Advanced

Deterioration of basic activities of daily living and their impact on quality of life across different cognitive stages of dementia: a European study.

Giebel, Clarissa M; Sutcliffe, Caroline; Stolt, Minna; Karlsson, Staffan LU ; Renom-Guiteras, Anna; Soto, Maria; Verbeek, Hilde; Zabalegui, Adelaida and Challis, David (2014) In International Psychogeriatrics 26(8). p.1283-1293
Abstract
ABSTRACT Background: Performing basic activities of daily living (ADLs) is one of the major difficulties encountered in dementia, which can have considerable negative impacts on the quality of life (QoL) of people with dementia (PwD). However, the extent to which basic ADL performance deteriorates across mild, moderate, and severe dementia is little examined and its impact, together with depression and neuropsychiatric behavior, upon QoL, is of considerable relevance across European countries. Methods: Data were drawn from people living in the community who were participants in a large-scale European study on transition from community living to care homes of PwD. PwD completed measures on cognitive functioning and QoL, and informal carers... (More)
ABSTRACT Background: Performing basic activities of daily living (ADLs) is one of the major difficulties encountered in dementia, which can have considerable negative impacts on the quality of life (QoL) of people with dementia (PwD). However, the extent to which basic ADL performance deteriorates across mild, moderate, and severe dementia is little examined and its impact, together with depression and neuropsychiatric behavior, upon QoL, is of considerable relevance across European countries. Methods: Data were drawn from people living in the community who were participants in a large-scale European study on transition from community living to care homes of PwD. PwD completed measures on cognitive functioning and QoL, and informal carers reported upon QoL, depressive symptomatology, psychopathology, and functional ability of the PwD. Results: ADL performance deteriorated differently for each activity. In particular, toileting, transfer, and feeding remained relatively intact throughout, whereas performance on bathing and dressing deteriorated to a greater extent from mild to severe dementia. It appears that continence was not affected by the stage of dementia with similar levels of impairment. Basic ADL performance impacted to different degrees on QoL across dementia stages and countries. Conclusions: Interventions aimed at maintaining independence or QoL need to target different ADLs across different dementia stages and perhaps also tailor interventions to the context of different countries. Findings contribute to the development of non-pharmaceutical interventions and governmental pledges to promote independence in dementia. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Psychogeriatrics
volume
26
issue
8
pages
1283 - 1293
publisher
Cambridge University Press
external identifiers
  • pmid:24784234
  • wos:000341779900008
  • scopus:84903575442
ISSN
1741-203X
DOI
10.1017/S1041610214000775
language
English
LU publication?
yes
id
55a023d9-412c-4b8b-b683-21c2468a4d93 (old id 4456073)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/24784234?dopt=Abstract
date added to LUP
2014-06-02 21:01:44
date last changed
2017-11-05 03:03:59
@article{55a023d9-412c-4b8b-b683-21c2468a4d93,
  abstract     = {ABSTRACT Background: Performing basic activities of daily living (ADLs) is one of the major difficulties encountered in dementia, which can have considerable negative impacts on the quality of life (QoL) of people with dementia (PwD). However, the extent to which basic ADL performance deteriorates across mild, moderate, and severe dementia is little examined and its impact, together with depression and neuropsychiatric behavior, upon QoL, is of considerable relevance across European countries. Methods: Data were drawn from people living in the community who were participants in a large-scale European study on transition from community living to care homes of PwD. PwD completed measures on cognitive functioning and QoL, and informal carers reported upon QoL, depressive symptomatology, psychopathology, and functional ability of the PwD. Results: ADL performance deteriorated differently for each activity. In particular, toileting, transfer, and feeding remained relatively intact throughout, whereas performance on bathing and dressing deteriorated to a greater extent from mild to severe dementia. It appears that continence was not affected by the stage of dementia with similar levels of impairment. Basic ADL performance impacted to different degrees on QoL across dementia stages and countries. Conclusions: Interventions aimed at maintaining independence or QoL need to target different ADLs across different dementia stages and perhaps also tailor interventions to the context of different countries. Findings contribute to the development of non-pharmaceutical interventions and governmental pledges to promote independence in dementia.},
  author       = {Giebel, Clarissa M and Sutcliffe, Caroline and Stolt, Minna and Karlsson, Staffan and Renom-Guiteras, Anna and Soto, Maria and Verbeek, Hilde and Zabalegui, Adelaida and Challis, David},
  issn         = {1741-203X},
  language     = {eng},
  number       = {8},
  pages        = {1283--1293},
  publisher    = {Cambridge University Press},
  series       = {International Psychogeriatrics},
  title        = {Deterioration of basic activities of daily living and their impact on quality of life across different cognitive stages of dementia: a European study.},
  url          = {http://dx.doi.org/10.1017/S1041610214000775},
  volume       = {26},
  year         = {2014},
}