COGNITIVE PERFORMANCE AND FUNCTIONAL COMPETENCE IN COEXISTING DEMENTIA AND DEPRESSION

被引:40
作者
BREEN, AR [1 ]
LARSON, EB [1 ]
REIFLER, BV [1 ]
VITALIANO, PP [1 ]
LAWRENCE, GL [1 ]
机构
[1] UNIV WASHINGTON, HENRY J KAISER FAMILY FDN, FAC SCHOLAR GEN INTERNAL MED, DEPT MED, SEATTLE, WA 98195 USA
关键词
D O I
10.1111/j.1532-5415.1984.tb05854.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Assessment was made of the impact of depression on the intelligence, memory and functional competence of elderly community residents (aged 57-88 yr) with senile dementia of the Alzheimer''s type. Outpatients with either dementia (n = 21) or dementia coexisting with depression (n = 14) were given the Wechsler Adult Intelligence Scale (WAIS), Wechsler Memory Scale (WMS) and Dementia Rating Scale (DRS). No significant group differences were found for verbal IQ, performance IQ, or WMS memory quotient. Patients with coexisting dementia and depression earned significantly lower full scale IQ scores than patients with only dementia. Analysis of WAIS and WMS subtest scores and profiles revealed no difference between the 2 groups. Significant associations were found among the various cognitive measures and functional competence in both groups, but the patterns of these relationships differed. Intellectual measures accounted for the greatest proportion of functional competence variance in the patients with dementia, whereas memory measures accounted for the greatest proportion of variance in the patients with coexisting dementia and depression.
引用
收藏
页码:132 / 137
页数:6
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