Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study

Ana Maseda, Aránzazu Balo, Laura Lorenzo–López, Leire Lodeiro–Fernández, José Luis Rodríguez–Villamil, José Carlos Millán–CalentiGerontology Research Group, Faculty of Health Sciences...

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Autores principales:	Maseda A, Balo A, Lorenzo–López L, Lodeiro–Fernández L, Rodríguez–Villamil JL, Millán–Calenti JC
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Cognitive and affective assessment day-care elderly patients institutionalized patients Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/797116f7f11d45e3ab16266b7a7e5d4c
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spelling	oai:doaj.org-article:797116f7f11d45e3ab16266b7a7e5d4c2021-12-02T08:58:55ZCognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study1178-1998https://doaj.org/article/797116f7f11d45e3ab16266b7a7e5d4c2014-06-01T00:00:00Zhttps://www.dovepress.com/cognitive-and-affective-assessment-in-day-care-versus-institutionalize-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Ana Maseda, Aránzazu Balo, Laura Lorenzo–López, Leire Lodeiro–Fernández, José Luis Rodríguez–Villamil, José Carlos Millán–CalentiGerontology Research Group, Faculty of Health Sciences, University of A Coruña, A Coruña, SpainPurpose: Cognitive decline and depression are two common mental health problems that may create a need for long-term care among the elderly. In the last decade, the percentage of older adults who receive health care in nursing homes, day care centers, or home support services has increased in Europe. The objectives of this descriptive and nonrandomized longitudinal study were to evaluate and to compare the cognitive and affective evolution of day care versus institutionalized older patients through a 1-year period, and to assess the presence of cognitive and affective impairment as a function of the care setting.Patients and methods: Ninety-four patients were assessed at baseline, and 63 (67.0%) were reassessed 1 year later. Neuropsychological assessment included measures of cognitive performance (general cognitive status, visuospatial, and language abilities) and affective status (depressive symptoms).Results: Our findings indicated that the majority of the participants (day care and institutionalized patients) had mild–moderate cognitive impairment at baseline, which significantly increased in both groups after 1-year follow-up. However, the rate of change in global cognitive function did not significantly differ between groups over time. Regarding language abilities, naming function maintained among day care patients in comparison with institutionalized patients, who showed worse performance at follow-up. As regards to affective status, results revealed that institutionalized patients had a significant reduction in depressive symptoms at follow-up, when compared to day care patients. Results also highlight the high frequency of cognitive impairment and depressive symptoms regardless of the care setting.Conclusion: Our findings revealed a similar global cognitive decline rate between patients receiving day care services and those residing in a nursing home at the 1-year follow-up, and slightly different trajectories in other outcomes such as naming function and depressive symptoms.Keywords: cognitive and affective assessment, day care elderly patients, institutionalized patientsMaseda ABalo ALorenzo–López LLodeiro–Fernández LRodríguez–Villamil JLMillán–Calenti JCDove Medical PressarticleCognitive and affective assessmentday-care elderly patientsinstitutionalized patientsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 887-894 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cognitive and affective assessment day-care elderly patients institutionalized patients Geriatrics RC952-954.6
spellingShingle	Cognitive and affective assessment day-care elderly patients institutionalized patients Geriatrics RC952-954.6 Maseda A Balo A Lorenzo–López L Lodeiro–Fernández L Rodríguez–Villamil JL Millán–Calenti JC Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
description	Ana Maseda, Aránzazu Balo, Laura Lorenzo–López, Leire Lodeiro–Fernández, José Luis Rodríguez–Villamil, José Carlos Millán–CalentiGerontology Research Group, Faculty of Health Sciences, University of A Coruña, A Coruña, SpainPurpose: Cognitive decline and depression are two common mental health problems that may create a need for long-term care among the elderly. In the last decade, the percentage of older adults who receive health care in nursing homes, day care centers, or home support services has increased in Europe. The objectives of this descriptive and nonrandomized longitudinal study were to evaluate and to compare the cognitive and affective evolution of day care versus institutionalized older patients through a 1-year period, and to assess the presence of cognitive and affective impairment as a function of the care setting.Patients and methods: Ninety-four patients were assessed at baseline, and 63 (67.0%) were reassessed 1 year later. Neuropsychological assessment included measures of cognitive performance (general cognitive status, visuospatial, and language abilities) and affective status (depressive symptoms).Results: Our findings indicated that the majority of the participants (day care and institutionalized patients) had mild–moderate cognitive impairment at baseline, which significantly increased in both groups after 1-year follow-up. However, the rate of change in global cognitive function did not significantly differ between groups over time. Regarding language abilities, naming function maintained among day care patients in comparison with institutionalized patients, who showed worse performance at follow-up. As regards to affective status, results revealed that institutionalized patients had a significant reduction in depressive symptoms at follow-up, when compared to day care patients. Results also highlight the high frequency of cognitive impairment and depressive symptoms regardless of the care setting.Conclusion: Our findings revealed a similar global cognitive decline rate between patients receiving day care services and those residing in a nursing home at the 1-year follow-up, and slightly different trajectories in other outcomes such as naming function and depressive symptoms.Keywords: cognitive and affective assessment, day care elderly patients, institutionalized patients
format	article
author	Maseda A Balo A Lorenzo–López L Lodeiro–Fernández L Rodríguez–Villamil JL Millán–Calenti JC
author_facet	Maseda A Balo A Lorenzo–López L Lodeiro–Fernández L Rodríguez–Villamil JL Millán–Calenti JC
author_sort	Maseda A
title	Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
title_short	Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
title_full	Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
title_fullStr	Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
title_full_unstemmed	Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
title_sort	cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/797116f7f11d45e3ab16266b7a7e5d4c
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Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study

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