Emotional Reactions towards Perceived Loss of Function in Older Chinese People with Dementia

Ada W.T. Fung*, Daisy N.Y. Luk, Victor W.C. Lui, Peter W.C. Tam, Rachel C.M. Chau, Vickie W.K. Poon, Clifton H.L. So, Henry W.T. Lo, Flora S.L. Ko, Linda C.W. Lam

*Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

1 Citation (Scopus)


Objectives: To evaluate emotional response towards perceived loss of activities of daily living in Chinese elders with dementia.

Partients and Methods: Eighty one elderly people with a clinical diagnosis of dementia were recruited from residential homes and social centre for the elderly in Hong Kong. A purpose-designed questionnaire on subjective evaluation of ability and emotional reactions towards functional deterioration was derived. The association between the subjective evaluation of ability, emotional reactions, ado actual activities of daily living performance measured by the Chinese version of Disability Assessment for Dementia was evaluated.

Results: There were no significant correlations between subjective evaluation of ability and the emotional reactions towards functional impairment Subjects reported greater higher emotional distress over possible loss of basic activities of daily living than instrumental activities of daily living (t = 3.04, p = 0.003). Subjects with better basic activities of daily living abilities were likely to report greater distress if their instrumental activities of daily living were impaired (Spearman's rho = 0.30, p = 0.01).

Conclusions: Although elderly people with dementia may have compromised cognitive abilities, attention to functional training is an important means of improving their emotional well-being.



結果:主觀能力評估和情緒反應並無顯著關係。受訪者對可能喪失基本功能所造成的心理困擾,要較喪失技術性功能的嚴重( t = 3.04; p = 0.003 )。此外,擁有較佳基本功能的長者,對技術性功能受損能導致較嚴重的心理困擾 (Spearman’s rho = 0.3; p = 0.0 1 ) 。

Original languageEnglish
Pages (from-to)13-16
Number of pages4
JournalEast Asian Archives of Psychiatry
Issue number1
Publication statusPublished - Mar 2007

Scopus Subject Areas

  • Psychiatry and Mental health

User-Defined Keywords

  • Activities of daily living
  • Dementia
  • Emotions
  • Frail elderly
  • 日常活動能力
  • 癡呆
  • 情緒
  • 體弱多病的長者


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