{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T21:14:46Z","timestamp":1791407686178,"version":"4.3.3"},"reference-count":55,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T00:00:00Z","timestamp":1658448000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Aging Neurosci."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Previous research shows that depression and personality are independently associated with self- and informant-reports of the ability to perform instrumental activities of daily living (IADLs). However, less is known about the association between depression and personality and performance-based measures of IADLs. We aimed to determine how depression and personality predict self-and informant-reports of IADL compared to performance-based measures of IADLs in a sample of older adults with normal cognition (NC) and Mild Cognitive Impairment (MCI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants consisted of 385 older adults with NC (\n                      <jats:italic>n<\/jats:italic>\n                      = 235), or a diagnosis of MCI (\n                      <jats:italic>n<\/jats:italic>\n                      = 150), aged between 76 and 99-years from the Sydney Memory and Ageing Study. Participants underwent comprehensive neuropsychological and clinical assessments to determine global cognition and clinical diagnoses. Personality traits were measured by the NEO Five-Factor Inventory (NEO-FFI) and depression by the Geriatric Depression Scale (GDS). Subjective IADLs were self- and informant-reported Bayer Activities of Daily Living (B-ADL) scales and objective IADL was the Sydney Test of Activities of Daily Living in Memory Disorders (STAM). Linear regressions examined the relationship between depression and personality and the three types of IADL measures, controlling for all covariates and global cognition.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participant-reported IADL, although associated with global cognition, was more strongly associated with GDS and NEO-FFI scores (conscientiousness and neuroticism). Informant-reported IADL was strongly associated with both global cognition and participants\u2019 GDS scores. STAM scores were not associated with participants\u2019 GDS or NEO-FFI scores; instead, they were predicted by demographics and global cognition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results suggest that performance-based measures of IADL may provide more objective and reliable insight into an individual\u2019s underlying functional ability and are less impacted by the participants\u2019 mood and personality compared to subjectively reported IADL. We argue that performance-based IADL measures are preferable when trying to accurately assess everyday functional ability and its relationship to cognitive status. Where performance-based measures are not available (e.g., in some clinical settings), informant ratings should be sought as they are less influenced by the participant\u2019s personality and mood compared to self-reports.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnagi.2022.829544","type":"journal-article","created":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T06:45:25Z","timestamp":1658472325000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":27,"title":["Instrumental Activities of Daily Living by Subjective and Objective Measures: The Impact of Depression and Personality"],"prefix":"10.3389","volume":"14","author":[{"given":"Katya","family":"Numbers","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujin","family":"Jang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Brodaty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perminder S.","family":"Sachdev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Draper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Reppermund","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,7,22]]},"reference":[{"key":"B1","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1097\/00019442-199908000-00005","article-title":"Functional significance of mild cognitive impairment in elderly patients without a dementia diagnosis.","volume":"7","author":"Albert","year":"1999","journal-title":"Am. J. Geriat. Psychiatry"},{"key":"B2","year":"1980","journal-title":"Diagnostic and statistical manual of mental disorders."},{"key":"B3","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1177\/089198870101400209","article-title":"Caregivers\u2019 judgments of the functional abilities of the Alzheimer\u2019s disease patient: impact of caregivers\u2019 depression and perceived burden.","volume":"14","author":"Arg\u00fcelles","year":"2001","journal-title":"J. Geriat. Psychiat. Neurol."