| Literature DB >> 27863317 |
Molly Howland1, Curtis Tatsuoka2, Kathleen A Smyth3, Martha Sajatovic4.
Abstract
PROMIS(®) Applied Cognition is a short self-assessment of cognitive abilities and concerns that eliminates the need for a trained rater and provides online question banks that can be uniformly used across health care providers. This 12-month prospective study of 281 elderly individuals evaluates self-perceptions of cognitive functioning in relation to objective cognition, or assessment by an external rater, and compares PROMIS® Applied Cognition Abilities and Concerns subsets with commonly used "legacy" instruments. PROMIS® correlated with objective legacy measures (the Mini-Mental State Examination [MMSE] and Saint Louis University Mental Status [SLUMS] examination), depression (measured with the Geriatric Depression Scale [GDS]), anxiety, and activities of daily living. PROMIS® and MMSE correlations remained after controlling for depression and anxiety. PROMIS® associated more strongly than MMSE with depression, highlighting the relationship between subjective cognitive deficit and depression. One-year changes in PROMIS® correlated with one-year changes in MMSE and GDS. The PROMIS® Abilities subset more strongly correlated with objective cognition, whereas the Concerns subset more strongly correlated with depression and activities of daily living. PROMIS® seems to be a reasonable prescreening tool to identify patients with cognitive decline or psychological distress.Entities:
Keywords: Activities of daily living; Anxiety; Dementia; Depression; Geriatric assessment; Mild cognitive impairment; Self report
Mesh:
Year: 2016 PMID: 27863317 PMCID: PMC5990004 DOI: 10.1016/j.psychres.2016.10.072
Source DB: PubMed Journal: Psychiatry Res ISSN: 0165-1781 Impact factor: 3.222