Back to Search
Start Over
Quality of life of institutionalized older adults by dementia severity.
- Source :
-
International psychogeriatrics [Int Psychogeriatr] 2016 Jan; Vol. 28 (1), pp. 83-92. Date of Electronic Publication: 2015 May 28. - Publication Year :
- 2016
-
Abstract
- Background: The goal of the study was to analyze the factors associated with quality of life (QoL) in institutionalized older adults with dementia, based on self and proxy ratings, and if these characteristics differ by dementia severity.<br />Methods: Cross-sectional study of 525 people with dementia (PwD) and their caregivers (professional or family caregivers). Two different QoL questionnaires, leading to three measures, were used: QoL in Alzheimer's disease scale (QOL-AD), self and proxy-rated, and QoL in late-stage dementia scale (QUALID), proxy-rated. Multivariate linear regression models were tested for each QoL measure and for mild/moderate and severe stages of dementia.<br />Results: Multiple regression analyses showed a significant association between the three QoL measures and depression. Functional ability was significantly associated with QoL when assessed by proxy. Other factors such as education level, leisure activities and frequency of visits were significantly related with QOL-AD by proxy. The associated factors that differed by dementia severity were education level for moderate dementia, and frequency of visits and who answered the questionnaire (professional vs. family member) for severe dementia.<br />Conclusions: QoL was consistently associated with depressive symptoms independently of the measures as well as functional ability and social leisure activities when the QoL questionnaire was rated by proxy. Treating depressive symptoms, increasing social activities and maintaining the functional ability may decrease the deterioration of QoL in institutionalized older adults with dementia.
- Subjects :
- Activities of Daily Living
Aged
Aged, 80 and over
Caregivers
Cross-Sectional Studies
Family
Female
Humans
Institutionalization
Leisure Activities
Linear Models
Male
Middle Aged
Multivariate Analysis
Neuropsychological Tests
Proxy
Psychiatric Status Rating Scales statistics & numerical data
Self Report
Severity of Illness Index
Spain
Dementia psychology
Depression diagnosis
Quality of Life
Subjects
Details
- Language :
- English
- ISSN :
- 1741-203X
- Volume :
- 28
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- International psychogeriatrics
- Publication Type :
- Academic Journal
- Accession number :
- 26018746
- Full Text :
- https://doi.org/10.1017/S1041610215000757