Journal article
The Influence of Cognitive Impairment and Psychiatric Symptoms on Daily Functioning in Nursing Facilities: A Longitudinal Study
Annals of clinical psychiatry, Vol.14(4), pp.209-213
2002
DOI: 10.3109/10401230209147459
PMID: 12630656
Abstract
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.
Details
- Title: Subtitle
- The Influence of Cognitive Impairment and Psychiatric Symptoms on Daily Functioning in Nursing Facilities: A Longitudinal Study
- Creators
- Susan K Schultz - Department of Psychiatry, University of Iowa College of Medicine, Iowa City, IowaVicki L Ellingrod - Department of Psychiatry, University of Iowa College of Medicine, Iowa City, IowaDavid J Moser - Department of Psychiatry, University of Iowa College of Medicine, Iowa City, IowaEric Kutschner - University of Iowa College of Pharmacy, Iowa City, IowaCarolyn Turvey - Department of Psychiatry, University of Iowa College of Medicine, Iowa City, IowaStephan Arndt - Department of Psychiatry, University of Iowa College of Medicine, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- Annals of clinical psychiatry, Vol.14(4), pp.209-213
- DOI
- 10.3109/10401230209147459
- PMID
- 12630656
- NLM abbreviation
- Ann Clin Psychiatry
- ISSN
- 1040-1237
- eISSN
- 1547-3325
- Publisher
- Informa UK Ltd
- Language
- English
- Date published
- 2002
- Academic Unit
- Psychiatry; Epidemiology; Biostatistics; Nursing; Injury Prevention Research Center; Medicine Administration; Internal Medicine
- Record Identifier
- 9984004084902771
Metrics
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