Characterization of Activities of Daily Living in Individuals With Mild Cognitive Impairment

Jefferson, Angela L.; Byerly, Laura K.; Vanderhill, Susan; Lambe, Susan; Wong, Sarah; Ozonoff, Al; Karlawish, Jason

doi:10.1097/jgp.0b013e318162f197

Cited by 162 publications

(144 citation statements)

References 31 publications

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“…Direct observation of everyday task performance is ideal to assess error patterns, but often it is not feasible. Thus, in lieu of direct observation, we suggest that clinicians query caregivers on the quality of patients' everyday action performance using direct and specific questions regarding omission and commission errors [8] .…”

Section: Discussionmentioning

confidence: 99%

Characterization of Everyday Functioning in Mild Cognitive Impairment: A Direct Assessment Approach

Giovannetti

Bettcher

Brennan

et al. 2008

Dement Geriatr Cogn Disord

107

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Aims: To evaluate the degree and pattern of functional difficulties in mild cognitive impairment (MCI) via direct observation of everyday task performance. Methods: MCI (n = 25), mild Alzheimer’s disease (AD; n = 25), and control (n = 18) participants performed three everyday tasks of increasing complexity. Results: Although caregivers reported no functional difficulties in MCI, direct observation measures of overall impairment and total errors showed MCI participants performed worse than controls, but better than AD participants, even on simple tasks. MCI and control participants exhibited significantly more difficulty performing steps accurately (i.e. commission errors) than completing task steps (i.e. omission errors), but AD participants showed an even distribution of commissions and omissions. Conclusions: Diagnostic criteria for MCI should specify mild functional deficits due to the inefficient and imprecise execution of task steps. Functional deficits characterized by omission of major task segments may indicate a diagnosis of dementia.

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Section: Discussionmentioning

confidence: 99%

Characterization of Everyday Functioning in Mild Cognitive Impairment: A Direct Assessment Approach

Giovannetti

Bettcher

Brennan

et al. 2008

Dement Geriatr Cogn Disord

107

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“…Global cognitive performance, verbal learning memory, and executive functioning have been found to be potentially associated with early functional difficulties in MCI patients [14,15,16]. Therefore, memory and executive function may be key cognitive correlates of functional status in MCI.…”

Section: Introductionmentioning

confidence: 99%

Functional Disability Profiles in Amnestic Mild Cognitive Impairment

Yeh

Lin

Chen³

et al. 2011

Dement Geriatr Cogn Disord

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Background/Aims: Instrumental activities of daily living (IADL) can be impaired in mild cognitive impairment (MCI), and the severity of functional disability predicts Alzheimer’s disease (AD) in amnestic MCI (aMCI). This study investigated the functional profiles of aMCI in a Chinese population. Methods: The Disability Assessment for Dementia scores of 56 subjects with single-domain aMCI (sd-aMCI) and 94 with multiple-domain aMCI (md-aMCI) were compared with normal controls (n = 64) and mild AD patients (n = 102). Results: Both the sd-aMCI (2.5 ± 2.5) and md-aMCI (3.7 ± 3.5) groups had more impaired IADL items than the controls (0.7 ± 1.7). Their IADL scores were intermediate, between the control and AD groups. sd-aMCI subjects presented deficits in 7 IADL items involving the ‘meal preparation’, ‘telephoning’, ‘finance’, ‘medications’, ‘housework’, and ‘leisure’ subscales. md-aMCI subjects presented deficits in 14 IADL items involving all subscales of daily activities. The Mini-Mental State Examination and Modified Trail-Making Test Part B scores were the major neuropsychological correlates of IADL performance in aMCI. Conclusion: IADL can be impaired in both sd-aMCI and md-aMCI. Including the functional ability assessment in the evaluation of aMCI may help clinicians to provide appropriate suggestions to maintain daily functioning.

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“…recientemente, schmitteredgecombe y parsey (2014), concluyeron que en el Dcl y la Demencia de tipo alzheimer inicialmente, los sujetos presentan dificultades para: vestirse, manejar adecuadamente el dinero y/o realizar actividades de la vida cotidiana como cocinar o conducir un automóvil. sin embargo, medir estas variables en la clínica y/o en el laboratorio requiere, por lo general, el reporte de informantes que pueden ser familiares o cuidadores; pero, en contextos de investigación se ha encontrado que los reportes de familiares y cuidadores, no siempre se correlacionan con las evaluaciones de rendimiento cognitivo que se administran al propio sujeto (Jefferson et al, 2008;schmitter-edgecombe, parsey, y cook, 2011).…”

Section: Deterioro Cognitivo Y Demencia De Tipo Alzheimerunclassified

Factores de riesgo y precursores del Deterioro Cognitivo Leve (DCL): Una mirada sinóptica

Cancino

Rehbein

2016

Ter Psicol

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Resumeneste artículo presenta una breve reseña sobre el Deterioro cognitivo leve en adultos mayores, considerando los principales precursores que anuncian, y los factores de riesgo que aceleran los procesos de envejecimiento cognitivo, los cuales aumentan la probabilidad de recibir un diagnóstico de Dcl. a su vez, la presencia de Dcl aumenta el riesgo y eventual tránsito hacia la demencia, especialmente la demencia de tipo alzheimer. por otra parte, en el artículo se describen las diferentes modalidades de presentación del deterioro cognitivo, revisando también el Dcl asociado a la sintomatología depresiva, a la enfermedad de parkinson y otras enfermedades degenerativas del sNc. la presente revisión, permite dar cuenta de hallazgos recientes y relevantes con relación a la disfunción cognitiva en adultos mayores, quienes representan una proporción cada vez mayor de la población nacional y mundial. Palabras clave: envejecimiento, deterioro cognitivo leve, indicadores tempranos, demencia Abstract this article presents a brief overview of mild cognitive impairment in older adults, considering its main anticipating precursors, and the risk factors that may accelerate the processes of cognitive aging, which increases the likelihood of being diagnosed with Mci. in turn, the presence of Mcl increases the risk and eventual transition to dementia, particularly alzheimer's dementia. Moreover, the article describes the different forms cognitive impairment may present itself, and also reviews MCI associated with depressive symptoms, parkinson's disease and other degenerative diseases of the cNs. this revision accounts for recent and relevant findings regarding cognitive dysfunction in the elderly, who represent a growing share of national and global populations.

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Characterization of Activities of Daily Living in Individuals With Mild Cognitive Impairment

Cited by 162 publications

References 31 publications

Characterization of Everyday Functioning in Mild Cognitive Impairment: A Direct Assessment Approach

Characterization of Everyday Functioning in Mild Cognitive Impairment: A Direct Assessment Approach

Functional Disability Profiles in Amnestic Mild Cognitive Impairment

Factores de riesgo y precursores del Deterioro Cognitivo Leve (DCL): Una mirada sinóptica

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