학술논문

Compensation Strategies in Older Adults: Association With Cognition and Everyday Function
Document Type
article
Source
American Journal of Alzheimer's Disease & Other Dementias®. 33(3)
Subject
Psychology
Applied and Developmental Psychology
Aging
Acquired Cognitive Impairment
Behavioral and Social Science
Dementia
Neurosciences
Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)
Clinical Research
Brain Disorders
Rehabilitation
Alzheimer's Disease
Neurodegenerative
Mental health
Neurological
Activities of Daily Living
Adaptation
Psychological
Aged
Aged
80 and over
Cognition
Cognitive Dysfunction
Female
Humans
Longitudinal Studies
Male
Neuropsychological Tests
Surveys and Questionnaires
instrumental activities of daily living
mild cognitive impairment
dementia
everyday function
compensation
Clinical Sciences
Geriatrics
Clinical sciences
Biological psychology
Language
Abstract
Background/rationaleCompensation strategies may contribute to greater resilience among older adults, even in the face of cognitive decline. This study sought to better understand how compensation strategy use among older adults with varying degrees of cognitive impairment impacts everyday functioning.MethodsIn all, 125 older adults (normal cognition, mild cognitive impairment, dementia) underwent neuropsychological testing, and their informants completed questionnaires regarding everyday compensation and cognitive and functional abilities.ResultsCognitively normal and mild cognitive impairment older adults had greater levels of compensation use than those with dementia. Higher levels of neuropsychological functioning were associated with more frequent compensation use. Most importantly, greater frequency of compensation strategy use was associated with higher levels of independence in everyday function, even after accounting for cognition.ConclusionUse of compensation strategies is associated with higher levels of functioning in daily life among older adults. Findings provide strong rational for development of interventions that directly target such strategies.