Disability in a memory clinic: Frequency and associations with low cognitive performance
Eur. j. psychiatry
; 31(2): 50-58, abr.-jun. 2017. tab
Article
in English
| IBECS
| ID: ibc-179724
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
BACKGROUND AND OBJECTIVE:
To document the frequency of disability in a Psychiatry Memory Clinic (MC); to test the conjecture that there is an association between low cognitive performance and disability, even when controlling by dementia and clinically significant depression.METHODS:
A sample of 158 individuals referred to a Psychiatry MC were assessed with a full clinical protocol. Instruments used Mini-Mental Status Examination (MMSE); Semantic verbal fluency; the Clock Drawing test; Katz Index; Lawton and Brody Scale. DSM-IV criteria were used for diagnosing depression and dementia. The statistical analysis included logistic regression models.RESULTS:
The frequency of disability was 71.6%. MMSE score was significantly associated with moderate-severe disability on instrumental activities of daily living (ADL's) (OR 0.83; 95%CI 0.72-0.96) and with social ADL's (OR 0.87; 95%CI 0.79-0.95)). Orientation, attention and language MMSE subscores were the cognitive domains most significantly associated with disability.CONCLUSIONS:
Disability in patients referred to a Psychiatry MC with a heterogeneous clinical population is associated with low cognitive performance. The probability of having moderate-severe disability is related to the degree of impairment on MMSE global scoresRESUMEN
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Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Cognition Disorders
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Persons with Mental Disabilities
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Memory Disorders
Limits:
Aged
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Female
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Humans
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Male
Language:
English
Journal:
Eur. j. psychiatry
Year:
2017
Document type:
Article
Institution/Affiliation country:
Ejea Sociedad Cooperativa/Spain
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Hospital Clínico Universitario Lozano Blesa/Spain
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Hospital MAZ/Spain
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Hospital Universitario Miguel Servet/Spain
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Instituto de Investigación Sanitaria de Aragón (ISS Aragón)/Spain