Direct and indirect assessment of functional abilities in patients with Parkinson’s disease transitioning to dementia

Detalhes bibliográficos
Autor(a) principal: Oliveira,Gisele Saraiva Reis de
Data de Publicação: 2020
Outros Autores: Bressan,Lúcia, Balarini,Fernanda, Jesuino e Silva,Raquel Silveira, Brito,Manuelina Mariana Capellari Macruz, Foss,Maria Paula, Santos-Lobato,Bruno Lopes, Tumas,Vitor
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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spelling 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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