Article Abstract:
Older Spanish- and English-speakingpatients with dementia were compared with controls on their higher and lower functional skills required for daily living. The normal subjects did not vary with regard to functional measures such as ability to tell time, orientation, financial subskills, preparation of a letter for mailing, basic eating and grooming-dressing behaviors and use of a telephone. Spanish-speaking subjects with dementia had more difficulty on functional tests of time orientation and writing a check which would more likely be explained by lack of practice in theskill rather than the subjects' educational attainment.
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Article Abstract:
Spanish-speaking and English-speaking patients with Alzheimer's disease were compared through their neuropsychological test performances. The subjects were matched according to chronological age and severity of memory impairment while educational attainment and depression were analyzed as covariates. Results showed that Spanish-speaking patients with Alzheimer's disease scored lower on specific neurpsychological measures due to inherent language biases and the possible lack of saliency of certain tests. Thus, neuropsychological indices have to be modified to account for ethnic and cultural diversity.
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Article Abstract:
The association of functional impairment with concurrent psychiatric and neurologic signs and symptoms plus physical conditions was studied using logistic regression models in 240 patients with Alzheimer's disease. Hypertension, behavioral disorders and apathy were strongly linked with functional disability in terms of activities of daily living in patients with Alzheimer's disease.
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