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Dementia and Activities of Daily Living—Reply
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In Reply: Dr Coto-Yglesias comments on the importance that IADL queries can play in an assessment for dementia or mild cognitive impairment. IADLs are more complex tasks than activities of daily living and thus could be more likely to be affected earlier in the course of cognitive decline. As with all screening tests, discrimination of more severe cognitive impairment via functional questionnaires is easier than discrimination of milder cases.1
Functional impairment is a crucial component in the diagnosis of dementia.2 The Functional Activities Questionnaire was one of the tests identified in the first US Preventive Services Task Force evaluation of screening tests for dementia. It questions informants on 10 additional complex activities such as paying bills, working household appliances, and keeping track of current events.3 Our article noted the Functional Activities Questionnaire along with the Mini-Mental State Examination, the Blessed Information Memory Concentration Test, the Blessed Orientation Memory Concentration Test, . . . [Full Text of this Article]
Tracey Holsinger, MD
tracey.holsinger@va.gov
John W. Williams Jr, MD, MHS
Durham VA Medical Center
Durham, North Carolina
RELATED LETTER
Dementia and Activities of Daily Living
Fernando Coto-Yglesias
JAMA. 2007;298(13):1515.
EXTRACT
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RELATED ARTICLE
Does This Patient Have Dementia?
Tracey Holsinger, Janie Deveau, Malaz Boustani, and John W. Williams, Jr
JAMA. 2007;297(21):2391-2404.
ABSTRACT
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