Staging Dementia Using Proxy-Reported Activities of Daily Living
Background/Aim: It has been questioned whether cognitive and behavioral scales sufficiently address the impact of dementia on the everyday life of patients. Therefore, other instruments are used, such as scales of activities of daily living (ADL). Our goal was to analyze variables influencing the ap...
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| Veröffentlicht in: | Dementia and geriatric cognitive disorders 2011-10, Vol.32 (2), p.111-117 |
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| container_title | Dementia and geriatric cognitive disorders |
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| creator | Jonas, Christina Schiffczyk, Claudia Lahmeyer, Constanze Mueller, Friedemann Riepe, Matthias W. |
| description | Background/Aim: It has been questioned whether cognitive and behavioral scales sufficiently address the impact of dementia on the everyday life of patients. Therefore, other instruments are used, such as scales of activities of daily living (ADL). Our goal was to analyze variables influencing the appraisal of ADL. Method: Prospective cohort study on 202 patients with dementia and their proxies. Results: Two clusters of patients were identified. These clusters differed significantly in their constituting variables and all variables that informants reported regarding the patients. However, severity of dementia and other variables were similar in the two clusters. Conclusion: We conclude that ratings of basic and instrumental ADL by proxy are modulated by the informants’ variables, particularly if these informants are female. Use of ADL scales to assess the impact of dementia or treatment thereof needs to be handled cautiously. |
| doi_str_mv | 10.1159/000331420 |
| format | Article |
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Therefore, other instruments are used, such as scales of activities of daily living (ADL). Our goal was to analyze variables influencing the appraisal of ADL. Method: Prospective cohort study on 202 patients with dementia and their proxies. Results: Two clusters of patients were identified. These clusters differed significantly in their constituting variables and all variables that informants reported regarding the patients. However, severity of dementia and other variables were similar in the two clusters. Conclusion: We conclude that ratings of basic and instrumental ADL by proxy are modulated by the informants’ variables, particularly if these informants are female. Use of ADL scales to assess the impact of dementia or treatment thereof needs to be handled cautiously.</description><identifier>ISSN: 1420-8008</identifier><identifier>EISSN: 1421-9824</identifier><identifier>DOI: 10.1159/000331420</identifier><identifier>PMID: 21952470</identifier><identifier>CODEN: DGCDFX</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Activities of Daily Living - classification ; Activities of Daily Living - psychology ; Adult ; Aged ; Aged, 80 and over ; Analgesics ; Biological and medical sciences ; Cluster Analysis ; Cohort Studies ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Dementia ; Dementia - diagnosis ; Dementia - psychology ; Female ; Geriatric Assessment - methods ; Humans ; Male ; Medical sciences ; Middle Aged ; Neurology ; Neuropharmacology ; Original Research Article ; Pharmacology. Drug treatments ; Prospective Studies ; Proxy ; Psychiatric Status Rating Scales ; Severity of Illness Index ; Sex Factors</subject><ispartof>Dementia and geriatric cognitive disorders, 2011-10, Vol.32 (2), p.111-117</ispartof><rights>2011 S. Karger AG, Basel</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 S. Karger AG, Basel.</rights><rights>Copyright (c) 2011 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-1b6febc5a007c28583025c876b11b2bdbdb65957a34ea387b1f3eee816851ea83</citedby><cites>FETCH-LOGICAL-c394t-1b6febc5a007c28583025c876b11b2bdbdb65957a34ea387b1f3eee816851ea83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2427,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24624194$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21952470$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jonas, Christina</creatorcontrib><creatorcontrib>Schiffczyk, Claudia</creatorcontrib><creatorcontrib>Lahmeyer, Constanze</creatorcontrib><creatorcontrib>Mueller, Friedemann</creatorcontrib><creatorcontrib>Riepe, Matthias W.</creatorcontrib><title>Staging Dementia Using Proxy-Reported Activities of Daily Living</title><title>Dementia and geriatric cognitive disorders</title><addtitle>Dement Geriatr Cogn Disord</addtitle><description>Background/Aim: It has been questioned whether cognitive and behavioral scales sufficiently address the impact of dementia on the everyday life of patients. Therefore, other instruments are used, such as scales of activities of daily living (ADL). Our goal was to analyze variables influencing the appraisal of ADL. Method: Prospective cohort study on 202 patients with dementia and their proxies. Results: Two clusters of patients were identified. These clusters differed significantly in their constituting variables and all variables that informants reported regarding the patients. However, severity of dementia and other variables were similar in the two clusters. Conclusion: We conclude that ratings of basic and instrumental ADL by proxy are modulated by the informants’ variables, particularly if these informants are female. Use of ADL scales to assess the impact of dementia or treatment thereof needs to be handled cautiously.