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.
Disciplines :
Geriatrics Sociology & social sciences Psychiatry
Author, co-author :
Missotten, Pierre ; Université de Liège - ULiège > Département de personne et société > Psychologie de la sénescence
Thomas, Philippe
Squelard, Gilles ; Université de Liège - ULiège > Département de personne et société > Psychologie de la sénescence
Di Notte, David
Fontaine, Ovide ; Université de Liège - ULiège > 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 - ULiège > Département de personne et société > Département de personne et société
Language :
English
Title :
Impact of place of residence on relationship between quality of life and cognitive decline in dementia
Publication date :
2009
Journal title :
Alzheimer Disease and Associated Disorders
ISSN :
0893-0341
eISSN :
1546-4156
Publisher :
Lippincott Williams & Wilkins, Philadelphia, United States - Pennsylvania
Volume :
23
Issue :
4
Pages :
395-400
Peer reviewed :
Peer Reviewed verified by ORBi
Name of the research project :
Qualidem
Funders :
INAMI - Institut National d'Assurance Maladie-Invalidité [BE]
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