PMID- 24289460 OWN - NLM STAT- MEDLINE DCOM- 20140826 LR - 20220408 IS - 1479-8301 (Electronic) IS - 1346-3500 (Linking) VI - 13 IP - 4 DP - 2013 Dec TI - Clinical utility of the functional independence measure for assessment of patients with Alzheimer's disease and vascular dementia. PG - 199-205 LID - 10.1111/psyg.12012 [doi] AB - AIM: The aim of this study was to investigate the clinical utility of the Functional Independence Measure (FIM), and especially FIM-Cognition (FIM-C) scores, in patients with Alzheimer's disease (AD) and vascular dementia (VaD), and to determine the influence of behavioural and psychological symptoms of dementia (BPSD) on FIM-C scores. METHODS: This was a cross-sectional survey of 37 AD and 40 VaD patients. Cognitive function was assessed with the Cognitive Abilities Screening Instrument. Activities of daily living were evaluated with the FIM and the Barthel Index. BPSD were assessed with the Behavioural Pathology in Alzheimer's Disease Frequency Weighted Severity Scale. RESULTS: For both groups, Spearman's correlations were found between FIM-Motor and Barthel Index scores and between FIM-C and Mini Mental State Examination scores. Each FIM-C subscore was correlated with Cognitive Abilities Screening Instrument scores in both groups, except for the FIM-C Social interaction subscore in VaD. VaD patients showing Activity Disturbance and Aggressiveness on the Behavioural Pathology in Alzheimer's Disease Frequency Weighted Severity Scale had significantly lower FIM-C Memory and Social interaction subscores than those without BPSD. CONCLUSION: The results suggest that the FIM-Motor and FIM-C scales are useful measures of physical and cognitive disabilities in patients with AD and VaD. The FIM-C profile of AD may reflect global cognitive function, while that of VaD may be more influenced by BPSD. CI - (c) 2013 The Authors. Psychogeriatrics (c) 2013 Japanese Psychogeriatric Society. FAU - Tanaka, Naofumi AU - Tanaka N AD - Department of Geriatric Behavioral Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan; Department of Rehabilitation Medicine and Neurology, Kawasaki Kokoro Hospital, Kawasaki, Japan. FAU - Nakatsuka, Masahiro AU - Nakatsuka M FAU - Ishii, Hiroshi AU - Ishii H FAU - Nakayama, Rie AU - Nakayama R FAU - Hosaka, Ryoko AU - Hosaka R FAU - Meguro, Kenichi AU - Meguro K LA - eng PT - Journal Article DEP - 20131028 PL - England TA - Psychogeriatrics JT - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society JID - 101230058 SB - IM MH - Activities of Daily Living/*psychology MH - Aged MH - Aged, 80 and over MH - Alzheimer Disease/complications/*diagnosis/psychology MH - Behavioral Symptoms/complications/diagnosis/psychology MH - Cognition Disorders/complications/diagnosis/psychology MH - Cross-Sectional Studies MH - Dementia, Vascular/complications/*diagnosis/psychology MH - Female MH - Geriatric Assessment/*methods/statistics & numerical data MH - Humans MH - Magnetic Resonance Imaging/methods MH - Male MH - Neuropsychological Tests/standards/*statistics & numerical data MH - Psychiatric Status Rating Scales/statistics & numerical data MH - Reproducibility of Results OTO - NOTNLM OT - Alzheimer's disease OT - activities of daily living OT - behavioural symptoms OT - dementia OT - vascular dementia EDAT- 2013/12/03 06:00 MHDA- 2014/08/27 06:00 CRDT- 2013/12/03 06:00 PHST- 2012/05/01 00:00 [received] PHST- 2012/07/08 00:00 [revised] PHST- 2013/03/14 00:00 [accepted] PHST- 2013/12/03 06:00 [entrez] PHST- 2013/12/03 06:00 [pubmed] PHST- 2014/08/27 06:00 [medline] AID - 10.1111/psyg.12012 [doi] PST - ppublish SO - Psychogeriatrics. 2013 Dec;13(4):199-205. doi: 10.1111/psyg.12012. Epub 2013 Oct 28.