Comparison of patient and caregiver reports of patient activity participation and its relationship to mental health in patients with Alzheimer's disease.
The relationship between engagement in pleasant activities as rated by the patient and as rated by the caregiver from the patient's perspective was examined using structural equation modeling in a sample of patients (N = 277) diagnosed with mild to moderate Alzheimer's disease. The two activity participation ratings were only moderately related to one another. Furthermore, depression was the only significant predictor of the patient-rated activity participation, whereas severity of depression, degree of personality change, level of dependence, and cognition were all significant predictors of caregiver-rated activity participation. These findings suggest that caregivers consider a wider range of variables when evaluating the patient's engagement in activities than does the patient. Predictors of patient-rated activity participation did not differ as a function of age or cognition.
Siedlecki
Karen L
KL
Cognitive Neuroscience Division, Taub Institute, Columbia University, New York, NY 10032, USA. ks2513@columbia.edu
Tatarina
Oksana
O
Sanders
Linda
L
Albert
Marilyn
M
Blacker
Deborah
D
Dubois
Bruno
B
Brandt
Jason
J
Stern
Yaakov
Y
D000203:Activities of Daily Living / Q000523:psychology*; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000175:diagnosis / Q000523:psychology*; D017028:Caregivers / Q000523:psychology*; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006801:Humans; D007899:Leisure Activities; D008297:Male; D008609:Mental Status Schedule / Q000706:statistics & numerical data; D008960:Models, Psychological; D009042:Motivation; D010552:Personality Assessment / Q000706:statistics & numerical data; D011594:Psychometrics; D011788:Quality of Life / Q000523:psychology*; D012647:Self-Assessment; D014888:Wechsler Scales / Q000706:statistics & numerical data