Compensation Strategies in Older Adults: Association With Cognition and Everyday Function
Compensation Strategies in Older Adults: Association With Cognition and Everyday Function
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DOI：
10.1177/1533317517753361
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发表时间：
2018-05-01
影响因子：
3.4
通讯作者：
Willis, Sherry
中科院分区：
文献类型：
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作者：
Farias, Sarah Tomaszewski;Schmitter-Edgecombe, Maureen;Willis, Sherry
背景/基本原理：补偿策略可能有助于提高老年人的复原力，即使是在认知能力下降的情况下。本研究旨在更好地了解不同程度认知障碍的老年人补偿策略的使用如何影响日常功能。（正常认知、轻度认知障碍、痴呆）进行神经心理学测试，他们的被调查者完成了关于日常补偿和认知及功能能力的问卷。认知正常和轻度认知障碍的老年人比痴呆症患者有更高水平的补偿使用。更高水平的神经心理功能与更频繁的补偿使用相关。最重要的是，更高的频率补偿策略的使用与更高水平的独立性在日常functions.Conclusion后，即使占认知：补偿策略的使用与更高水平的功能在老年人的日常生活中。研究结果提供了强有力的合理性，直接针对这些战略的干预措施的发展。
Background/Rationale: Compensation strategies may contribute to greater resilience among older adults, even in the face of cognitive decline. This study sought to better understand how compensation strategy use among older adults with varying degrees of cognitive impairment impacts everyday functioning.Methods: In all, 125 older adults (normal cognition, mild cognitive impairment, dementia) underwent neuropsychological testing, and their informants completed questionnaires regarding everyday compensation and cognitive and functional abilities.Results: Cognitively normal and mild cognitive impairment older adults had greater levels of compensation use than those with dementia. Higher levels of neuropsychological functioning were associated with more frequent compensation use. Most importantly, greater frequency of compensation strategy use was associated with higher levels of independence in everyday function, even after accounting for cognition.Conclusion: Use of compensation strategies is associated with higher levels of functioning in daily life among older adults. Findings provide strong rational for development of interventions that directly target such strategies.