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Am J Geriatr Psychiatry 9:81-86, February 2001
© 2001 American Association for Geriatric Psychiatry


Clinical and Research Reports

Activities of Daily Living in Alzheimer's Disease

Neuropsychiatric, Cognitive, and Medical Illness Influences

Sibel Tekin, M.D., Lynn A. Fairbanks, Ph.D., Susan O'Connor, R.N., Susan Rosenberg, R.N., and Jeffrey L. Cummings, M.D.

Received January 21, 2000; revised May 8, 2000; accepted May 12, 2000. From the Department of Neurology, Alzheimer Disease Research Center, and Department of Psychiatry and Biobehavioral Sciences, UCLA School of Medicine, Los Angeles, California. Address correspondence to Dr. Cummings, Reed Neurological Research Center, UCLA School of Medicine, 710 Westwood Plaza, Los Angeles, CA 90095-1769.

Using a retrospective data analysis, the authors investigated the relationships between instrumental activities of daily living (IADLs) and neuropsychiatric symptoms, cognitive impairment, and medical illness burden in patients with Alzheimer's disease (AD). One hundred forty-three patients fulfilling the clinical criteria for probable or possible AD in an outpatient clinic were assessed for IADLs, neuropsychiatric symptoms, cognitive impairment, and medical illness burden with the Functional Activities Questionnaire (FAQ), Neuropsychiatric Inventory (NPI), Mini-Mental State Exam (MMSE), and Cumulative Illness Rating Scale–Geriatric (CIRS-G). Both MMSE and NPI scores related significantly to IADLs as measured by the FAQ. Several psychiatric symptoms were correlated significantly with IADLs. FAQ scores had no correlation with CIRS-G. Neuropsychiatric findings also were associated significantly with MMSE and had a weak correlation with CIRS-G scores. IADLs changed with cognition and neuropsychiatric disturbances in AD. Medical illness burden had little influence on functional status and a limited impact on neuropsychiatric symptoms.

Key Words: Activities of Daily Living • Alzheimer's Disease • Comorbidity




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