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Prevalence and patterns of comorbid cognitive impairment in low vision rehabilitation for macular disease.

Publication ,  Journal Article
Whitson, HE; Ansah, D; Whitaker, D; Potter, G; Cousins, SW; MacDonald, H; Pieper, CF; Landerman, L; Steffens, DC; Cohen, HJ
Published in: Arch Gerontol Geriatr
2010

The prevalence of comorbid cognitive impairment among older adults referred to low vision rehabilitation (LVR) for macular disease is unknown. We performed cognitive testing on 101 adults aged 65 years or older with macular disease who were referred to The Duke LVR Clinic between September 2007 and March 2008. Scores on the telephone interview for cognitive status-modified (TICS-m) ranged from 7 to 44, with 18.8% of scores below an established cutoff for cognitive impairment (< or = 27) and an additional 27.7% of scores considered marginal (28-30). On letter fluency, 46% of participants scored at least 1 x standard deviation (SD) below the mean for their age, gender, race, and education level, and 18% of participants scored at least 2 x below their demographic mean. On logical memory, 26% of participants scored at least 1x below the mean for their age group and race and 6% scored at least 2 x below their demographic mean. High prevalence of cognitive impairment, with particular difficulty in verbal fluency and verbal memory, may compromise the success of LVR interventions among macular disease patients. Additional work is needed to develop strategies to maximize function in older adults with this common comorbidity.

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Published In

Arch Gerontol Geriatr

DOI

EISSN

1872-6976

Publication Date

2010

Volume

50

Issue

2

Start / End Page

209 / 212

Location

Netherlands

Related Subject Headings

  • Vision Disorders
  • Severity of Illness Index
  • Psychology
  • Prevalence
  • Neuropsychological Tests
  • Male
  • Macular Degeneration
  • Interdisciplinary Communication
  • Humans
  • Geriatrics
 

Citation

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Whitson, H. E., Ansah, D., Whitaker, D., Potter, G., Cousins, S. W., MacDonald, H., … Cohen, H. J. (2010). Prevalence and patterns of comorbid cognitive impairment in low vision rehabilitation for macular disease. Arch Gerontol Geriatr, 50(2), 209–212. https://doi.org/10.1016/j.archger.2009.03.010
Whitson, Heather E., Deidra Ansah, Diane Whitaker, Guy Potter, Scott W. Cousins, Heather MacDonald, Carl F. Pieper, Lawrence Landerman, David C. Steffens, and Harvey J. Cohen. “Prevalence and patterns of comorbid cognitive impairment in low vision rehabilitation for macular disease.Arch Gerontol Geriatr 50, no. 2 (2010): 209–12. https://doi.org/10.1016/j.archger.2009.03.010.
Whitson HE, Ansah D, Whitaker D, Potter G, Cousins SW, MacDonald H, et al. Prevalence and patterns of comorbid cognitive impairment in low vision rehabilitation for macular disease. Arch Gerontol Geriatr. 2010;50(2):209–12.
Whitson, Heather E., et al. “Prevalence and patterns of comorbid cognitive impairment in low vision rehabilitation for macular disease.Arch Gerontol Geriatr, vol. 50, no. 2, 2010, pp. 209–12. Pubmed, doi:10.1016/j.archger.2009.03.010.
Whitson HE, Ansah D, Whitaker D, Potter G, Cousins SW, MacDonald H, Pieper CF, Landerman L, Steffens DC, Cohen HJ. Prevalence and patterns of comorbid cognitive impairment in low vision rehabilitation for macular disease. Arch Gerontol Geriatr. 2010;50(2):209–212.
Journal cover image

Published In

Arch Gerontol Geriatr

DOI

EISSN

1872-6976

Publication Date

2010

Volume

50

Issue

2

Start / End Page

209 / 212

Location

Netherlands

Related Subject Headings

  • Vision Disorders
  • Severity of Illness Index
  • Psychology
  • Prevalence
  • Neuropsychological Tests
  • Male
  • Macular Degeneration
  • Interdisciplinary Communication
  • Humans
  • Geriatrics