},{"key":"B4","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1037\/h0088464","article-title":"Geriatric depression and hypochondriasis: incidence, interaction, assessment and treatment.","volume":"19","author":"Brink","year":"1982","journal-title":"Psychotherapy"},{"key":"B5","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1093\/geronb\/62.6.P343","article-title":"Personality traits, education, and health-related quality of life among older adult primary care patients.","volume":"62","author":"Chapman","year":"2007","journal-title":"J. Gerontol. Series B"},{"key":"B6","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1353\/cja.2007.0001","article-title":"Relationship between self-report and performance measures of function: a systematic review.","volume":"25","author":"Coman","year":"2006","journal-title":"Can. J. Aging"},{"key":"B7","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1016\/s0165-0327(01)00453-0","article-title":"Memory complaints, the association with psycho-affective and health problems and the role of personality characteristics: a 6-year follow-up study.","volume":"72","author":"Comijs","year":"2002","journal-title":"J. Affect. Disord."},{"key":"B8","article-title":"The NEO-PI-R professional manual: revised NEO Five-Factor Inventory.(NEO-FFI).","volume":"1992","author":"Costa","year":"1992","journal-title":"Psychol. Assess. Resour."},{"key":"B9","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1161\/CIRCULATIONAHA.107.699579","article-title":"General cardiovascular risk profile for use in primary care: the Framingham Heart Study.","volume":"117","author":"D\u2019Agostino","year":"2008","journal-title":"Circulation"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.3389\/fnagi.2015.00139","article-title":"Specific cognitive functions and depressive symptoms as predictors of activities of daily living in older adults with heterogeneous cognitive backgrounds.","volume":"2015","author":"de Paula","year":"2015","journal-title":"Front. Aging Neurosci."},{"key":"B11","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1080\/13607861003781817","article-title":"High incidence of clinically relevant depressive symptoms in vulnerable persons of 75 years or older living in the community.","volume":"14","author":"Dozeman","year":"2010","journal-title":"Aging Ment. Health"},{"key":"B12","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1093\/geronb\/62.6.P353","article-title":"The power of personality in discriminating between healthy aging and early-stage Alzheimer\u2019s disease.","volume":"62","author":"Duchek","year":"2007","journal-title":"J. Gerontol. B Psychol. Sci. Soc. Sci."},{"key":"B13","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1080\/13803395.2011.614598","article-title":"An examination of instrumental activities of daily living assessment in older adults and mild cognitive impairment.","volume":"34","author":"Gold","year":"2012","journal-title":"J. Clin. Exp. Neuropsychol."},{"key":"B14","doi-asserted-by":"crossref","DOI":"10.1176\/appi.ajp.2010.09050692","article-title":"Performance-based measures of everyday function in mild cognitive impairment.","volume":"167","author":"Goldberg","year":"2010","journal-title":"Am. J. Psychiatry."},{"key":"B15","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1212\/WNL.60.3.449","article-title":"Impaired financial abilities in mild cognitive impairment: a direct assessment approach","volume":"60","author":"Griffith","year":"2003","journal-title":"Neurology"},{"key":"B16","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1159\/000051195","article-title":"The Bayer activities of daily living scale (B-ADL).","volume":"9","author":"Hindmarch","year":"1998","journal-title":"Dement. Geriat. Cogn. Dis."},{"key":"B17","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1111\/ijn.12055","article-title":"Fatigue, anxiety and depression levels, activities of daily living of patients with chronic obstructive pulmonary disease.","volume":"19","author":"Karakurt","year":"2013","journal-title":"Int. J. Nurs. Pract."},{"key":"B18","doi-asserted-by":"crossref","DOI":"10.1037\/0278-6133.16.6.539","article-title":"Personality, chronic medical morbidity, and health-related quality of life among older persons.","volume":"16","author":"Kempen","year":"1997","journal-title":"Health Psychol."},{"key":"B19","doi-asserted-by":"publisher","first-page":"711","DOI":"10.1097\/jgp.0b013e3181d6b6a9","article-title":"Effect of different impairment criteria on prevalence of \u201cobjective\u201d mild cognitive impairment in a community sample.","volume":"18","author":"Kochan","year":"2010","journal-title":"Am. J. Geriat. Psychiat."},{"key":"B20","doi-asserted-by":"publisher","first-page":"S538","DOI":"10.1111\/jgs.15801","article-title":"Depressive Symptoms and Onset of Functional Disability Over 2 Years: a Prospective Cohort Study.","volume":"67","author":"Kong","year":"2019","journal-title":"J. Am. Geriatr. Soc."},{"key":"B21","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1093\/ageing\/afl028","article-title":"Personality and incident disability in older persons.","volume":"35","author":"Krueger","year":"2006","journal-title":"Age Ageing"},{"key":"B22","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1097\/00019442-200105000-00004","article-title":"The association of late-life depression and anxiety with physical disability: a review of the literature and prospectus for future research.","volume":"9","author":"Lenze","year":"2001","journal-title":"Am. J. Geriat. Psychiatry"},{"key":"B23","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1002\/gps.4071","article-title":"Predictors of perceived functional ability in early-stage dementia: self-ratings, informant ratings and discrepancy scores.","volume":"29","author":"Martyr","year":"2014","journal-title":"Internat. J. Geriat. Psychiatry"},{"key":"B24","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1016\/j.dhjo.2012.02.001","article-title":"Physical ill health, disability, dependence and depression: Results from the 2007 national survey of psychiatric morbidity among adults in England.","volume":"5","author":"Meltzer","year":"2012","journal-title":"Disabil. Health J."