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Decline in cognitive function and risk of elder self-neglect: finding from the Chicago Health Aging Project.
J Am Geriatr Soc 2010; 58(12):2292-9JA

Abstract

OBJECTIVES

To examine the longitudinal association between decline in cognitive function and risk of elder self-neglect in a community-dwelling population.

DESIGN

Prospective population-based study.

SETTING

Geographically defined community in Chicago.

PARTICIPANTS

Community-dwelling subjects reported to the social services agency from 1993 to 2005 for self-neglect who also participated in the Chicago Health Aging Project (CHAP). Of the 5,519 participants in CHAP, 1,017 were reported to social services agency for suspected elder self-neglect from 1993 to 2005.

MEASUREMENTS

Social services agency identified reported elder self-neglect. The primary predictor was decline in cognitive function assessed using the Mini-Mental State Examination (MMSE), the Symbol Digit Modalities Test (Executive Function), and immediate and delayed recall of the East Boston Memory Test (Episodic Memory). An index of global cognitive function scores was derived by averaging z-scores of all tests. Outcome of interest was elder self-neglect. Logistic and linear regression models were used to assess these longitudinal associations.

RESULTS

After adjusting for potential confounding factors, decline in global cognitive function, MMSE score, and episodic memory were not independently associated with greater risk of reported and confirmed elder self-neglect. Decline in executive function was associated with greater risk of reported and confirmed elder self-neglect. Decline in global cognitive function was associated with greater risk of greater self-neglect severity (parameter estimate=0.76, standard error=0.31, P=.01).

CONCLUSION

Decline in executive function was associated with risk of reported and confirmed elder self-neglect. Decline in global cognitive function was associated with risk of greater self-neglect severity.

Authors+Show Affiliations

Rush University Medical Center, Chicago, Illinois, USA. xinqi_dong@rush.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21143438

Citation

Dong, XinQi, et al. "Decline in Cognitive Function and Risk of Elder Self-neglect: Finding From the Chicago Health Aging Project." Journal of the American Geriatrics Society, vol. 58, no. 12, 2010, pp. 2292-9.
Dong X, Simon MA, Wilson RS, et al. Decline in cognitive function and risk of elder self-neglect: finding from the Chicago Health Aging Project. J Am Geriatr Soc. 2010;58(12):2292-9.
Dong, X., Simon, M. A., Wilson, R. S., Mendes de Leon, C. F., Rajan, K. B., & Evans, D. A. (2010). Decline in cognitive function and risk of elder self-neglect: finding from the Chicago Health Aging Project. Journal of the American Geriatrics Society, 58(12), pp. 2292-9. doi:10.1111/j.1532-5415.2010.03156.x.
Dong X, et al. Decline in Cognitive Function and Risk of Elder Self-neglect: Finding From the Chicago Health Aging Project. J Am Geriatr Soc. 2010;58(12):2292-9. PubMed PMID: 21143438.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Decline in cognitive function and risk of elder self-neglect: finding from the Chicago Health Aging Project. AU - Dong,XinQi, AU - Simon,Melissa A, AU - Wilson,Robert S, AU - Mendes de Leon,Carlos F, AU - Rajan,K Bharat, AU - Evans,Denis A, PY - 2010/12/15/entrez PY - 2010/12/15/pubmed PY - 2011/2/4/medline SP - 2292 EP - 9 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 58 IS - 12 N2 - OBJECTIVES: To examine the longitudinal association between decline in cognitive function and risk of elder self-neglect in a community-dwelling population. DESIGN: Prospective population-based study. SETTING: Geographically defined community in Chicago. PARTICIPANTS: Community-dwelling subjects reported to the social services agency from 1993 to 2005 for self-neglect who also participated in the Chicago Health Aging Project (CHAP). Of the 5,519 participants in CHAP, 1,017 were reported to social services agency for suspected elder self-neglect from 1993 to 2005. MEASUREMENTS: Social services agency identified reported elder self-neglect. The primary predictor was decline in cognitive function assessed using the Mini-Mental State Examination (MMSE), the Symbol Digit Modalities Test (Executive Function), and immediate and delayed recall of the East Boston Memory Test (Episodic Memory). An index of global cognitive function scores was derived by averaging z-scores of all tests. Outcome of interest was elder self-neglect. Logistic and linear regression models were used to assess these longitudinal associations. RESULTS: After adjusting for potential confounding factors, decline in global cognitive function, MMSE score, and episodic memory were not independently associated with greater risk of reported and confirmed elder self-neglect. Decline in executive function was associated with greater risk of reported and confirmed elder self-neglect. Decline in global cognitive function was associated with greater risk of greater self-neglect severity (parameter estimate=0.76, standard error=0.31, P=.01). CONCLUSION: Decline in executive function was associated with risk of reported and confirmed elder self-neglect. Decline in global cognitive function was associated with risk of greater self-neglect severity. SN - 1532-5415 UR - https://www.unboundmedicine.com/medline/citation/21143438/Decline_in_cognitive_function_and_risk_of_elder_self_neglect:_finding_from_the_Chicago_Health_Aging_Project_ L2 - https://doi.org/10.1111/j.1532-5415.2010.03156.x DB - PRIME DP - Unbound Medicine ER -