Siedlecki KL, Tatarina O, Sanders L, Albert M, Blacker D, Dubois B, Brandt J, Stern Y Comparison of patient and caregiver reports of patient activity participation and its relationship to mental health in patients with Alzheimer's disease. [Journal Article, Research Support, N.I.H., Extramural] J Gerontol B Psychol Sci Soc Sci 2009 Nov; 64(6):687-95.
The relationship between engagement in pleasant activities as rated by the patient and as rated by the caregiver from the patient's perspective was examined using structural equation modeling in a sample of patients (N = 277) diagnosed with mild to moderate Alzheimer's disease. The two activity participation ratings were only moderately related to one another. Furthermore, depression was the only significant predictor of the patient-rated activity participation, whereas severity of depression, degree of personality change, level of dependence, and cognition were all significant predictors of caregiver-rated activity participation. These findings suggest that caregivers consider a wider range of variables when evaluating the patient's engagement in activities than does the patient. Predictors of patient-rated activity participation did not differ as a function of age or cognition.
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