Cognitive Insight in Alzheimer’s Disease

Değirmenci, Eylem; Değirmenci, Taner; Dügüncü, Yadigar; Yılmaz, Gamze

doi:10.1177/1533317513481089

Cited by 10 publications

(7 citation statements)

References 27 publications

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“…Among them, 13 evaluated only this domain 20,23,27,38,39,41,44,47,[50][51][52][53]55 . Ten studies evaluated awareness of cognitive and functional deficits domains 1,18,20,[33][34][35]40,45,46,54 , nine assessed cognitive and social-emotional functioning domains 12,13,17,24,28,30,36,37,49 , and three focused on cognitive and behavioral impairment domains 14,16,42 .…”

Section: Resultsmentioning

confidence: 99%

“…Different concepts were used to define the construct of awareness [12][13][14][15][16][17][18][19][20] , anosognosia [21][22][23][24][25][26][27][28][29][30][31][32] , self-awareness 33,34 , self -appraisal 35 , insight 36,37 , cognitive insight 38 , metacognition [39][40][41] , unawareness of deficits 42 , awareness of deficit 43,44 , awareness of disease 1,45 , awareness of functioning 46 , awareness of cognitive deficits 47 , awareness of disabilities 48 , awareness of performance 49 , unawareness of memory 42,[50][51][52] , anosognosia of memory 53 , awareness of memory deficits 54,55 , awareness of memory function and functional abilities 56 , unawareness of psychosis or behavioral problems …”

Section: Resultsmentioning

confidence: 99%

“…Self-appraisal was related to impaired awareness of one's own abilities 35 . Cognitive insight was defined as a PwD current capacity to evaluate his or her anomalous experiences and atypical interpretations of events 38 . Metacognition was the knowledge about cognition, including the ability to think about one's own basic cognitive abilities (such as episodic memory or executive functions) 41 .…”

Section: Resultsmentioning

confidence: 99%

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Concepts and objects of awareness in Alzheimer’s disease: an updated systematic review

Lacerda¹,

Sousa²,

Santos³

et al. 2016

J. bras. psiquiatr.

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Objectives: To compare and discuss the objects of awareness in Alzheimer's disease (AD): awareness of cognitive deficits, of functional activities, of social-emotional functioning and behavioral impairment. Methods: A search in the PsycINFo, Pilots, PubMed/Medline and ISI electronic databases according to Prisma methodology was performed. We included studies about awareness in people with AD published between 2010 and 2015, with the combination of keywords: "Alzheimer AND awareness of deficits", "Alzheimer AND anosognosia", "Alzheimer AND insight", "dementia AND awareness of deficits", "dementia AND anosognosia", "dementia AND insight". The articles were categorized according to the specific object of awareness. Results: Seven hundred and ten records were identified and, after application of the exclusion criteria, 191 studies were retrieved for potential use. After excluding the duplicates, 46 studies were included. Most studies assessed the cognitive domain of awareness, followed by the functional, social-emotional, and behavioral impairment domains. Memory deficits were not sufficient to explain impaired awareness in AD. Longitudinal studies did not find discrepancies between patients and caregivers' reports, indicating that awareness is not related to cognition. Conflicting findings were observed, including the relation between awareness, mood, severity of disease, and personal characteristics. Conclusions: The studies show lack of conceptual consensus and significant methodological differences. The inclusion of samples without differentiation of dementia etiology is associated to symptomatic differences, which affect awareness domains. Awareness in AD is a complex and multidimensional construct. Different objects elicit different levels of awareness. RESUMOObjetivos: Comparar e discutir os objetos de consciência na doença de Alzheimer (DA): consciência dos déficits cognitivos, das atividades funcionais, do funcionamento socioemocional e prejuízos comportamentais. Métodos: Realizou-se uma busca nas bases de dados PsycINFo, Pilots, PubMed/Medline e ISI de acordo com a metodologia do Prisma. Os artigos incluídos, publicados entre 2010 e 2015, avaliavam a consciência na DA com as combinações de palavras-chave: "Alzheimer AND consciência do déficit", "Alzheimer AND anosognosia", "Al- zheimer AND insight", "demência AND consciência do déficit", "demência AND anosognosia", "demência AND insight". Os artigos foram categorizados conforme os objetos específicos da consciência. Resultados: Setecentos e dez estudos foram identificados e, após a aplicação dos critérios de exclusão, 191 foram selecionados. Após a exclusão dos duplicados, 46 estudos foram incluídos. A maioria dos estudos avaliou o domínio cognitivo da consciência, seguido do funcional, do funcionamento socioemocional e prejuízos comportamentais. Dé-ficits na memória não se mostraram suficientes para explicar o prejuízo da consciência na DA. Os estudos longitudinais não encontraram discrepâncias entre os relatos de pacientes e cuidadores, indicando...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Concepts and objects of awareness in Alzheimer’s disease: an updated systematic review

Lacerda¹,

Sousa²,

Santos³

et al. 2016

J. bras. psiquiatr.

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“…Normally, it has been described that a score greater tan eleven would indicate "case" and lower than eight would be considered "probable case" [31,33]. Despite being a self-report scale which is very simple, with few questions, and for patients who are still aware of their emotions, it is considered appropriate for this study [34]. The scale has high internal consistency (alpha Cronbach of 0.7-0.9) and high stability(r>0.80) [30].…”

Section: Instrumentsmentioning

confidence: 99%

Music Therapy Decreases Sadness and Increases Happiness in Alzheimer Patients: A Pilot Study

Ortí¹,

Pardo²,

Benllochi³

et al. 2019

Neuropsychiatry

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Background Alzheimer's disease (AD) is an irreversible neuro-degenerative dementia that causes emotional disorders such as anxiety and depression associated with low well-being and changes of state of mind. The aim of the present study was to assess the impact of a music therapy protocol as a tool to improve basic emotions in AD. Methods It is an analytical, experimental and prospective study. 30 Alzheimer patients of a mild level with an average age of 76,28 ± 4,6 years, participated in the study. Participants were randomly assigned either to a Control Group (n=15) or an Intervention Group (n=15) that received music therapy twice a week during three months (24 sessions). