Cognitive predictors of resistiveness in dementia patients

Author(s): GonzalezPerez, E., Zhu, Y. L., Robinson, B. E.

Journal/Book: Amer J Geriatr Psychiatr. 1999; 7: 1400 K St N W, Ste 1101, Washington, DC 20005, USA. Amer Psychiatric Press, Inc. 259-263.

Abstract: Resistiveness to physical care among-patients with dementia is a common and bur densome problem. Forty-nine nursing home residents with dementia were administered the Mini-Mental State Exam (MMSE) and the Royall Executive Interview (EXIT), a specific test of frontal-subcortical function. Nurses rated resistiveness on every shift for 3 days. Correlation with resistiveness ratings was stronger for the EXIT (r = 0.73) than for the MMSE (r = -0.46); logistic modeling found the EXIT to be a strong independent predictor of resistiveness. Executive dysfunction as measured by the EXIT is a major determinant of resistiveness to care in long-term care residents with dementia, possibly as a result of such patients' tendency toward inertia.

Note: Article Stewart JT, Bay Pines VA Med Ctr, Geropsychiat Sect, 116A, Bay Pines,FL 33744 USA

Keyword(s): MINI-MENTAL-STATE; ALZHEIMERS-DISEASE; NURSING-HOME; IMPAIRMENT

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