The ability of the Dementia Rating Scale to predict everyday functioning.

The Dementia Rating Scale (DRS) is a brief neuropsychological assessment battery designed to assess five areas of cognitive functioning in the elderly. The relationship between DRS performance and everyday functioning was examined for 50 psychogeriatric patients. Everyday functioning was assessed with a standardized performance measure examining self-care, safety, money management, cooking, medication administration, and community utilization. Regression analyses were conducted for each of the six functional domains. In addition, correlations between the DRS subscales and the functional areas were computed. Results revealed significant predictive relationships (p <.01) between performance on the DRS and most functional domains. The multiple Rs ranged from .52 - .70, accounting for 27% to 49% of the variance. The Initiation/Perseveration subscale was most heavily weighted in each analysis. Significant correlations were obtained between subdomains of cognition and most functional areas. The findings provide evidence of relationships between DRS performance and functional ability.

[1]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[2]  P N Prinz,et al.  Memory, attention, and functional status in community-residing Alzheimer type dementia patients and optimally healthy aged individuals. , 1984, Journal of gerontology.

[3]  R. Gardner,et al.  Mattis Dementia Rating Scale: internal reliability study using a diffusely impaired population. , 1981, Journal of clinical neuropsychology.

[4]  Nathan Herrmann,et al.  A Correlation Between Cognitive Performance and Daily Functioning in Elderly People , 1989, Journal of geriatric psychiatry and neurology.

[5]  S. Katz,et al.  Progress in development of the index of ADL. , 1970, The Gerontologist.

[6]  Luigi Mansi,et al.  Regional cortical dysfunction in Alzheimer's disease as determined by positron emission tomography , 1984, Annals of neurology.

[7]  R. Mahurin,et al.  Structured assessment of independent living skills: preliminary report of a performance measure of functional abilities in dementia. , 1991, Journal of gerontology.

[8]  J. Rogers,et al.  Direct Assessment of Activities of Daily Living in Alzheimer's Disease A Controlled Study , 1988, Journal of the American Geriatrics Society.

[9]  W. Faustman,et al.  Limitations of the Mini‐Mental State Examination in predicting neuropsychological functioning in a psychiatric sample , 1990, Acta psychiatrica Scandinavica.

[10]  B. Tabachnick,et al.  Using Multivariate Statistics , 1983 .

[11]  Relationships between neuropsychological and functional assessment in elderly neuropsychiatric patients. , 1990 .

[12]  D. Faust,et al.  Clinical judgment and decision making in neuropsychology. , 1989, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[13]  D. Stuss,et al.  The Frontal Lobes , 1986 .

[14]  H. Wiśniewski,et al.  Presenile Dementia: Clinical Aspects and Evaluation of Cerebrospinal Fluid Dynamics , 1973 .

[15]  J. Fleiss,et al.  The assessment of self-care capacity in geriatric psychiatric patients by objective and subjective methods. , 1976, Journal of clinical psychology.

[16]  T. Grisso,et al.  The relation of the Halstead-Reitan neuropsychological battery to functional daily living skills in geriatric patients , 1990 .

[17]  R. Mahurin,et al.  Insight for impairment in independent living skills in Alzheimer's disease and multi-infarct dementia. , 1990, Journal of clinical and experimental neuropsychology.

[18]  W. Jagust,et al.  Mental status as a predictor of daily function in progressive dementia. , 1989, The Gerontologist.