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@ARTICLE{Becker:155542,
author = {Becker, Sara and Pauly, Claire and Lawton, Michael and
Hipp, Geraldine and Bowring, Francesca and Sulzer, Patricia
and Hu, Michele and Krüger, Rejko and Gasser, Thomas and
Liepelt-Scarfone, Inga},
title = {{Q}uantifying activities of daily living impairment in
{P}arkinson's disease using the {F}unctional {A}ctivities
{Q}uestionnaire.},
journal = {Neurological sciences},
volume = {43},
number = {2},
issn = {1590-3478},
address = {Milano},
publisher = {Springer},
reportid = {DZNE-2021-00720},
pages = {1047-1054},
year = {2022},
abstract = {Cognitive-driven activity of daily living (ADL) impairment
in Parkinson's disease (PD) is increasingly discussed as
prodromal marker for dementia. Diagnostic properties of
assessments for this specific ADL impairment are sparsely
investigated in PD. The ability of the Functional Activities
Questionnaire (FAQ) for differentiating between PD patients
with normal cognition and with mild cognitive impairment
(PD-MCI), according to informant and self-reports, was
examined. Global cognitive function in groups with and
without mild ADL impairment was compared according to
different cut-offs.Multicenter data of 589 patients of an
international cohort (CENTRE-PD) were analyzed. Analyses
were run separately for informant-rated and self-rated FAQ.
Receiver operating characteristic (ROC) analysis was
conducted to define the optimal FAQ cut-off for PD-MCI (≥
1), and groups were additionally split according to reported
FAQ cut-offs for PD-MCI in the literature (≥ 3, ≥ 5).
Binary logistic regressions examined the effect of the
Montreal Cognitive Assessment (MoCA) score in PD patients
with and without mild ADL impairment.Two hundred and
twenty-five $(38.2\%)$ patients were classified as PD-MCI.
For all three cut-off values, sensitivity was moderate to
low (< 0.55), but specificity was moderately high (> 0.54)
with a tendency of higher values for self-reported deficits.
For the self-report, the cut-off ≥ 3 showed a significant
effect of the MoCA (B = - 0.31, p = 0.003), where FAQ ≥ 3
patients had worse cognition. No effect for group
differences based on informant ratings was detected.Our data
argue that self-reported ADL impairments assessed by the FAQ
show a relation to the severity of cognitive impairment in
PD.},
keywords = {Activities of Daily Living / Cognitive Dysfunction:
diagnosis / Cognitive Dysfunction: etiology / Humans /
Mental Status and Dementia Tests / Neuropsychological Tests
/ Parkinson Disease: complications / Parkinson Disease:
diagnosis / Surveys and Questionnaires / Cognitive
dysfunction (Other) / Cohort studies (Other) / Mild
cognitive impairment (Other) / Neuropsychological tests
(Other)},
cin = {AG Latz ; AG Latz / AG Gasser / Core ICRU / AG Heutink},
ddc = {610},
cid = {I:(DE-2719)1013024 / I:(DE-2719)1210000 /
I:(DE-2719)1240005 / I:(DE-2719)1210002},
pnm = {353 - Clinical and Health Care Research (POF4-353) / 354 -
Disease Prevention and Healthy Aging (POF4-354) / 351 -
Brain Function (POF4-351)},
pid = {G:(DE-HGF)POF4-353 / G:(DE-HGF)POF4-354 /
G:(DE-HGF)POF4-351},
typ = {PUB:(DE-HGF)16},
pmc = {pmc:PMC8789696},
pubmed = {pmid:34109514},
doi = {10.1007/s10072-021-05365-1},
url = {https://pub.dzne.de/record/155542},
}