Evaluating PROMIS(®) applied cognition items in a sample of older adults at risk for cognitive decline

PSYCHIATRY RESEARCH

卷:247

Article

Howland, Molly¹  Tatsuoka, Curtis^2,3,4  Smyth, Kathleen A.⁴  Sajatovic, Martha^1,2,4,5 

[1] Case Western Reserve Univ, Sch Med, 2109 Adelbert Rd, Cleveland, OH 44106 USA

[2] Univ Hosp Case Med Ctr, Neurol & Behav Outcomes Ctr, 10524 Euclid Ave, Cleveland, OH 44106 USA

[3] Case Western Reserve Univ, Sch Med, Dept Epidemiol & Biostat, 2109 Adelbert Rd, Cleveland, OH 44106 USA

[4] Case Western Reserve Univ, Dept Neurol, Sch Med, 2109 Adelbert Rd, Cleveland, OH 44106 USA

[5] Case Western Reserve Univ, Sch Med, Dept Psychiat, 2109 Adelbert Rd, Cleveland, OH 44106 USA

关键词: Geriatric assessment;    Dementia;    Mild cognitive impairment;    Self report;    Depression;    Anxiety;    Activities of daily living;   

DOI  :  10.1016/j.psychres.2016.10.072

来源: Elsevier

【 摘 要 】

PROMIS((R)) Applied Cognition is a short self-assessment of cognitive abilities and concerns that eliminates the need for a trained rater and provides online question banks that can be uniformly used across health care providers. This 12-month prospective study of 281 elderly individuals evaluates self-perceptions of cognitive functioning in relation to objective cognition, or assessment by an external rater, and compares PROMIS (R) Applied Cognition Abilities and Concerns subsets with commonly used legacy instruments. PROMIS (R) correlated with objective legacy measures (the Mini-Mental State Examination [MMSE] and Saint Louis University Mental Status [SLUMS] examination), depression (measured with the Geriatric Depression Scale [GDS]), anxiety, and activities of daily living. PROMIS (R) and MMSE correlations remained after controlling for depression and anxiety. PROMIS (R) associated more strongly than MMSE with depression, highlighting the relationship between subjective cognitive deficit and depression. One-year changes in PROMIS (R) correlated with one-year changes in MMSE and GDS. The PROMIS (R) Abilities subset more strongly correlated with objective cognition, whereas the Concerns subset more strongly correlated with depression and activities of daily living. PROMIS (R) seems to be a reasonable prescreening tool to identify patients with cognitive decline or psychological distress.

【 授权许可】

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