Off-campus UMass Amherst users: To download campus access dissertations, please use the following link to log into our proxy server with your UMass Amherst user name and password.
Non-UMass Amherst users: Please talk to your librarian about requesting this dissertation through interlibrary loan.
Dissertations that have an embargo placed on them will not be available to anyone until the embargo expires.
Author ORCID Identifier
Campus-Only Access for Five (5) Years
Doctor of Philosophy (PhD)
Year Degree Awarded
Month Degree Awarded
Lynnette Leidy Sievert
This project draws on interviews conducted in Puebla, Mexico and Springfield, Massachusetts to identify cross-cultural differences in Alzheimer's disease (AD) caregiving practices and how symptoms are recognized and interpreted. Sixty-two people living with AD and their caregivers were interviewed across the two field sites. Interviews with the caregivers were open-ended and semi-structured, lasting 2-4 hours. Follow-up interviews used neuropsychology questionnaires (e.g., Neuropsychiatric Inventory) to document the severity of cognitive changes being experienced by the person living with AD.
Analysis of the interviews revealed that Mexican caregivers sought diagnosis at a later stage of AD and for different reasons than caregivers in the United States. Those differences can be traced to divergent definitions of normal/abnormal aging and may call into question whether or not an “early” diagnosis is always the most desirable. Similarly, caregivers in Mexico were more troubled by behavioral disturbances that their United States counterparts, possibly explained by cultural differences in coping strategies for age-related cognitive decline. The impact of an AD diagnosis varies between the United States and Mexico, suggesting that education initiatives and post-diagnosis counseling/advising ought to reflect local realities.
Griffith, Eric Erastus, "A CROSS-CULTURAL COMPARISON OF ALZHEIMER’S DISEASE SYMPTOMS AND CAREGIVING IN THE UNITED STATES AND MEXICO" (2021). Doctoral Dissertations. 2183.