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Scales for Mental State and Daily Living Activities for the Elderly: Clinical Behavioral Scales for Assessing Demented Patients

Published online by Cambridge University Press:  07 January 2005

Tsuyoshi Nishimura
Affiliation:
Department of Neuropsychiatry, Osaka University Medical School, Osaka, Japan
Toshiko Kobayashi
Affiliation:
Department of Psychiatry, Osaka Municipal Kosaiin Hospital, Osaka, Japan
Shiro Hariguchi
Affiliation:
Department of Neuropsychiatry, Osaka University Medical School, Osaka, Japan
Masatoshi Takeda
Affiliation:
Department of Neuropsychiatry, Osaka University Medical School, Osaka, Japan
Tomoko Fukunaga
Affiliation:
Department of Neuropsychiatry, Osaka University Medical School, Osaka, Japan
Osamu Inoue
Affiliation:
Department of Neurology, Osaka Police Hospital, Osaka, Japan
Hideki Kondo
Affiliation:
Department of Neuropsychiatry, Osaka University Medical School, Osaka, Japan
Hisayoshi Niigawa
Affiliation:
Department of Neuropsychiatry, Osaka University Medical School, Osaka, Japan
Shigemi Tanaka
Affiliation:
Department of Neurology, Bell-land Hospital, Osaka, Japan.
Mariko Yamashita
Affiliation:
Department of Psychiatry, Osaka Municipal Kosaiin Hospital, Osaka, Japan

Abstract

In the diagnosis, treatment, and care of dementia patients in the senile stage, comprehensive evaluation of ability in daily life and mental function is needed. Using a simple behavioral rating scale for the mental states (NM scale) and activities of daily living (N-ADL) of the elderly, we evaluated 250 elderly subjects. According to the NM scale, the scores for subjects in whom the severity was clinically diagnosed were as follows: normal, 50–48; borderline, 47–43; mild dementia, 42–31; moderate dementia, 30–17; and severe dementia, 16–0. Screening for dementia and determining its severity were readily accomplished using the NM scale, and basic activities in the daily life of the elderly could be evaluated effectively using the N-ADL. There was a significant correlation (r=0.863) between the Hasegawa dementia scale and the NM scale (p<0.001), a significant correlation (r=−0.947) between intellectual function scores of the GBS scale and the NM scale, and a significant correlation (r=0.944) between motor function score of the GBS scale and the N-ADL score. Evaluations of daily life activities can be made not only by psychiatrists and clinical psychologists, but by nonspecialists as well, because they are based on data obtained by observation of daily life behaviors; thus, assessment is appropriate both in clinical settings and in places of living.

Type
Research and Reviews
Copyright
© 1993 Springer Publishing Company

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