1. Relationships Between Cognitive Dysfunction and Health-Related Quality of Life Among Older Persons in Taiwan: A Nationwide Population-Based Survey
- Author
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Hsin-Yun Liu, Ming-Jang Chiu, Yea-Ing Lotus Shyu, Wen-Che Tsai, Woan-Shyuan Wang, Huey-Jane Lee, and Li-Yu Tang
- Subjects
Gerontology ,Male ,media_common.quotation_subject ,Population ,Taiwan ,Severity of Illness Index ,03 medical and health sciences ,0302 clinical medicine ,Secondary analysis ,mental disorders ,medicine ,Dementia ,Humans ,Quality (business) ,Cognitive Dysfunction ,030212 general & internal medicine ,education ,Population based survey ,media_common ,Aged ,Health related quality of life ,Aged, 80 and over ,education.field_of_study ,business.industry ,General Neuroscience ,Cognition ,medicine.disease ,Health Surveys ,Self Care ,Psychiatry and Mental health ,Clinical Psychology ,Cross-Sectional Studies ,Quality of Life ,Female ,Geriatrics and Gerontology ,business ,030217 neurology & neurosurgery - Abstract
Background: To examine the relationships between cognitive dysfunction status and quality of life. Methods: Secondary analysis of a nationwide population-based survey (≥65 years) in Taiwan. The 5-dimension EuroQoL questionnaire (EQ-5D) was completed by 10 013 participants. Results: Participants with mild cognitive impairment (MCI; odds ratio = 4.88), very mild dementia (VMD; 7.96), or dementia (32.85) were more likely than those with normal cognition to report self-care problems. Participants with MCI (3.86), VMD (9.26), or dementia (31.61) were more likely to have usual-activity problems, and those with MCI (3.04), VMD (3.82), or dementia (9.23) were more likely to have mobility problems. Participants with MCI (2.10 and 2.14), VMD (2.77 and 2.18), or dementia (3.04 and 3.02) were more likely to report pain/discomfort and anxiety/depression. Conclusion: Dementia was negatively associated with EQ-5D, especially self-care, usual activities, and mobility. Mild cognitive impairment or VMD was also negatively associated, with VMD more negatively associated. Developing interventions for patients with specific cognitive dysfunctions is critical.
- Published
- 2018