Cognitive Functioning in Relation to Self-Care in Elderly Persons with a Bipolar Disorder

Summary: An Elderly Behavior Assessment for Relatives (EBAR), updating the GERRI ( Schwartz, 1983 ), was administered to relatives (or significant others) of 349 elderly persons, from 60 to over 80 years of age, living at home, in good health and without cognitive impairment. A trained psychologist administered subjects the Life Satisfaction for Elderly Scale (LSES), the Instrumental Activity of Daily Living (IADL), the Mini Mental State Examination (MMSE), and personally answered to an overall elderly behavior rating scale (RA). EBAR items were first examined. The more attractive and less discriminative statements were excluded. A principal components analysis was carried out on the remaining EBAR items. Three factors were extracted. After varimax rotation they were tentatively labeled: Everyday Cognitive Functioning, Depression, and Hostility. Factor-driven EBAR subscales were designed, taking into account simpler items in the factor matrix. Results provide evidence for EBAR construct validity. Everyday Cognitive Functioning is connected to the IADL and the RA scores; Depression is very highly related to the LSES; Hostility is weakly related to RA, IADL, and MMSE, indicating that the scale needs further investigation.

Download Full-text

Long-term trajectory of cognitive performance in people with bipolar disorder and controls: 6-year longitudinal study

BJPsych Open ◽

10.1192/bjo.2021.66 ◽

2021 ◽

Vol 7 (4) ◽

Author(s):

Timea Sparding ◽

Erik Joas ◽

Caitlin Clements ◽

Carl M. Sellgren ◽

Erik Pålsson ◽

...

Keyword(s):

Bipolar Disorder ◽

Cognitive Functioning ◽

Cognitive Performance ◽

Repeated Measures ◽

Cognitive Test ◽

Healthy Controls ◽

Cross Sectional ◽

Time Interaction

Background Cross-sectional studies have found impaired cognitive functioning in patients with bipolar disorder, but long-term longitudinal studies are scarce. Aims The aims of this study were to examine the 6-year longitudinal course of cognitive functioning in patients with bipolar disorder and healthy controls. Subsets of patients were examined to investigate possible differences in cognitive trajectories. Method Patients with bipolar I disorder (n = 44) or bipolar II disorder (n = 28) and healthy controls (n = 59) were tested with a comprehensive cognitive test battery at baseline and retested after 6 years. We conducted repeated measures ANCOVAs with group as a between-subject factor and tested the significance of group and time interaction. Results By and large, the change in cognitive functioning between baseline and follow-up did not differ significantly between participants with bipolar disorder and healthy controls. Comparing subsets of patients, for example those with bipolar I and II disorder and those with and without manic episodes during follow-up, did not reveal subgroups more vulnerable to cognitive decline. Conclusions Cognitive performance remained stable in patients with bipolar disorder over a 6-year period and evolved similarly to healthy controls. These findings argue against the notion of a general progressive decline in cognitive functioning in bipolar disorder.

Download Full-text

The Relationship between the Sports-for-all Participation and Cognitive Functioning of the Elderly Persons

Journal of Sport and Leisure Studies ◽

10.51979/kssls.2007.11.31.749 ◽

2007 ◽

Vol 31 ◽

pp. 749-758

Author(s):

Yang Rea Kim

Keyword(s):

Cognitive Functioning ◽

The Elderly ◽

Elderly Persons ◽

The Relationship

Download Full-text

The Cognitive Telephone Screening Instrument (COGTEL): a reliable and valid tool for the assessment of cognitive functioning in the Brazilian elderly

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562019022.180130 ◽

2019 ◽

Vol 22 (1) ◽

Author(s):

Maria Antonieta Tinôco ◽

Élvio Rúbio Gouveia ◽

Andreas Ihle ◽

Adilson Marques ◽

Bruna R. Gouveia ◽

...

Keyword(s):

Pilot Study ◽

Cognitive Functioning ◽

Cognitive Functions ◽

Educational Level ◽

Concurrent Validity ◽

Intraclass Correlation ◽

Screening Instrument ◽

Elderly Persons ◽

Strong Positive Correlation ◽

Telephone Screening

Abstract Objectives: To study the reliability/stability of the Cognitive Telephone Screening Instrument (COGTEL) for the assessment of cognitive functions, and to investigate the concurrent validity (that is, the relationship between the COGTEL scores and external variables, such as level of education and MMSE results) in a pilot study of elderly persons residing in the community in the municipal regions of Apuí, Fonte Boa and Manaus (Amazonas, Brazil). Method: This pilot study included 90 elderly persons (29 men and 61 women) aged 60-85 years of age [68.2 (± 6.7)]. The COGTEL, the MMSE and socio-economic survey were applied in the form of two interviews, a week apart and under the same conditions. Results: The test-retest intraclass correlation coefficient of the COGTEL total score (and respective six subtests), MMSE and educational level ranged from acceptable to high (0.708 < R <0.946). There was a strong positive correlation between the total score of the COGTEL with the MMSE (r =0.682; p <0.001), as well as with educational level (r =0.604; p <0.001). Conclusion: This study presents preliminary evidence of the reliability/stability and concurrent validity of the COGTEL in the evaluation of cognitive functions in elderly persons residing in the community. The results of this study support the use of COGTEL as a short, reliable and valid instrument for analyzing differences in cognitive functioning in inter-individual studies with elderly persons.

Download Full-text