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Int J Geriatr Psychiatry. 2013 May;28(5):514-21. doi: 10.1002/gps.3854. Epub 2012 Jul 12.

The relationship between functional status and judgment/problem solving among individuals with dementia.

Author information

1
Hahn School of Nursing & Health Science, University of San Diego, San Diego, CA, USA. Amayo@sandiego.edu

Abstract

OBJECTIVE:

To determine the relationship between functional status (independent activities of daily living) and judgment/problem solving and the extent to which select demographic characteristics such as dementia subtype and cognitive measures may moderate that relationship in older adult individuals with dementia.

METHODS:

The National Alzheimer's Coordinating Center Universal Data Set was accessed for a study sample of 3,855 individuals diagnosed with dementia. Primary variables included functional status, judgment/problem solving, and cognition.

RESULTS:

Functional status was related to judgment/problem solving (r = 0.66; p < 0.0005). Functional status and cognition jointly predicted 56% of the variance in judgment/problem solving (R(2) = 0.56, p < 0.0005). As cognition decreases, the prediction of poorer judgment/problem solving by functional status became stronger.

CONCLUSIONS:

Among individuals with a diagnosis of dementia, declining functional status as well as declining cognition should raise concerns about judgment/problem solving.

PMID:
22786576
PMCID:
PMC3496819
DOI:
10.1002/gps.3854
[Indexed for MEDLINE]
Free PMC Article

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