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[Vol.24 No.3 contents]
Japanese/English
Full Text of this Articlein Japanese PDF (410K) |
| ArticleTitle | Self-care rating for dementia (SCR-D): a brief scale for executive dysfunction in activity of daily living (ADL) in Alzheimer's disease |
| Language | J |
| AuthorList | Ayumi Tachikawa1)4), Toru Imamura1)2) and Atsushi Sato3) |
| Affiliation |
1)Division of Speech, Hearing and Cognitive Sciences, Graduate School of Health Sciences, Niigata University of Health and Welfare 2)Department of Neurology, Niigata Rehabilitation Hospital 3)Division of Speech Therapy, Department of Rehabilitation, Niigata Rehabilitation Hospital 4)Oyama aikoen Geriatric Health Services Facility |
| Publication | Japanese Journal of Neuropsychology: 24 (3), 242-251, 2008 |
| Received | Sep 18, 2007 |
| Accepted | Apr 22, 2008 |
| Abstract | There are a few studies for executive dysfunction in activity of daily living (ADL) in Alzheimer's disease (AD). We developed and examined the Self-care rating for dementia (SCR-D): a brief scale for executive dysfunction in basic ADL. The SCR-D rated the total state of the self care as 0: Independent, 1: Needs prompting for initiation, 2: Needs instructions as appropriate, 3: Needs instructions in every step, 4: Needs instructions in every step and physical assistances as appropriate, 5: Needs physical assistances in every step. A rater interviewed to the reliable informant of the patient with a semistructured from, which let the informant to focus on the need of the instructions to conduct each self-care activity and to complete a series of self-care activities. We examined the relation between the SCR-D score and each demographic, cognitive and ADL measure using Spearman's rank correlation coefficients, after controlling for the overall severity of cognitive dysfunction. The SCR-D score significantly correlated to the orientation and ideational praxis subscores of Alzheimer's Disease Assessment Scale (ADAS) and to the score of the Dysexecutive Questionnaire for dementia (DEX-D). The significant relation between the scores of the SCR-D and several tasks of executive dysfunction showed the validity of the SCR-D as a scale of executive dysfunction in ADL. Further studies for reliability and for demented patients other than AD are recommended. |
| Keywords | Alzheimer's disease (AD), executive dysfunction, rating of ADL, BADL, DEX-D |
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