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 journalArticle

144 Scopus citations

Abstract

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
JournalGerontologist
Volume34
Issue number3
DOIs
StatePublished - Jun 1994

Keywords

  • ADL
  • Alzheimer’s disease
  • Functional health

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