Clinical diagnoses and disability in cognitively impaired olderpersons
J.S. Cullen
Bok Engelsk 1996
| Utgitt | 1996
|
|---|---|
| Omfang | Side 411- 422
|
| Opplysninger | A sample of 126 elderly persons with cognitive impairment who wereliving in the community were clinically assessed for severity on arange of illnesses: somatic, psychiatric, neurodegenerative. At thesame time, their disability was examined by self-report and viainformant report. The domains of disability that were investigatedwere personal care, instrumental activities and social functioning.The key findings were that most of the variation in disability ineach domain was accounted for by the clinical diagnoses. Analysis ofinformant data (N = 90) showed that social functioning was affectedby behavioural impairment and depression, performance in instrumentalactivities was affected by extrapyramidal gait disorder, cognitiveimpairment, behavioural impairment and depression, while personalcare was affected by extrapyramidal gait disorder, cognitiveimpairment, depression and arthritis. Similar results were obtainedwith subject data (N = 126) on scales of instrumental activities andpersonal care: disability in instrumental activities was associatedwith diagnoses of extrapyramidal gait disorder, cognitive impairment,behavioural impairment and stroke, while personal care was affectedby extrapyramidal gait disorder, peripheral vascular disease andstroke. In this population, neuropsychiatric disturbances (disordersof cognition, behaviour and mood) and extrapyramidal gait disordersare major independent predictions of disability. Somatic disordershave a lesser impact.
|
| Emner |
