TY - JOUR
T1 - Decline in cognitive function and elder mistreatment
T2 - Findings from the Chicago Health and Aging Project
AU - Dong, Xinqi
AU - Simon, Melissa
AU - Beck, Todd
AU - Evans, Denis
N1 - Funding Information:
This work was supported by grants from the National Institute on Aging ( R01 AG042318 , R01 MD006173 , R01 AG11101 , and RC4 AG039085 ), Paul B. Beeson Award in Aging ( K23 AG030944 ), The Starr Foundation , John A. Hartford Foundation , and The Atlantic Philanthropies .
PY - 2014/6
Y1 - 2014/6
N2 - Objective: This study aimed to examine the longitudinal association between decline in cognitive function and elder mistreatment (EM). Methods: Chicago Health and Aging Project (CHAP) is an epidemiologic study conducted in a geographically defined community (N = 6,159). We identified 143 CHAP participants who had longitudinal cognitive data and EM reported to social services agency. The primary predictor was cognitive function, which was assessed using the Mini-Mental State Examination (MMSE), the Symbol Digit Modalities Test (Perceptual Speed), and both immediate and delayed recall of the East Boston Memory Test (Episodic Memory). An index of global cognitive function scores was derived by averaging z scores of all tests. Logistic regression models were used to assess the association of cognitive function domains and risk for EM. Results: After adjusting for potential confounders, every one-point decline in global cognitive function (odds ratio [OR]: 1.57 [1.21-2.03]), MMSE (OR: 1.07 [1.03-1.10]), Episodic Memory (OR: 1.46 [1.14-1.86]), and Perceptual Speed (OR: 1.05 [1.02-1.07]) scores were associated with increased risk for EM. Lowest tertiles in global cognitive function (OR: 2.71 [1.49-4.88]), MMSE (OR: 2.02 [1.07-3.80]), Episodic Memory (OR: 2.70 [1.41-5.16]), and Perceptual Speed (OR: 4.41 [2.22-8.76]) scores were associated with increased risk for EM. Conclusion: Decline in global cognitive function, MMSE, and Perceptual Speed scores were associated with increased risk for EM.
AB - Objective: This study aimed to examine the longitudinal association between decline in cognitive function and elder mistreatment (EM). Methods: Chicago Health and Aging Project (CHAP) is an epidemiologic study conducted in a geographically defined community (N = 6,159). We identified 143 CHAP participants who had longitudinal cognitive data and EM reported to social services agency. The primary predictor was cognitive function, which was assessed using the Mini-Mental State Examination (MMSE), the Symbol Digit Modalities Test (Perceptual Speed), and both immediate and delayed recall of the East Boston Memory Test (Episodic Memory). An index of global cognitive function scores was derived by averaging z scores of all tests. Logistic regression models were used to assess the association of cognitive function domains and risk for EM. Results: After adjusting for potential confounders, every one-point decline in global cognitive function (odds ratio [OR]: 1.57 [1.21-2.03]), MMSE (OR: 1.07 [1.03-1.10]), Episodic Memory (OR: 1.46 [1.14-1.86]), and Perceptual Speed (OR: 1.05 [1.02-1.07]) scores were associated with increased risk for EM. Lowest tertiles in global cognitive function (OR: 2.71 [1.49-4.88]), MMSE (OR: 2.02 [1.07-3.80]), Episodic Memory (OR: 2.70 [1.41-5.16]), and Perceptual Speed (OR: 4.41 [2.22-8.76]) scores were associated with increased risk for EM. Conclusion: Decline in global cognitive function, MMSE, and Perceptual Speed scores were associated with increased risk for EM.
KW - Cognitive decline
KW - Elder mistreatment
KW - Epidemiologic study
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U2 - 10.1016/j.jagp.2012.11.004
DO - 10.1016/j.jagp.2012.11.004
M3 - Article
C2 - 24821287
AN - SCOPUS:84901641988
SN - 1064-7481
VL - 22
SP - 598
EP - 605
JO - American Journal of Geriatric Psychiatry
JF - American Journal of Geriatric Psychiatry
IS - 6
ER -