ORBi: Missotten Pierre - Impact of place of residence on relationship between quality of life and cognitive decline in dementia

Reference : Impact of place of residence on relationship between quality of life and cognitive decli...


	Document type :	Scientific journals : Article
	Discipline(s) :	Social & behavioral sciences, psychology : Sociology & social sciences Human health sciences : Psychiatry Human health sciences : Geriatrics
	To cite this reference:	http://hdl.handle.net/2268/65770

Title :	Impact of place of residence on relationship between quality of life and cognitive decline in dementia
Language :	English
Author, co-author :	Missotten, Pierre [Université de Liège - ULg > Département de personne et société > Psychologie de la sénescence >]
	Thomas, Philippe [ > > ]
	Squelard, Gilles [Université de Liège - ULg > Département de personne et société > Psychologie de la sénescence >]
	Di Notte, David [ > > ]
	Fontaine, Ovide [Université de Liège - ULg > Services généraux (Fac. de psycho. et des sc. de l'éducat.) > Relations académiques et scientifiques (Psycho et sc.éduc.) >]
	Paquay, Louis [Katholieke Universiteit Leuven - KUL > > > >]
	De Lepeleire, Jan [Katholieke Universiteit Leuven - KUL > > > >]
	Buntinx, Frank [Katholieke Universiteit Leuven - KUL > > > >]
	Ylieff, Michel [Université de Liège - ULg > Département de personne et société > Département de personne et société >]
Publication date :	2009
Journal title :	Alzheimer Disease and Associated Disorders
Publisher :	Lippincott Williams & Wilkins
Volume :	23
Issue/season :	4
Pages :	395-400
Audience :	International
ISSN :	0893-0341
e-ISSN :	1546-4156
City :	Philadelphia
Country :	PA
Keywords :	[en] cognition ; dementia ; institution ; at home ; MMSE ; quality of life
Abstract :	[en] The aim of this descriptive study was to estimate and compare the association between cognitive decline and quality of life (QOL) for 2 groups of dementia patients differing by place of residence: home or institution. Each subject was placed within a specific subgroup according to their Mini-Mental State Examination (MMSE) score and was evaluated by a QOL proxy-assessment [Alzheimer Disease Related Quality of Life (ADRQL)] and a dependency assessment (Katz Activities of Daily Living classification). For the ‘‘at home’’ and ‘‘institution’’ groups, global and subscale ADRQL scores showed significant differences between the 5 MMSE subgroups. Place of residence and MMSE subgroups significantly affected global and subscale ADRQL scores. The MMSE 4 to 8, 9 to 13, and 14 to 18 subgroups had ADRQL global scores significantly better in the institution group than the at home group. In contrast, the MMSE 19 to 23 and 0 to 3 subgroups had similar ADRQL global scores in both places of residence. In conclusion, there is no direct relationship between cognitive decline and QOL, and QOL does not seem to be better at home compared with the institution.
Funders :	RIZIV/INAMI ‘Studie dementie/Etude démence’ UB/1240
Name of the research project :	Qualidem
Target :	Researchers ; Professionals ; Students
Permalink :	http://hdl.handle.net/2268/65770

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