Metamemory monitoring in Alzheimer’s disease A systematic review

Brandt, Michelle; Carvalho, Raquel L S de; Belfort, Tatiana; Dourado, Marcia Cristina Nascimento

doi:10.1590/1980-57642018dn12-040002

Cited by 8 publications

(9 citation statements)

References 35 publications

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“…Normal older individuals seem to be reliable in their estimation of memory functioning, and there is some research suggesting good awareness in cognitively impaired subjects . In addition, the subjective memory report in HUNT was related to recent experience which promotes the reliability of the report according to a systematic review of meta‐memory . These findings and studies of individuals developing Alzheimer's disease lend support to an association between subjective cognitive complaints and objective memory abnormality Furthermore, the degree of self‐reported subjective impairment was associated with the degree of cognitive impairment in the present study as patients with mild dementia (MMSE ≥ 17) reported fewer concerns than those with more advanced dementia (MMSE ≤ 16).…”

Section: Discussionsupporting

confidence: 75%

Subjective working and declarative memory in dementia and normal aging

Almkvist

Bosnes

et al. 2019

Acta Neurol Scand

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Objective Subjective memory complaints are common in both elderly individuals and patients with dementia. This study investigated the power of subjective memory, divided into declarative and working memory, to differentiate between patients with dementia and normal elderly individuals. Method Two groups of participants, patients with dementia (n = 117) and normal elderly individuals (n = 117), individually matched with regard to age, gender, and education. All subjects had participated in the third wave of the HUNT population health survey in Nord‐Trøndelag County in Norway and completed the Meta‐Memory Questionnaire (MMQ) in the HUNT study. The MMQ was subdivided into two components, one associated with declarative memory (episodic and semantic) and the other with working memory. Results Patients with dementia reported significantly more subjective memory concerns than normal elderly individuals. The difference between working and declarative memory components was significantly greater in patients with dementia than in normal elderly individuals. This finding made it possible to differentiate patients with dementia from the normal elderly individuals. Mental and somatic health conditions did not significantly add power to differentiating the two groups. Conclusion In clinical and research applications, subjective memory components could contribute to differentiation of patients with dementia and normal elderly individuals by using self‐reported impairment in working memory, rather than declarative memory.

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Section: Discussionsupporting

confidence: 75%

Subjective working and declarative memory in dementia and normal aging

Almkvist

Bosnes

et al. 2019

Acta Neurol Scand

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“…Anosognosia, the lack of self-awareness, is a common symptom of ADD [14][15][16][17][18]. As the disease progresses, persons with dementia have increased diffi culty refl ecting on their own actions objectively.…”

Section: Awareness Of Behavioral Psychological Symptoms Of Dementiamentioning

confidence: 99%

Self-prevention and self-management of the behavioral and psychological symptoms of dementia: A case study

Maki¹

2021

Ann Alzheimers Dement Care

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Behavioral And Psychological Symptoms of Dementia (BPSD) are common in individuals with dementia and are associated with poor Quality of Life (QOL) and increased care burden for family members. Managing BPSD, particularly violent behaviors, is essential to improve the QOL for persons with dementia and their families. A 10-week intervention was conducted to empower individuals with Mild Cognitive Impairment (MCI) or early dementia to manage their BPSD independently. Two men participated in the intervention with their wives; both were violent toward their wives. Questionnaire surveys were completed before and at the end of the intervention by the participants and their wives. Case 1 with MCI acknowledged his cognitive decline, expressed self-awareness regarding his violence, and elected to stop his violent behavior to live happier with his family members. Both he and his wife reported improved QOL, and his wife reported reduced violence and care burden. Case 2 with Alzheimer's disease dementia was unmotivated to stop his violent behavior due to declined memory function and lacked awareness of his behavior. While he reported increased QOL throughout the intervention, his wife reported increased violence and care burdens. These fi ndings suggest that when addressing BPSD in persons with dementia, recollection and self-awareness of behaviors is critical for encouraging the objective identifi cation of violent behaviors and increasing motivation to modify behaviors. Therefore, in cases wherein individuals can refl ect on their behaviors, encouraging self-management can be eff ective in preventing BPSD. However, when they are incapable of refl ecting on their behaviors, other measures should be taken. In such cases, rather than management, encouragement and strengthening harmonious behaviors may be eff ective in improving their own and others' QOL.

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“…Consequently, it becomes difficult to predict others’ reactions and respond accordingly because of the deterioration of thinking abilities. Monitoring and managing one's own behaviors also becomes difficult, owing to the deterioration of self‐monitoring and self‐control abilities …”

Section: Introductionmentioning

confidence: 99%

Promoting dementia‐friendly communities to improve the well‐being of individuals with and without dementia

Maki

Takao

Hattori

et al. 2020

Geriatrics Gerontology Int

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A community is the totality of human relationships, in which individuals live with and for others. This article discusses promoting dementia‐friendly community from the perspective of human relationships within a community. Improving the social well‐being of aging people is important; it is especially important for people with dementia, as dementia is a life‐changing syndrome that affects all aspects of one's life, including human relationships. Dementia‐friendly community requires support from the community in improving the social adaptation of people with dementia, as they experience greater difficulties in social interaction as a result of cognitive decline, especially deterioration of social cognition. They need to be empowered to stay motivated for the opportunity to maintain an active and meaningful life, despite dementia. Flexible provisions of such tailored support can be effective to improve the support network in the community to meet the individual's needs. As social and human resources are limited, it is also necessary to discuss how to share socioeconomic burdens to meet both social sustainability demands and the welfare of aging adults. More discussions that include people with dementia and their family members are required to achieve the purpose of dementia‐friendly community. This is important to enhance the well‐being of individuals with and without dementia, as well as the society as a whole, through dementia support and dementia prevention activities. Geriatr Gerontol Int 2020; ••: ••–••.

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Metamemory monitoring in Alzheimer’s disease A systematic review

Cited by 8 publications

References 35 publications

Subjective working and declarative memory in dementia and normal aging

Subjective working and declarative memory in dementia and normal aging

Self-prevention and self-management of the behavioral and psychological symptoms of dementia: A case study

Promoting dementia‐friendly communities to improve the well‐being of individuals with and without dementia

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