</description><subject>Activities of Daily Living - classification</subject><subject>Activities of Daily Living - psychology</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analgesics</subject><subject>Biological and medical sciences</subject><subject>Cluster Analysis</subject><subject>Cohort Studies</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Dementia</subject><subject>Dementia - diagnosis</subject><subject>Dementia - psychology</subject><subject>Female</subject><subject>Geriatric Assessment - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neuropharmacology</subject><subject>Original Research Article</subject><subject>Pharmacology. Drug treatments</subject><subject>Prospective Studies</subject><subject>Proxy</subject><subject>Psychiatric Status Rating Scales</subject><subject>Severity of Illness Index</subject><subject>Sex Factors</subject><issn>1420-8008</issn><issn>1421-9824</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqF0EtLAzEQAOAgiu-Dd5FFEPGwmkk22eRm8Q0Fxcd5yaazJbrdrclW7L83tbWCF8lhMuFjZjKE7AE9BRD6jFLKOWSMrpDNGCDVimWr33eaKkrVBtkK4TWyXEi9TjYYaMGynG6S86fODF0zTC5xhE3nTPISZumDbz-n6SOOW9_hIOnZzn24zmFI2iq5NK6eJv340gx3yFpl6oC7i7hNXq6vni9u0_79zd1Fr59arrMuhVJWWFph4gyWKaE4ZcKqXJYAJSsH8UihRW54hoarvISKI6ICqQSgUXybHM_rjn37PsHQFSMXLNa1abCdhEJTxnOeSfavVFoD0yDzKA__yNd24pv4jVhOKykhzyI6mSPr2xA8VsXYu5Hx0wJoMVt_sVx_tAeLgpNyhIOl_Nl3BEcLYII1deVNY134dXH-DPSs6f7cvRk_RL8Eiz5fpZmSsA</recordid><startdate>20111001</startdate><enddate>20111001</enddate><creator>Jonas, Christina</creator><creator>Schiffczyk, Claudia</creator><creator>Lahmeyer, Constanze</creator><creator>Mueller, Friedemann</creator><creator>Riepe, Matthias W.</creator><general>Karger</general><general>S. 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Leukodystrophies. Prion diseases</topic><topic>Dementia</topic><topic>Dementia - diagnosis</topic><topic>Dementia - psychology</topic><topic>Female</topic><topic>Geriatric Assessment - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Neuropharmacology</topic><topic>Original Research Article</topic><topic>Pharmacology. Drug treatments</topic><topic>Prospective Studies</topic><topic>Proxy</topic><topic>Psychiatric Status Rating Scales</topic><topic>Severity of Illness Index</topic><topic>Sex Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jonas, Christina</creatorcontrib><creatorcontrib>Schiffczyk, Claudia</creatorcontrib><creatorcontrib>Lahmeyer, Constanze</creatorcontrib><creatorcontrib>Mueller, Friedemann</creatorcontrib><creatorcontrib>Riepe, Matthias W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Social Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Dementia and geriatric cognitive disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jonas, Christina</au><au>Schiffczyk, Claudia</au><au>Lahmeyer, Constanze</au><au>Mueller, Friedemann</au><au>Riepe, Matthias W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Staging Dementia Using Proxy-Reported Activities of Daily Living</atitle><jtitle>Dementia and geriatric cognitive disorders</jtitle><addtitle>Dement Geriatr Cogn Disord</addtitle><date>2011-10-01</date><risdate>2011</risdate><volume>32</volume><issue>2</issue><spage>111</spage><epage>117</epage><pages>111-117</pages><issn>1420-8008</issn><eissn>1421-9824</eissn><coden>DGCDFX</coden><abstract>Background/Aim: It has been questioned whether cognitive and behavioral scales sufficiently address the impact of dementia on the everyday life of patients. Therefore, other instruments are used, such as scales of activities of daily living (ADL). Our goal was to analyze variables influencing the appraisal of ADL. Method: Prospective cohort study on 202 patients with dementia and their proxies. Results: Two clusters of patients were identified. These clusters differed significantly in their constituting variables and all variables that informants reported regarding the patients. However, severity of dementia and other variables were similar in the two clusters. Conclusion: We conclude that ratings of basic and instrumental ADL by proxy are modulated by the informants’ variables, particularly if these informants are female. Use of ADL scales to assess the impact of dementia or treatment thereof needs to be handled cautiously.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>21952470</pmid><doi>10.1159/000331420</doi><tpages>7</tpages></addata></record> |
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| ispartof | Dementia and geriatric cognitive disorders, 2011-10, Vol.32 (2), p.111-117 |
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| subjects | Activities of Daily Living - classification Activities of Daily Living - psychology Adult Aged Aged, 80 and over Analgesics Biological and medical sciences Cluster Analysis Cohort Studies Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Dementia Dementia - diagnosis Dementia - psychology Female Geriatric Assessment - methods Humans Male Medical sciences Middle Aged Neurology Neuropharmacology Original Research Article Pharmacology. Drug treatments Prospective Studies Proxy Psychiatric Status Rating Scales Severity of Illness Index Sex Factors |
| title | Staging Dementia Using Proxy-Reported Activities of Daily Living |
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