},{"key":"B25","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1080\/13854040701336436","article-title":"Executive functioning and observed versus self-reported measures of functional ability.","volume":"22","author":"Mitchell","year":"2008","journal-title":"Clin. Neuropsychol."},{"key":"B26","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1093\/arclin\/acw049","article-title":"Assessment of activities of daily living, self-care, and independence.","volume":"31","author":"Mlinac","year":"2016","journal-title":"Archiv. Clin. Neuropsychol."},{"key":"B27","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.jpsychires.2005.10.008","article-title":"A review of performance-based measures of functional living skills.","volume":"41","author":"Moore","year":"2007","journal-title":"J. Psychiatric Res."},{"key":"B28","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1017\/S1355617709991330","article-title":"Profiles of functional deficits in mild cognitive impairment and dementia: benefits from objective measurement.","volume":"16","author":"Pereira","year":"2010","journal-title":"J. Internat. Neuropsychol. Soc."},{"key":"B29","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1017\/S1041610213000562","article-title":"Caregiver rating bias in mild cognitive impairment and mild Alzheimer\u2019s disease: impact of caregiver burden and depression on dyadic rating discrepancy across domains","volume":"25","author":"Pfeifer","year":"2013","journal-title":"Internat. Psychogeriat."},{"key":"B30","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1002\/gps.4407","article-title":"The diagnostic accuracy of brief versions of the Geriatric Depression Scale: a systematic review and meta-analysis.","volume":"31","author":"Pocklington","year":"2016","journal-title":"Int. J. Geriatr. Psychiatry"},{"key":"B31","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1002\/gps.4243","article-title":"Personality\u2019s association with IADLs in community dwelling older adults.","volume":"30","author":"Puente","year":"2015","journal-title":"Internat. J. Geriat. Psychiatry"},{"key":"B32","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1177\/0891988714532016","article-title":"Functional impairment in mild cognitive impairment evidenced using performance-based measurement.","volume":"27","author":"Puente","year":"2014","journal-title":"J. Geriat. Psychiat. Neurol."},{"key":"B33","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1016\/j.jamda.2016.08.007","article-title":"Performance-based assessment of instrumental activities of daily living: validation of the Sydney Test of Activities of Daily Living in Memory Disorders (STAM).","volume":"18","author":"Reppermund","year":"2017","journal-title":"J. Am. Med. Direct. Assoc."},{"key":"B34","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1016\/j.jagp.2016.06.014","article-title":"Executive function and personality predict instrumental activities of daily living in Alzheimer disease.","volume":"24","author":"Roy","year":"2016","journal-title":"Am. J. Geriat. Psychiatry"},{"key":"B35","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1017\/S1041610215001945","article-title":"Subjective memory complaints, depressive symptoms and instrumental activities of daily living in mild cognitive impairment.","volume":"28","author":"Ryu","year":"2016","journal-title":"Internat. Psychogeriatr."},{"key":"B36","doi-asserted-by":"publisher","first-page":"1248","DOI":"10.1017\/S1041610210001067","article-title":"The Sydney Memory and Ageing Study (MAS): methodology and baseline medical and neuropsychiatric characteristics of an elderly epidemiological non-demented cohort of Australians aged 70\u201390 years.","volume":"22","author":"Sachdev","year":"2010","journal-title":"Int. Psychogeriatr."},{"key":"B37","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1177\/0891988708320971","article-title":"Depression, disability and intermediate pathways: a review of longitudinal studies in elders.","volume":"21","author":"Schillerstrom","year":"2008","journal-title":"J. Geriatric Psychiatry Neurol."},{"key":"B38","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1017\/S1355617711000865","article-title":"Cognitive correlates of functional performance in older adults: comparison of self-report, direct observation, and performance-based measures.","volume":"17","author":"Schmitter-Edgecombe","year":"2011","journal-title":"J. Internat. Neuropsychol Soc."},{"key":"B39","doi-asserted-by":"publisher","first-page":"165","DOI":"10.3109\/09638288.2010.503835","article-title":"Geriatric Depression Scale (GDS): recent evidence and development of a shorter version.","volume":"5","author":"Sheikh","year":"1986","journal-title":"Clin. Gerontolog."},{"key":"B40","doi-asserted-by":"publisher","first-page":"393","DOI":"10.2217\/nmt.14.24","article-title":"A qualitative review of instrumental activities of daily living in dementia: what\u2019s cooking?","volume":"4","author":"Sikkes","year":"2014","journal-title":"Neurodegen. Dis. Manag."