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A Comparison of Functional Abilities in Individuals with Mild Cognitive Impairment and Parkinson’s Disease with Mild Cognitive Impairment Using Multiple Assessment Methods

Published online by Cambridge University Press:  06 September 2021

Maureen Schmitter-Edgecombe Open the ORCID record for Maureen Schmitter-Edgecombe [Opens in a new window] ,
Courtney McAlister  and
David Greeley
Maureen Schmitter-Edgecombe*
Affiliation:
Department of Psychology, Washington State University, Pullman, WA, USA
Courtney McAlister
Affiliation:
Mayo Clinic School of Medicine and Science, Mayo Clinic Health System, La Crosse, WI, USA
David Greeley
Affiliation:
Northwest Neurological, PLLC, Spokane, WA, USA
*
*Correspondence and reprint requests to: Maureen Schmitter-Edgecombe, Department of Psychology, Washington State University, Pullman, WA99164-4820, USA. Tel: +1-509-332-1218; Fax: +1-509-335-5043. Email: schmitter-e@wsu.edu
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Abstract

Objective:

This study used multiple assessment methods to examine instrumental activities of daily living (IADLs) performance in individuals with Parkinson’s disease with mild cognitive impairment (PD-MCI) compared to individuals with mild cognitive impairment (MCI) and cognitively healthy older adults (HOA). Associations between functional performance and cognition were also examined.

Methods:

Eighteen individuals with PD-MCI, 48 individuals with MCI, and 66 HOAs were assessed with multiple IADL measures, including direct observation, a performance-based measure, and self- and informant-report questionnaires. Performance on the direct-observation measure was further characterized by coding for four error types: omissions, substitutions, and inefficient and irrelevant/off-task actions.

Results:

Both the PD-MCI and MCI groups performed more poorly on the overall score for all IADL measures relative to HOAs. Although the PD-MCI and MCI groups did not differ in overall performance, on the direct-observation measure, the PD-MCI group took longer and made more inefficient and irrelevant/off-task errors relative to the HOA and MCI groups, whereas the MCI group made more omission and substitution errors relative to HOAs. Further, the pattern of cognitive correlates that associated most strongly with the functional measures varied across groups and functional assessment methods.

Conclusion:

Compared to HOAs, PD-MCI and MCI groups demonstrated increased difficulties performing everyday activities, and cognitive and motor abilities differentially contributed to the everyday task difficulties of these two groups.

Keywords

MemoryActivities of daily livingCognitionFunctional statusSelf-reportNeuropsychological tests
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 28 , Issue 8 , September 2022 , pp. 798 - 809
Copyright
Copyright © INS. Published by Cambridge University Press, 2021

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