizinische Wochenschrift, 2004, no. 129, pp. 183–226.
  55. Saper C.B. The central autonomic nervous system: conscious visceral perception and autonomic pattern generation. Annual Review Of Neuroscience, 2002, vol. 25, pp. 433–469. doi: 10. 1146/annurev.neuro.25.032502.111311
  56. Saxena S., Lawley D. Delirium in the elderly: a clinical review. Postgraduate Medical Journal, 2009, vol. 85, pp. 405–413. doi: 10.1136/pgmj.2008.072025
  57. Schnider A., von Däniken C. Disorientation in amnesia A confusion of memory traces. Brain, 1996, vol. 119, pp. 1627–1632. URL: http://brain.oxfordjournals.org/ content/brain/119/5/1627.full.pdf (Accessed 12.01.2017).
  58. Solomon P.R., Pendlebury W.W. Recognition of Alzheimer’s disease: the 7 Minute Screen. Family Medicine, 1998, vol. 30, pp. 265–271. URL: http://old.stfm.org/fmhub /Fullpdf/April98/Special2.pdf (Accessed 12.01.2017).
  59. Sousaa A., Gomara J. Neural and behavioral substrates of disorientation in mild cognitive impairment and Alzheimer’s disease. Alzheimer's & Dementia: Translational Research & Clinical Interventions, 2015, vol. 1, pp. 37–45. URL: https://doi.org/10.1016 /j.trci.2015.04.002 (Accessed 12.01.2017).
  60. Stuck A., Iliffe S. Comprehensive geriatric assessment for older adults should be standard practice, according to a wealth of evidence. British Medical Journal, 2011, vol. 343, pp. 67–99. doi: 10.1136/bmj.d6799
  61. Sweet J.J., et al. Normative clinical relationships between orientation and memory: age as an important moderator variable. Clin Neuropsychol, 1999, vol. 13, pp. 495–508. doi: 10.1076/1385-4046
  62. Tractenberg R.E., et al. A simple method to rule out dementia with temporal orientation. Alzheimers Dement, 2007, vol. 3, no. 1, pp. 28–32. doi: 10.1016/j.jalz. 2006.10.005
  63. Tractenberg R.E., Weinstein M. Benchmarking a test of temporal orientation with data from American and Taiwanese persons with Alzheimer's disease and American normal elderly. Neuroepidemiology, 2005, vol. 24, pp. 110–116. URL: https: //www.ncbi.nlm.nih.gov /pmc/articles/PMC4377285/pdf/nihms-671766.pdf (Accessed 12.01.2017).
  64. Tseng W.J., Hung L.W. Time orientation and visual construction subdomains of the MMSE as independent risk factors for hip fractures. Orthopedics, 2013, vol. 36, no. 7,
    pp. 869–876. doi: 10.3928/01477447-20130624-16
  65. Turgeon M., et al. Cognitive Aging and Time Perception: Roles of Bayesian Optimization and Degeneracy. Frontiers in Aging Neuroscience, 2016, vol. 102, no. 8. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870863/pdf/fnagi-08-00102.pdf (Accessed 12.01.2017).
  66. Varney N.R., Shepherd J.S. Predicting short-term memory on the basis of temporal orientation. Neuropsychology, 1991, vol. 5, no. 1, pp. 13–16.
  67. Weiss H.D. Orientation, disorientation, and misorientation. Neurology, 2006, vol. 181, no. 67. doi:10.1212/01.wnl.0000223833.79018.e1
  68. Xavier A.J., et al. Time orientation and executive functions in the prediction of mortality in the elderly: Epidoso study. Revista de Saúde Pública, 2010, vol. 44, no. 1, pp. 148–158.
  69. Yew B., et al. Lost and forgotten? Orientation versus memory in Alzheimer's disease and frontotemporal dementia. Journal of Alzheimers Disease, 2013, vol. 33, no. 2, pp. 473–481. doi: 10.3233/JAD-2012-120769

Information About the Authors

Aleksey Melehin, PhD in Psychology, Associate professor, Stolypin Humanitarian Institute, clinical psychologist of the highest qualification category, somnologist, cognitive behavioral psychotherapist, Moscow, Russia, ORCID: https://orcid.org/0000-0001-5633-7639, e-mail: clinmelehin@yandex.ru

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