General Intellectual Decline and Daily Living Skills

Hart, Robert P.; Wade, James B.; Bean, Melanie K.; Gibson, Douglas P.

doi:10.1080/13854040903076004

Cited by 3 publications

(1 citation statement)

References 25 publications

(31 reference statements)

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“…Examining global decline rather than specific deficits may allow any association between cognitive dysfunction and depression symptoms to emerge more clearly. It may also have greater clinical relevance, as general intellectual decline has been associated with deterioration in daily adaptive functioning in other neurological conditions (Hart, Wade, Bean, & Gibson, 2010;Holtzer et al, 2003;Njegovan, Hing, Mitchell, & Molnar, 2001;Vidoni, Honea, & Burns, 2010).…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Global Cognitive Decline and Depressive Symptoms in Multiple Sclerosis

Barwick

Arnett

2011

The Clinical Neuropsychologist

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Cognitive impairment and depressed mood are common symptoms in multiple sclerosis (MS), which significantly impact patients' role functioning and quality of life. Cross-sectional studies indicate a modest association between cognitive impairment and depressive symptoms in MS. Longitudinal studies show inconsistent results but provide some data indicating a relationship between increasing global cognitive decline and increasing depressive symptoms over time. Establishing whether such a relationship exists represents an important first step in understanding the temporal nature of that relationship along with any treatment implications. The current study investigated this relationship by using the adjusted difference between a demographic estimate of premorbid intellectual functioning (Barona) and a performance measure of current intellectual functioning (Shipley Institute of Living) to capture long-term global cognitive decline in MS patients. Degree of global cognitive decline was then related to a self-report measure of mood, evaluative, and vegetative depression symptoms (Chicago Multiscale Depression Inventory). Global cognitive decline accounted for 5% of the variance in mood-evaluative symptoms but none of the variance in vegetative symptoms. When groups experiencing moderate, mild, and no global cognitive decline were compared on depression symptom subscales, MS patients experiencing moderate cognitive decline reported significantly higher mood and evaluative, but not vegetative, depressive symptoms than MS patients with stable cognitive functioning.

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Section: Introductionmentioning

confidence: 99%

Relationship Between Global Cognitive Decline and Depressive Symptoms in Multiple Sclerosis

Barwick

Arnett

2011

The Clinical Neuropsychologist

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Neuropsychological Assessment

McNeely¹,

King²

2019

Inpatient Geriatric Psychiatry

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Executive Function, Intellectual Decline and Daily Living Skills

Hart

Bean

2010

Aging, Neuropsychology, and Cognition

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Understanding the cognitive changes associated with compromised daily living skills in elderly individuals is important for making appropriate recommendations about the capacity for independent functioning. To this end, we retrospectively examined data from 92 elderly individuals presenting with cognitive decline who were administered measures of executive functioning, general intelligence, and daily living skills. Multiple regression analyses were used to examine the relationship between executive functioning and daily living skills, while controlling for age, depression, and either IQ decline or current IQ. Executive functioning accounted for additional variance in a broad range of daily living skills after controlling for IQ decline. When FSIQ was used in the regression model rather than IQ decline, executive functioning was no longer uniquely associated with daily living skills. Executive functions appear to be important for daily living skills until a critical threshold of low intellectual functioning is reached, reflecting the combined influence of premorbid ability and the extent of intellectual decline. Our results suggest that understanding the relative contribution of different cognitive domains to functional decline in elderly individuals should take into account general intellectual functioning and estimated decline, and that the initiation and/or persistence of self-directed cognitive processes may be important for adaptive daily functioning. These findings have implications for making more evidence-based recommendations about the capacity for independent living.

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General Intellectual Decline and Daily Living Skills

Cited by 3 publications

References 25 publications

Relationship Between Global Cognitive Decline and Depressive Symptoms in Multiple Sclerosis

Relationship Between Global Cognitive Decline and Depressive Symptoms in Multiple Sclerosis

Neuropsychological Assessment

Executive Function, Intellectual Decline and Daily Living Skills

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