Clock Copying Predicts Mortality in Adult Protective Services Clients

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Abstract

Objective: The objective of this study was to determine if a clock copying task predicts 18-month mortality in an Adult Protective Services (APS) sample referred for a decision-making capacity assessment. Methods: The authors performed a retrospective medical record review of clients (N = 233) referred by APS for a decision-making capacity assessment during a 3-year time period. Information extracted included demographic data and neuropsychological performance on a battery sensitive to executive function, visuospatial ability, depression, memory, and general cognition. A Cox proportional hazards models was constructed to determine the relationship between Executive Clock Drawing Task Part 2 (CLOX2) performance and survival. Results: Poor clock copying, as measured by CLOX2, predicted 18-month mortality when covaried for age, education, sex, rural dwelling status, depression, and general cognition. Conclusions: Clock copying is an easily administered visuospatial task that may inform survival in this vulnerable population.

Original languageEnglish (US)
JournalAmerican Journal of Geriatric Psychiatry
DOIs
StateAccepted/In press - Mar 19 2016

Keywords

  • Adult protective services
  • And elder abuse
  • Clock drawing
  • Cognition
  • Survival

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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