Assessment of impairment in activities of daily living in mild cognitive impairment using an individualized scale

Giseli de Fátima dos Santos Chaves; Alexandra Martini Oliveira; Juliana Aparecida dos Santos Chaves; Orestes Vicente Forlenza; Ivan Aprahamian; Paula Villela Nunes

doi:10.1590/0004-282X20160075

Arquivos de Neuro-Psiquiatria, Table of Contents

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(07): 549-554
DOI: 10.1590/0004-282X20160075

ARTICLES

Assessment of impairment in activities of daily living in mild cognitive impairment using an individualized scale

Avaliação do comprometimento nas atividades de vida diária no comprometimento cognitivo leve através de uma escala individualizada

Authors

Giseli de Fátima dos Santos Chaves

Universidade de São Paulo, Faculdade de Medicina, Instituto de Psiquiatria, Laboratório de Neurociências, São Paulo SP, Brasil.
Alexandra Martini Oliveira

Universidade de São Paulo, Faculdade de Medicina, Instituto de Psiquiatria, Laboratório de Neurociências, São Paulo SP, Brasil.
Juliana Aparecida dos Santos Chaves

Universidade de São Paulo, Faculdade de Medicina, Instituto de Psiquiatria, Laboratório de Neurociências, São Paulo SP, Brasil.
Orestes Vicente Forlenza

Universidade de São Paulo, Faculdade de Medicina, Instituto de Psiquiatria, Laboratório de Neurociências, São Paulo SP, Brasil.
Ivan Aprahamian

Universidade de São Paulo, Faculdade de Medicina, Instituto de Psiquiatria, Laboratório de Neurociências, São Paulo SP, Brasil.
Paula Villela Nunes

Universidade de São Paulo, Faculdade de Medicina, Instituto de Psiquiatria, Laboratório de Neurociências, São Paulo SP, Brasil.

Abstract

ABSTRACT

Mild impairment in activities of daily living (ADL) can occur in Mild Cognitive Impairment (MCI), but the nature and extent of these difficulties need to be further explored. The Canadian occupational performance measure (COPM) is one of the few individualized scales designed to identify self-perceived difficulties in ADL. The present study investigated impairments in ADL using the COPM in elderly with MCI. A total of 58 MCI patients were submitted to the COPM for studies of its validity and reliability. The COPM proved a valid and consistent instrument for evaluating ADL in elderly MCI patients. A total of 74.6% of the MCI patients reported difficulties in ADL. Of these problems, 41.2% involved self-care, 31.4% productivity and 27.4% leisure. This data further corroborates recent reports of possible functional impairment in complex ADL in MCI.

RESUMO

A presença de dificuldades leves no desempenho de atividades da vida diária (AVD) pode estar presente no comprometimento cognitivo leve (CCL), mas sua natureza e extensão devem ser melhor exploradas. A medida canadense de desempenho ocupacional (COPM) é uma das poucas escalas individualizadas de autorrelato destinadas a identificar dificuldades no desempenho de AVDs. Este estudo investigou as dificuldades em AVDs através da COPM em idosos com CCL. 58 idosos com CCL foram submetidos à validação da COPM. A COPM se mostrou um instrumento válido e consistente para avaliar desempenho de AVDs em idosos com CCL. 74,6% dos idosos relatou alguma dificuldade no desempenho de AVDs, sendo 41,2% em auto-cuidado, 31,4% na produtividade e de 27,4% no lazer. Estes dados acrescentam evidências à recente literatura em que afirma que há comprometimento nas AVDs em CCL.

activities of daily living - mild cognitive impairment - occupational therapy - self report

atividades cotidianas - comprometimento cognitivo leve - terapia ocupacional - autorrelato

Full Text

References

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