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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

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Published on: September 30, 2020

Self-neglect and cognitive function among community-dwelling older persons.

Xinqi Dong¹, Robert S Wilson, Carlos F Mendes de Leon

¹Rush University Medical Center, Chicago, Illinois, USA. xinqi_dong@rush.edu

International Journal of Geriatric Psychiatry

|December 1, 2009

Summary

Elder self-neglect is linked to declining cognitive function, including memory and perceptual speed. This highlights a critical public health concern requiring further investigation into the relationship between self-neglect and cognitive decline.

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Area of Science:

Gerontology
Public Health
Neuroscience

Background:

Elder self-neglect presents a significant public health challenge.
The association between self-neglect and cognitive function remains insufficiently understood.

Purpose of the Study:

To investigate the cross-sectional relationship between the severity of self-neglect and cognitive function in older adults.

Main Methods:

Utilized data from the Chicago Health and Aging Project (CHAP), a population-based epidemiological study.
Assessed 1094 participants with reported self-neglect, measuring severity and cognitive function using standardized tests (MMSE, Symbol Digit Modalities Test, East Boston Memory Test).
Employed linear regression models to analyze the association between self-neglect severity and various cognitive measures, including global cognitive function, episodic memory, and perceptual speed.

Main Results:

A significant association was found between self-neglect and poorer cognitive function.
Adjusted analyses revealed that self-neglect correlated with lower global cognitive function, MMSE scores, episodic memory, and perceptual speed.
Increased self-neglect severity was specifically linked to diminished episodic memory and perceptual speed, but not MMSE performance.

Conclusions:

Self-neglect is demonstrably associated with reduced global cognitive function, episodic memory, and perceptual speed in older adults.
The findings underscore the importance of addressing self-neglect as a potential indicator or contributor to cognitive impairment.
Further research is recommended to elucidate the temporal dynamics of this association.