University of South Florida, School of Aging Studies, Tampa, Florida, USA.
Mov Disord. 2010 Dec 15;25(16):2756-61. doi: 10.1002/mds.23379.
Parkinson's disease (PD) patients develop progressive cognitive decline. The degree to which such decline impacts instrumental activities of daily living (IADL) among individuals in the early stages of PD without dementia is not well documented. The Everyday Cognitive Battery Reasoning subtest (ECB) was used to assess ability to solve everyday reasoning tasks for IADL among 19 non-demented older adults with PD in comparison to 20 older adults without PD. The two groups were similar in age, education, race and gender. Individuals with PD had significantly lower scores (M = 61.98, SD = 12.03) than the comparison group (M = 69.80, SD = 9.48). Individuals with PD, who do not have dementia, may be more likely to experience difficulties in IADL requiring reasoning including medication use, finances, and nutrition. Even more serious implications lie in the capacity to make treatment choices.
帕金森病(PD)患者会出现进行性认知能力下降。在没有痴呆的 PD 早期患者中,这种下降在多大程度上影响到日常生活活动的工具性活动(IADL),目前记录不详。使用日常认知电池推理测验(ECB)评估了 19 名无痴呆的 PD 老年患者和 20 名无 PD 的老年患者在解决 IADL 日常推理任务方面的能力。两组在年龄、教育程度、种族和性别方面相似。PD 患者的得分明显较低(M = 61.98,SD = 12.03),而对照组的得分较高(M = 69.80,SD = 9.48)。没有痴呆的 PD 患者可能更容易在需要推理的 IADL 中遇到困难,包括用药、财务和营养。更严重的影响在于做出治疗选择的能力。