Relationship of Cognitive Functions with Daily Living Activities, Depression, Anxiety and Clinical Variables in Hospitalized Elderly Patients

Introduction: Cognitive impairment in elderly patients, which may be a sign of dementia, depression, anxiety or medical diseases, has been determined as a risk factor for functional loss. In this study, we aimed to investigate the frequency of cognitive impairment and to investigate the relationship of cognitive status with sociodemographic variables, daily living activities, anxiety and depression in elderly inpatients. Method: The sample of this cross-sectional and descriptive study consists of 243 patients aged 65 years and older who were hospitalized in Bulent Ecevit University Hospital. A sociodemographic questionnaire,, the Mini-Mental State Examination (MMSE), Activities of Daily Living Scale, Lawton-Brody Instrumental Daily Activities Scale, Geriatric Depression Scale (GDS) and the Beck Anxiety Inventory were used for data collection. Results: One hundred and six (43.6%) patients were female and 137 (56.4%) were male. The patients were divided into two groups according to the Mini-Mental State Examination (MMSE) 23/24 cut-off score. The cognitive decline was statistically significantly more frequent in patients who were older, female, less educated, low socioeconomic status, and living in rural areas. There were more problems in the basic and instrumental activities of daily living and nutrition in patients with cognitive decline. Anxiety and depression scores were higher in this group. In our study, although the frequency of cognitive decline and depression according to GDS were 56% and 48%, respectively; we found that only 10.5% of patients applied to the psychiatrist, and 9.3% of patients received psychiatric treatment. Conclusion: Cognitive decline may cause deterioration in the daily living activities, nutrition and capacity for independent functioning. Older age, female, low education, low socioeconomic status and living in rural area are important risk factors for cognitive impairment. Cognitive decline in older age may be associated with depression and anxiety. We assume that when cognitive decline, depression and other psychiatric problems are unidentified, it may contribute to deterioration of mental health in medically ill elderly.

Yazar Akca, Ayse Semra Demir
Saracli, Ozge
Emre, Ufuk
Atasoy, Nuray
Gudul, Serdar
Barut, Banu Ozen
Senormanci, Omer
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3247
Tek Biçim Adres 10.4274/npa.y7053
Konu Başlıkları Elderly
cognitive disorder
depression
activities of daily living
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı NOROPSIKIYATRI ARSIVI-ARCHIVES OF NEUROPSYCHIATRY
Dergi Cilt Bilgisi 51
Dergi Sayısı 3
Sayfalar 267 - 274
Yayın Yılı 2014
Eser Adı
[dc.title]
Relationship of Cognitive Functions with Daily Living Activities, Depression, Anxiety and Clinical Variables in Hospitalized Elderly Patients
Yazar
[dc.contributor.author]
Akca, Ayse Semra Demir
Yazar
[dc.contributor.author]
Saracli, Ozge
Yazar
[dc.contributor.author]
Emre, Ufuk
Yazar
[dc.contributor.author]
Atasoy, Nuray
Yazar
[dc.contributor.author]
Gudul, Serdar
Yazar
[dc.contributor.author]
Barut, Banu Ozen
Yazar
[dc.contributor.author]
Senormanci, Omer
Yayın Yılı
[dc.date.issued]
2014
Yayıncı
[dc.publisher]
AVES
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Introduction: Cognitive impairment in elderly patients, which may be a sign of dementia, depression, anxiety or medical diseases, has been determined as a risk factor for functional loss. In this study, we aimed to investigate the frequency of cognitive impairment and to investigate the relationship of cognitive status with sociodemographic variables, daily living activities, anxiety and depression in elderly inpatients. Method: The sample of this cross-sectional and descriptive study consists of 243 patients aged 65 years and older who were hospitalized in Bulent Ecevit University Hospital. A sociodemographic questionnaire,, the Mini-Mental State Examination (MMSE), Activities of Daily Living Scale, Lawton-Brody Instrumental Daily Activities Scale, Geriatric Depression Scale (GDS) and the Beck Anxiety Inventory were used for data collection. Results: One hundred and six (43.6%) patients were female and 137 (56.4%) were male. The patients were divided into two groups according to the Mini-Mental State Examination (MMSE) 23/24 cut-off score. The cognitive decline was statistically significantly more frequent in patients who were older, female, less educated, low socioeconomic status, and living in rural areas. There were more problems in the basic and instrumental activities of daily living and nutrition in patients with cognitive decline. Anxiety and depression scores were higher in this group. In our study, although the frequency of cognitive decline and depression according to GDS were 56% and 48%, respectively; we found that only 10.5% of patients applied to the psychiatrist, and 9.3% of patients received psychiatric treatment. Conclusion: Cognitive decline may cause deterioration in the daily living activities, nutrition and capacity for independent functioning. Older age, female, low education, low socioeconomic status and living in rural area are important risk factors for cognitive impairment. Cognitive decline in older age may be associated with depression and anxiety. We assume that when cognitive decline, depression and other psychiatric problems are unidentified, it may contribute to deterioration of mental health in medically ill elderly.
Açıklama
[dc.description]
WOS: 000346118900014
Açıklama
[dc.description]
PubMed: 28360637
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
tur
Konu Başlıkları
[dc.subject]
Elderly
Konu Başlıkları
[dc.subject]
cognitive disorder
Konu Başlıkları
[dc.subject]
depression
Konu Başlıkları
[dc.subject]
activities of daily living
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1300-0667
ISSN
[dc.identifier.issn]
1309-4866
İlk Sayfa Sayısı
[dc.identifier.startpage]
267
Son Sayfa Sayısı
[dc.identifier.endpage]
274
Dergi Adı
[dc.relation.journal]
NOROPSIKIYATRI ARSIVI-ARCHIVES OF NEUROPSYCHIATRY
Dergi Sayısı
[dc.identifier.issue]
3
Dergi Cilt Bilgisi
[dc.identifier.volume]
51
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.4274/npa.y7053
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3247
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
255
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
16 Temmuz 2024 22:26
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Tıklayınız
patients cognitive depression decline living elderly Cognitive status female activities impairment anxiety nutrition deterioration sociodemographic Anxiety psychiatric frequency according Activities (MMSE) investigate socioeconomic Examination problems Mini-Mental respectively instrumental although higher scores significantly educated frequent Introduction
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