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@ARTICLE{Sulzer:154040,
author = {Sulzer, Patricia and Liebig, Luise and Csoti, Ilona and
Graessel, Elmar and Wurster, Isabel and Berg, Daniela and
Liepelt-Scarfone, Inga},
title = {{A} time-efficient screening tool for activities of daily
living functions in {P}arkinson’s disease dementia},
journal = {Journal of clinical and experimental neuropsychology},
volume = {42},
number = {8},
issn = {1744-411X},
address = {Abingdon},
publisher = {Routledge, Taylor $\&$ Francis Group86092},
reportid = {DZNE-2021-00022},
pages = {867 - 879},
year = {2020},
abstract = {InstructionIn Parkinson’s disease (PD), activities of
daily living (ADL) impairments are crucial for diagnosis of
dementia (PDD). Performance-based tests are promising tools
to discriminate between different levels of cognitive
impairment in PD; however, the value of those tests for
diagnosis of PDD is only sparsely investigated. Therefore,
we evaluated the Erlangen Test of Activities of Daily Living
(E-ADL), a time-efficient performance-based ADL test, in
PD.MethodIn this cross-sectional study, 40 PD patients with
normal cognition (PD-NC), 45 patients with mild cognitive
impairment (PD-MCI) and 21 patients with PDD were assessed
with a comprehensive ADL and cognitive test
battery.ResultsInterrater reliability (rs =.86) indicated
high consistency of the standardized E-ADL scoring system
between raters. The E-ADL correlated significantly with
other tests of ADL functions (p <.01), highest with an
alternative performance-based ADL test (rs = −.52), and
lowest with self-ratings and a physician-rated scale. The
E-ADL was also associated with cognitive impairment (p
<.01), but also with motor impairment. A binary logistic
regression model verified that the E-ADL (p =.04) was an
independent predictor of PDD, in addition to motor
impairment explaining $53.3\%$ of variance. Receiver
operating characteristic curve analysis of the E-ADL
revealed an area under the curve of 0.78, a specificity of
$77\%,$ and a sensitivity of $67\%$ for diagnosis
PDD.ConclusionsThe standardized, easy, and quick to
administer E-ADL showed acceptable levels of reliability,
and validity in PD and measures cognitive-driven ADL
functions. Therefore, it might be a suitable test to support
diagnosis of PDD in the clinical daily routine.},
keywords = {Activities of Daily Living: psychology / Aged / Aged, 80
and over / Cognitive Dysfunction: diagnosis / Cognitive
Dysfunction: etiology / Cognitive Dysfunction: psychology /
Cross-Sectional Studies / Dementia: diagnosis / Dementia:
etiology / Dementia: psychology / Female / Humans / Male /
Middle Aged / Motor Skills / Neuropsychological Tests /
Parkinson Disease: complications / Parkinson Disease:
diagnosis / Parkinson Disease: psychology / ROC Curve / Self
Concept / Sensitivity and Specificity},
cin = {AG Gasser 1 / Biobanking Facility Tübingen},
ddc = {610},
cid = {I:(DE-2719)1210000 / I:(DE-2719)1240004},
pnm = {345 - Population Studies and Genetics (POF3-345)},
pid = {G:(DE-HGF)POF3-345},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:33043797},
doi = {10.1080/13803395.2020.1825634},
url = {https://pub.dzne.de/record/154040},
}