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Executive functions as predictors of functional performance in mild Alzheimer's dementia and mild cognitive impairment elderly

Funções executivas como preditores do desempenho funcional em idosos com demência de Alzheimer em fase inicial e comprometimento cognitivo leve

Cognitive impairment and depressive symptoms are associated with worse functionality phenotype in Alzheimer's disease (AD) and Mild Cognitive Impairment (MCI) elderly. The present study aims to investigate the association between the impairment of executive functions and episodic memory, the presence of depressive symptoms with the functionality of these patients. One hundred and eighteen participants diagnosed with AD or MCI who underwent neuropsychological examination covering various domains of episodic memory and executive functions and the answered the Geriatric Depression Scale. Caregivers answered a scale of Activities of Daily Living. The cognitive variables were reduced through factor analysis to three components (Executive Functions, Memory Episodic and Working Memory) and, along with depressive symptoms, used as predictors in a linear regression model, where only Executive Functions were related to functionality (R²= 0.30). The results suggest that executive functions are particularly relevant for functionality in these patients.

executive functions; episodic memory; function activities; Alzheimer's dementia; cognition


Programa de Pós-graduação em Psicologia e do Programa de Pós-graduação em Psicobiologia, Universidade Federal do Rio Grande do Norte Caixa Postal 1622, 59078-970 Natal RN Brazil, Tel.: +55 84 3342-2236(5) - Natal - RN - Brazil
E-mail: revpsi@cchla.ufrn.br