Social withdrawal of persons with vascular dementia associated with disturbance of basic daily activities, apathy, and impaired social judgment

Yukiko Honda, Kenichi Meguro, Mitsue Meguro, Kyoko Akanuma

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Patients with vascular dementia (VaD) are often isolated, withdrawn from society because of negative symptoms and functional disabilities. The aim of this study was to detect factors associated with social withdrawal in patients with VaD. The participants were 36 institutionalized patients with VaD. Social withdrawal was assessed with the social withdrawal of the Multidimensional Observation Scale for Elderly Subjects (MOSES). Possible explanatory variables were the MOSES items depression and self-care, Cognitive Abilities Screening Instrument (CASI), apathy evaluation scale (AES), and Behavioral Pathology in Alzheimer's Disease Frequency-Weighted Severity Scale (BEHAVE-ADFW). Multiple regression analyses were conducted for two groups: Analysis 1 was performed in all patients (N 5 36) and Analysis 2 was performed in the patients with the ability to move by themselves (i.e., independent walking or independent movement with a cane or a wheelchair; n 5 28). In Analysis 1, MOSES item social withdrawal was correlated with AES and MOSES item self-care. In Analysis 2, MOSES item social withdrawal was correlated with AES and CASI domain abstraction and judgment. Decreased social activities of VaD were not related to general cognitive function or depression. Disturbed activities of daily living (ADLs) for self-care may involve decreased frontal lobe function, indicating that comprehensive rehabilitation for both ADL and dementia are needed to improve the social activities of patients with VaD.

Original languageEnglish
Pages (from-to)108-113
Number of pages6
JournalCare Management Journals
Volume14
Issue number2
DOIs
Publication statusPublished - 2013

Keywords

  • Activities of daily living
  • Apathy
  • Social judgment
  • Social withdrawal
  • Vascular dementia

ASJC Scopus subject areas

  • Health Policy

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