Comparison of patient and caregiver reports of patient activity participation and its relationship to mental health in patients with Alzheimer's disease

Karen L. Siedlecki, Oksana Tatarina, Linda Sanders, Marilyn Albert, Deborah Blacker, Bruno Dubois, Jason Brandt, Yaakov Stern

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)687-695
Number of pages9
JournalJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume64
Issue number6
DOIs
StatePublished - Jan 1 2009

Keywords

  • Activities
  • Alzheimer's disease
  • Invariance analyses
  • Structural equation modeling

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

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