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| Research article summary (published 29 Nov 2002): |
The influence of cognitive impairment and psychiatric symptoms on daily functioning in nursing facilities: a longitudinal study.
Full Abstract
The influence of psychiatric symptoms and cognitive status on daily living skills was explored among persons with dementia residing in skilled nursing facilities. Psychiatric symptoms were examined in three domains:
1) depression, 2) psychosis, and 3) behavioral disturbances. Twenty-eight subjects were followed for a 1-year duration in rural nursing facilities. The relationship between psychiatric symptoms, cognition, and daily living skills was assessed using correlation and regression analyses. Over a one-year period, cognitive and functional impairment progressed significantly. In contrast, psychiatric symptoms across all three domains did not necessarily persist or increase. Deterioration in cognitive function was significantly correlated with reduced functional status both cross-sectionally and longitudinally. Among psychiatric symptoms, only behavioral disturbances were significantly associated with functional impairment cross-sectionally. Cognitive decline and loss of social functioning may constitute the greatest source of disability among persons in nursing facilities. Furthermore, both impairments increase over time in contrast to psychiatric symptoms, which appear to have a more variable course. These findings may have implications for treatment interventions that seek to enhance functioning in the skilled nursing setting.
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Author information
Author/s: Schultz, Susan K (SK); Ellingrod, Vicki L (VL); Moser, David J (DJ); Kutschner, Eric (E); Turvey, Carolyn (C); Arndt, Stephan (S);
Affiliation: Department of Psychiatry, University of Iowa College of Medicine, 500 Newton Road, Iowa City, Iowa 52242-1000, USA.
Grants: K08 MH01633-03 (Agency:United States NIMH)
Journal and publication information
Publication Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.
Journal: Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists (Ann Clin Psychiatry), published in United States. (Language: eng)
Reference: 2002-Dec; vol 14 (issue 4) : pp 209-13
Dates: Created 2003/03/12; Completed 2003/07/01; Revised 2007/11/14;
PMID: 12630656, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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