Physical and functional health assessment in normal aging and in alzheimer’s disease: Self-reports vs family reports

H. Asuman Kiyak, Linda Teri, Soo Borson

Research output: Contribution to journalArticlepeer-review

154 Scopus citations


This longitudinal 2-year study compared self and family members’ reports of physical and functional health among 40 patients with Alzheimer’s disease and 53 age-matchednondemented healthy older persons. Functional health was consistently rated as more impairedby family caregivers of demented patients than by the patients themselves, a discrepancy not observed in the cognitively intact comparison group. Caregiver reports correlated significantlywith declines in patients’ cognitive abilities as measured by formal testing, but self-reports didnot. Patients did recognize deterioration in ADLs over time, despite progressively worsening cognitive ability. These data indicate that the capacity for self-observation is partially preservedin Alzheimer’s patients in mild to moderate stages. Patient self-reports can provide valuable data for clinicians, but should be supplemented by detailed information from caregivers.

Original languageEnglish (US)
Pages (from-to)324-330
Number of pages7
Issue number3
StatePublished - Jun 1994

Bibliographical note

Funding Information:
1This research was supported by Grant R01 AC04070 from the National Institute on Aging. The authors express gratitude to Ms. P. J. Heaton and Ms. Amy Ulrickson, who interviewed and tested the subjects and their family caregivers. departments of Oral & Maxillofacial Surgery, and Psychology; University of Washington, SB-24, Seattle, WA 98195. Address correspondence to Dr. Kiyak. departments of Psychiatry & Behavioral Sciences, and Psychology. department of Psychiatry & Behavioral Sciences.


  • ADL
  • Alzheimer’s disease
  • Functional health


Dive into the research topics of 'Physical and functional health assessment in normal aging and in alzheimer’s disease: Self-reports vs family reports'. Together they form a unique fingerprint.

Cite this