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Characteristic profiles of instrumental activities of daily living in different subtypes of mild cognitive impairment

Authors
 Kyung Ran Kim  ;  Kang Soo Lee  ;  Hae-Kwan Cheong  ;  Jin-Sup Eom  ;  Byoung Hoon Oh  ;  Chang Hyung Hong 
Citation
 DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, Vol.27(3) : 278-285, 2009 
Journal Title
 DEMENTIA AND GERIATRIC COGNITIVE DISORDERS 
ISSN
 1420-8008 
Issue Date
2009
MeSH
Activities of Daily Living/psychology* ; Aged ; Aged, 80 and over ; Cognition/physiology ; Cognition Disorders/diagnosis ; Cognition Disorders/psychology* ; Cohort Studies ; Female ; Humans ; Male ; Middle Aged ; Models, Statistical ; Neuropsychological Tests ; Regression Analysis ; Risk Factors ; Socioeconomic Factors
Keywords
Functional impairment ; Instrumental activities of daily living ; Mild cognitive impairment ; Subtypes
Abstract
BACKGROUND/AIMS: The purposes of this study were to describe restrictions in instrumental activities of daily living (IADL) in mild cognitive impairment (MCI) and to assess different patterns of IADL in each MCI subtype. METHODS: A total of 566 participants, those not cognitively impaired (NCI; n = 311) and MCI patients (n = 255), 60-94 years old (71.25 +/- 6.00), were examined. Neuropsychological tests were administered to participants, and each MCI patient was classified into one of four subtypes. They completed the Barthel ADL and Seoul-IADL (S-IADL) for ADL measures. RESULTS: There was a significant difference between NCI and MCI in terms of total S-IADL scores. ANOVA and a post hoc Dunnett analysis revealed that MCI patients performed significantly worse on four out of a total 15 items (i.e. telephone, transportation, finances and household appliances). ANCOVA showed a significant difference in S-IADL-MCI (4 of 15 items) between NCI and amnestic MCI-multiple domains after adjusting for age, gender, education and Geriatric Depression Scale (F = 4.257, d.f. = 1,556, p = 0.002). CONCLUSION: These findings suggest that scorings of specific IADL items are different in MCI subjects, and these items can possibly help in the identification of MCI subtypes, especially amnestic MCI-multiple domains.
Full Text
http://www.karger.com/Article/FullText/204765
DOI
10.1159/000204765
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Ran(김경란) ORCID logo https://orcid.org/0000-0001-8375-1851
Oh, Byong Hoon(오병훈)
Lee, Kang Soo(이강수)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105339
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