The patient with dementia, the caregiver and the doctor: cognition, depression and quality of life from three perspectives.

作者: Sönke Arlt , Juliane Hornung , M. Eichenlaub , Holger Jahn , Monika Bullinger

DOI: 10.1002/GPS.1946

关键词:

摘要: Background For comprehensive information about the situation of patients with dementia or mild cognitive impairment (MCI), clinicians have to rely on from different sources, e.g. caregivers themselves, which may differ each other. In addition assessment impairment, importance evaluating not only depressive symptoms but also health related quality life (HRQOL) in clinical research and practice has increased. Objective To examine how ratings patients, regarding patients' depression HRQOL relate other by comparing these three perspectives using self- proxy-rating measures. Method One hundred outpatients moderate MCI their family participated this study. Depression were examined proxy-ratings as well Mini-Mental Status Examination (MMSE); was assessed SF-12 Health Survey EUROHIS index. Results We found high correspondence between caregivers' function MMSE scores, while self-rating did correlate MMSE. underestimated compared self-rating. Concerning depression, good accordance clinician's evaluation. Conclusion The study suggests that are important informants symptoms, they underestimate deficits. Assessing is relevant order obtain a understanding well-being. Copyright © 2007 John Wiley & Sons, Ltd.

参考文章(16)
Mark Kosinski, John E. Ware, Susan D. Keller, The SF-36 Health Survey ,(1990)
Marshal F. Folstein, Susan E. Folstein, Paul R. McHugh, “Mini-mental state” Journal of Psychiatric Research. ,vol. 12, pp. 189- 198 ,(1975) , 10.1016/0022-3956(75)90026-6
Silke Schmidt, Holger Mühlan, Mick Power, The EUROHIS-QOL 8-item index: psychometric results of a cross-cultural field study. European Journal of Public Health. ,vol. 16, pp. 420- 428 ,(2006) , 10.1093/EURPUB/CKI155
Rachel Mahoney, Ciaran Regan, Cornelius Katona, Gill Livingston, Anxiety and depression in family caregivers of people with Alzheimer disease - The LASER-AD study American Journal of Geriatric Psychiatry. ,vol. 13, pp. 795- 801 ,(2005) , 10.1097/00019442-200509000-00008
T MULLERTHOMSEN, S ARLT, U MANN, R MAS, S GANZER, Detecting depression in Alzheimer's disease: evaluation of four different scales. Archives of Clinical Neuropsychology. ,vol. 20, pp. 271- 276 ,(2005) , 10.1016/J.ACN.2004.03.010
Rebecca E. Ready, Brian R. Ott, Janet Grace, Patient versus informant perspectives of Quality of Life in Mild Cognitive Impairment and Alzheimer's disease International Journal of Geriatric Psychiatry. ,vol. 19, pp. 256- 265 ,(2004) , 10.1002/GPS.1075
Rebecca E. Ready, Brian R. Ott, Janet Grace, Insight and cognitive impairment: effects on quality-of-life reports from mild cognitive impairment and Alzheimer's disease patients. American Journal of Alzheimers Disease and Other Dementias. ,vol. 21, pp. 242- 248 ,(2006) , 10.1177/1533317506290589