• J Am Geriatr Soc · Dec 2010

    Decline in cognitive function and risk of elder self-neglect: finding from the Chicago Health Aging Project.

    • XinQi Dong, Melissa A Simon, Robert S Wilson, Carlos F Mendes de Leon, K Bharat Rajan, and Denis A Evans.
    • Rush University Medical Center, Chicago, Illinois, USA. xinqi_dong@rush.edu
    • J Am Geriatr Soc. 2010 Dec 1;58(12):2292-9.

    ObjectivesTo examine the longitudinal association between decline in cognitive function and risk of elder self-neglect in a community-dwelling population.DesignProspective population-based study.SettingGeographically defined community in Chicago.ParticipantsCommunity-dwelling subjects reported to the social services agency from 1993 to 2005 for self-neglect who also participated in the Chicago Health Aging Project (CHAP). Of the 5,519 participants in CHAP, 1,017 were reported to social services agency for suspected elder self-neglect from 1993 to 2005.MeasurementsSocial services agency identified reported elder self-neglect. The primary predictor was decline in cognitive function assessed using the Mini-Mental State Examination (MMSE), the Symbol Digit Modalities Test (Executive Function), and 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. Outcome of interest was elder self-neglect. Logistic and linear regression models were used to assess these longitudinal associations.ResultsAfter adjusting for potential confounding factors, decline in global cognitive function, MMSE score, and episodic memory were not independently associated with greater risk of reported and confirmed elder self-neglect. Decline in executive function was associated with greater risk of reported and confirmed elder self-neglect. Decline in global cognitive function was associated with greater risk of greater self-neglect severity (parameter estimate=0.76, standard error=0.31, P=.01).ConclusionDecline in executive function was associated with risk of reported and confirmed elder self-neglect. Decline in global cognitive function was associated with risk of greater self-neglect severity.© 2010, Copyright the Authors. Journal compilation © 2010, The American Geriatrics Society.

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