title: Assessment of impairment in activities of daily living in mild cognitive impairment using an individualized scale.
abstract: Mild impairment in activities of daily living (ADL) can occur in Mild Cognitive Impairment (MCI), but the nature and extent of these difficulties need to be further explored. The Canadian occupational performance measure (COPM) is one of the few individualized scales designed to identify self-perceived difficulties in ADL. The present study investigated impairments in ADL using the COPM in elderly with MCI. A total of 58 MCI patients were submitted to the COPM for studies of its validity and reliability. The COPM proved a valid and consistent instrument for evaluating ADL in elderly MCI patients. A total of 74.6% of the MCI patients reported difficulties in ADL. Of these problems, 41.2% involved self-care, 31.4% productivity and 27.4% leisure. This data further corroborates recent reports of possible functional impairment in complex ADL in MCI.
authors.affiliation: Universidade de São Paulo, Faculdade de Medicina, Instituto de Psiquiatria, Laboratório de Neurociências, São Paulo SP, Brasil.
authors.forename: Giseli de Fátima Dos Santos
authors.initials: Gde F
authors.lastname: Chaves
authors.affiliation: Universidade de São Paulo, Faculdade de Medicina, Instituto de Psiquiatria, Laboratório de Neurociências, São Paulo SP, Brasil.
authors.forename: Alexandra Martini
authors.initials: AM
authors.lastname: Oliveira
authors.affiliation: Universidade de São Paulo, Faculdade de Medicina, Instituto de Psiquiatria, Laboratório de Neurociências, São Paulo SP, Brasil.
authors.forename: Juliana Aparecida Dos Santos
authors.initials: JA
authors.lastname: Chaves
authors.affiliation: Universidade de São Paulo, Faculdade de Medicina, Instituto de Psiquiatria, Laboratório de Neurociências, São Paulo SP, Brasil.
authors.forename: Orestes Vicente
authors.initials: OV
authors.lastname: Forlenza
authors.affiliation: Universidade de São Paulo, Faculdade de Medicina, Instituto de Psiquiatria, Laboratório de Neurociências, São Paulo SP, Brasil.
authors.forename: Ivan
authors.initials: I
authors.lastname: Aprahamian
authors.affiliation: Universidade de São Paulo, Faculdade de Medicina, Instituto de Psiquiatria, Laboratório de Neurociências, São Paulo SP, Brasil.
authors.forename: Paula Villela
authors.initials: PV
authors.lastname: Nunes
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D001938:Brazil; D060825:Cognitive Dysfunction / Q000503:physiopathology*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007899:Leisure Activities / Q000523:psychology; D008297:Male; D009788:Occupational Therapy / Q000379:methods; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D015203:Reproducibility of Results; D057566:Self Report; D018709:Statistics, Nonparametric; D013647:Task Performance and Analysis