},{"key":"B41","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1016\/j.neuropsychologia.2019.04.023","article-title":"Poor awareness of IADL deficits is associated with reduced regional brain volume in older adults with cognitive impairment.","volume":"129","author":"Steward","year":"2019","journal-title":"Neuropsychologia"},{"key":"B42","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-018942","article-title":"Factors associated with basic and instrumental activities of daily living in elderly participants of a population-based survey: the Nord-Trondelag Health Study, Norway.","volume":"2018","author":"Storeng","year":"2018","journal-title":"BMJ Open"},{"key":"B43","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1093\/geronb\/gbq037","article-title":"Instrumental Activities of Daily Living Among Community-Dwelling Older Adults: personality Associations With Self-Report, Performance, and Awareness of Functional Difficulties.","author":"Suchy","year":"2010","journal-title":"J. Gerontol."},{"key":"B44","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.jrp.2016.05.001","article-title":"The five-factor model of personality and physical inactivity: a meta-analysis of 16 samples","volume":"63","author":"Sutin","year":"2016","journal-title":"J. Res. Person."},{"key":"B45","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1212\/WNL.58.5.758","article-title":"Functional deficits in patients with mild cognitive impairment: prediction of AD.","volume":"58","author":"Tabert","year":"2002","journal-title":"Neurology"},{"key":"B46","doi-asserted-by":"crossref","DOI":"10.1016\/j.ypmed.2006.11.007","article-title":"Incidence and risk factors of disability in the elderly: the Rotterdam Study.","volume":"44","author":"Tas\u0328","year":"2007","journal-title":"Prev. Med."},{"key":"B47","doi-asserted-by":"crossref","DOI":"10.1097\/WAD.0b013e3181e2fc84","article-title":"Utility of the Functional Activities Questionnaire for distinguishing mild cognitive impairment from very mild Alzheimer\u2019s disease.","volume":"24","author":"Teng","year":"2010","journal-title":"Alzheimer Dis. Assoc. Dis."},{"key":"B48","doi-asserted-by":"publisher","first-page":"928","DOI":"10.1212\/WNL.0b013e3181b87971","article-title":"Declining financial capacity in mild cognitive impairment: a 1-year longitudinal study.","volume":"73","author":"Triebel","year":"2009","journal-title":"Neurology"},{"key":"B49","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1177\/0891988715588829","article-title":"Patient mood and instrumental activities of daily living in Alzheimer disease: relationship between patient and caregiver reports.","volume":"28","author":"Votruba","year":"2015","journal-title":"J. Geriat. Psychiat. Neurol."},{"key":"B50","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20411","article-title":"Neuroticism is a fundamental domain of personality with enormous public health implications.","volume":"16","author":"Widiger","year":"2017","journal-title":"World Psychiatry"},{"key":"B51","volume":"1999","author":"Williams","year":"1999","journal-title":"10 Depression and the specificity of autobiographical memory. Remembering our past: Studies in autobiographical memory."},{"key":"B52","article-title":"On the validity of self-report assessment of cognitive abilities: Attentional control scale associations with cognitive performance, emotional adjustment, and personality.","volume":"29","author":"Williams","year":"2017","journal-title":"Psycholog. Assess."},{"key":"B53","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1001\/archpsyc.64.10.1204","article-title":"Conscientiousness and the Incidence of Alzheimer Disease and Mild Cognitive Impairment.","volume":"64","author":"Wilson","year":"2007","journal-title":"Archiv. Gen. Psychiat."},{"key":"B54","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1111\/j.1365-2796.2004.01380.x","article-title":"Mild cognitive impairment\u2013beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive Impairment.","volume":"256","author":"Winblad","year":"2004","journal-title":"J. Intern. Med."},{"key":"B55","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1111\/j.1532-5415.1999.tb04578.x","article-title":"Contrasting results between caregiver\u2019s report and direct assessment of activities of daily living in patients affected by mild and very mild dementia: the contribution of the caregiver\u2019s personal characteristics.","volume":"47","author":"Zanetti","year":"1999","journal-title":"J. Am. Geriat. Soc."}],"container-title":["Frontiers in Aging Neuroscience"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnagi.2022.829544\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T06:45:47Z","timestamp":1658472347000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnagi.2022.829544\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,22]]},"references-count":55,"alternative-id":["10.3389\/fnagi.2022.829544"],"URL":"https:\/\/doi.org\/10.3389\/fnagi.2022.829544","relation":{},"ISSN":["1663-4365"],"issn-type":[{"value":"1663-4365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,22]]},"article-number":"829544"}}