Abstract
Abstract This study used path analysis to examine the impact of cognitive impairment, functional impairment, and behavior disorder on affective disorder among a probability sample of 181 older, Black nursing home residents from New York State. The sample was from one of the ten collaborative studies of dementia special care, commissioned and funded by the National Institute on Aging (NIA). The Institutional Comprehensive Assessment and Referral Evaluation (INCARE) screening measure was used. Results suggest that functional and cognitive impairments are highly related to affective disorder, however, there is a complex indirect relationship between disease state, impairment and affective disorder. Implications are discussed in terms of social work practice.
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