The influence of cognitive impairment and behavioral dysregulation on daily functioning in the nursing home setting

Susan K Schultz; Vicki L Ellingrod; Carolyn Turvey; David J Moser; Stephan Arndt

doi:10.1176/appi.ajp.160.3.582

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The influence of cognitive impairment and behavioral dysregulation on daily functioning in the nursing home setting

Journal article

Peer reviewed

The influence of cognitive impairment and behavioral dysregulation on daily functioning in the nursing home setting

Susan K Schultz, Vicki L Ellingrod, Carolyn Turvey, David J Moser and Stephan Arndt

The American journal of psychiatry, Vol.160(3), pp.582-584

03/2003

DOI: 10.1176/appi.ajp.160.3.582

PMID: 12611846

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Abstract

The influence of psychiatric symptoms and cognitive impairment on daily living skills was explored in a series of nursing home residents. Three categories of symptoms were examined: behavioral disturbances, depression, and delusions. Nursing home residents (N=69) underwent comprehensive psychiatric evaluations. Relationships among psychiatric symptoms, cognitive function, and daily living skills were assessed by using regression and correlation analyses. Cognitive decline had the greatest effect on functional impairment in a standard least squares model, followed by behavioral disturbances. Psychiatric symptoms correlated positively with each other and with functional impairment, and correlated inversely with cognitive functioning. Cognitive decline appears to confer the greatest burden of functional disability in the nursing home setting. After cognitive effects were accounted for, behavioral dysregulation was also associated with functional impairment. In conclusion, interventions to enhance cognition and ameliorate behavioral disturbances are important areas for future studies in long-term care.

Geriatric Assessment

Nursing Homes

Humans

Middle Aged

Male

Long-Term Care - standards

Psychiatric Status Rating Scales

Aged, 80 and over

Female

Mental Disorders - diagnosis

Cognition Disorders - psychology

Severity of Illness Index

Activities of Daily Living - psychology

Comorbidity

Delusions - psychology

Depressive Disorder - diagnosis

Mental Disorders - psychology

Cognition Disorders - diagnosis

Delusions - diagnosis

Least-Squares Analysis

Aged

Depressive Disorder - psychology

Social Adjustment

Frail Elderly - psychology

Adaptation, Psychological

Details

Title: Subtitle: The influence of cognitive impairment and behavioral dysregulation on daily functioning in the nursing home setting
Creators: Susan K Schultz - Department of Psychiatry, University of Iowa College of Medicine, Iowa City, 52242-1000, USA. Susanschultz@uiowa.edu
Vicki L Ellingrod
Carolyn Turvey
David J Moser
Stephan Arndt
Resource Type: Journal article
Publication Details: The American journal of psychiatry, Vol.160(3), pp.582-584
DOI: 10.1176/appi.ajp.160.3.582
PMID: 12611846
NLM abbreviation: Am J Psychiatry
ISSN: 0002-953X
eISSN: 1535-7228
Publisher: United States
Language: English
Date published: 03/2003
Academic Unit: Psychiatry; Epidemiology; Biostatistics; Nursing; Injury Prevention Research Center; Medicine Administration; Internal Medicine
Record Identifier: 9984003419402771

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15 Times Cited - Web of Science