Direct and indirect assessment of functional abilities in patients with Parkinson’s disease transitioning to dementia
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Dementia & Neuropsychologia |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642020000200171 |
Resumo: | ABSTRACT. Cognitive impairment is common in patients with Parkinson’s disease (PD), and evaluation of functional abilities is crucial for diagnosis of dementia. Objective: We evaluated differences between direct and indirect functional assessment methods to evaluate functional abilities in PD patients. Methods: We evaluated 32 patients with PD and suspected mild dementia using direct and indirect assessment methods. Results: There was a significant difference between the scores of direct and indirect methods of assessment. Patients and close informants usually overestimated their abilities in many ADL. However, all functional assessment tools used in this study had a relatively good accuracy to predict abnormal performance in a global cognitive scale. Patients with normal cognition according to scores in a global cognitive scale may have some functional impairment in ADL. Direct Assessment of Functional Ability (DAFA) scores correlated linearly with scores in global cognitive scales, and especially with scores in the domains of memory and concentration. Conclusion: Patients and close informants usually overestimate their instrumental abilities in ADL. The direct assessment of daily functioning was more reliable than indirect tools to assess functional losses in patients with PD. Finally, some patients with PD but no dementia may present functional losses in ADL. |
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Dementia & Neuropsychologia |
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Direct and indirect assessment of functional abilities in patients with Parkinson’s disease transitioning to dementiaParkinson’s diseasedementiamild cognitive Impairmentfunctional assessmentABSTRACT. Cognitive impairment is common in patients with Parkinson’s disease (PD), and evaluation of functional abilities is crucial for diagnosis of dementia. Objective: We evaluated differences between direct and indirect functional assessment methods to evaluate functional abilities in PD patients. Methods: We evaluated 32 patients with PD and suspected mild dementia using direct and indirect assessment methods. Results: There was a significant difference between the scores of direct and indirect methods of assessment. Patients and close informants usually overestimated their abilities in many ADL. However, all functional assessment tools used in this study had a relatively good accuracy to predict abnormal performance in a global cognitive scale. Patients with normal cognition according to scores in a global cognitive scale may have some functional impairment in ADL. Direct Assessment of Functional Ability (DAFA) scores correlated linearly with scores in global cognitive scales, and especially with scores in the domains of memory and concentration. Conclusion: Patients and close informants usually overestimate their instrumental abilities in ADL. The direct assessment of daily functioning was more reliable than indirect tools to assess functional losses in patients with PD. Finally, some patients with PD but no dementia may present functional losses in ADL.Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento2020-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642020000200171Dementia & Neuropsychologia v.14 n.2 2020reponame:Dementia & Neuropsychologiainstname:Associação de Neurologia Cognitiva e do Comportamento (ANCC)instacron:ANCC10.1590/1980-57642020dn14-020011info:eu-repo/semantics/openAccessOliveira,Gisele Saraiva Reis deBressan,LúciaBalarini,FernandaJesuino e Silva,Raquel SilveiraBrito,Manuelina Mariana Capellari MacruzFoss,Maria PaulaSantos-Lobato,Bruno LopesTumas,Vitoreng2020-06-10T00:00:00Zoai:scielo:S1980-57642020000200171Revistahttp://www.demneuropsy.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||demneuropsy@uol.com.br1980-57641980-5764opendoar:2020-06-10T00:00Dementia & Neuropsychologia - Associação de Neurologia Cognitiva e do Comportamento (ANCC)false |
dc.title.none.fl_str_mv |
Direct and indirect assessment of functional abilities in patients with Parkinson’s disease transitioning to dementia |
title |
Direct and indirect assessment of functional abilities in patients with Parkinson’s disease transitioning to dementia |
spellingShingle |
Direct and indirect assessment of functional abilities in patients with Parkinson’s disease transitioning to dementia Oliveira,Gisele Saraiva Reis de Parkinson’s disease dementia mild cognitive Impairment functional assessment |
title_short |
Direct and indirect assessment of functional abilities in patients with Parkinson’s disease transitioning to dementia |
title_full |
Direct and indirect assessment of functional abilities in patients with Parkinson’s disease transitioning to dementia |
title_fullStr |
Direct and indirect assessment of functional abilities in patients with Parkinson’s disease transitioning to dementia |
title_full_unstemmed |
Direct and indirect assessment of functional abilities in patients with Parkinson’s disease transitioning to dementia |
title_sort |
Direct and indirect assessment of functional abilities in patients with Parkinson’s disease transitioning to dementia |
author |
Oliveira,Gisele Saraiva Reis de |
author_facet |
Oliveira,Gisele Saraiva Reis de Bressan,Lúcia Balarini,Fernanda Jesuino e Silva,Raquel Silveira Brito,Manuelina Mariana Capellari Macruz Foss,Maria Paula Santos-Lobato,Bruno Lopes Tumas,Vitor |
author_role |
author |
author2 |
Bressan,Lúcia Balarini,Fernanda Jesuino e Silva,Raquel Silveira Brito,Manuelina Mariana Capellari Macruz Foss,Maria Paula Santos-Lobato,Bruno Lopes Tumas,Vitor |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Oliveira,Gisele Saraiva Reis de Bressan,Lúcia Balarini,Fernanda Jesuino e Silva,Raquel Silveira Brito,Manuelina Mariana Capellari Macruz Foss,Maria Paula Santos-Lobato,Bruno Lopes Tumas,Vitor |
dc.subject.por.fl_str_mv |
Parkinson’s disease dementia mild cognitive Impairment functional assessment |
topic |
Parkinson’s disease dementia mild cognitive Impairment functional assessment |
description |
ABSTRACT. Cognitive impairment is common in patients with Parkinson’s disease (PD), and evaluation of functional abilities is crucial for diagnosis of dementia. Objective: We evaluated differences between direct and indirect functional assessment methods to evaluate functional abilities in PD patients. Methods: We evaluated 32 patients with PD and suspected mild dementia using direct and indirect assessment methods. Results: There was a significant difference between the scores of direct and indirect methods of assessment. Patients and close informants usually overestimated their abilities in many ADL. However, all functional assessment tools used in this study had a relatively good accuracy to predict abnormal performance in a global cognitive scale. Patients with normal cognition according to scores in a global cognitive scale may have some functional impairment in ADL. Direct Assessment of Functional Ability (DAFA) scores correlated linearly with scores in global cognitive scales, and especially with scores in the domains of memory and concentration. Conclusion: Patients and close informants usually overestimate their instrumental abilities in ADL. The direct assessment of daily functioning was more reliable than indirect tools to assess functional losses in patients with PD. Finally, some patients with PD but no dementia may present functional losses in ADL. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642020000200171 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642020000200171 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1980-57642020dn14-020011 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento |
dc.source.none.fl_str_mv |
Dementia & Neuropsychologia v.14 n.2 2020 reponame:Dementia & Neuropsychologia instname:Associação de Neurologia Cognitiva e do Comportamento (ANCC) instacron:ANCC |
instname_str |
Associação de Neurologia Cognitiva e do Comportamento (ANCC) |
instacron_str |
ANCC |
institution |
ANCC |
reponame_str |
Dementia & Neuropsychologia |
collection |
Dementia & Neuropsychologia |
repository.name.fl_str_mv |
Dementia & Neuropsychologia - Associação de Neurologia Cognitiva e do Comportamento (ANCC) |
repository.mail.fl_str_mv |
||demneuropsy@uol.com.br |
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1754212932328095744 |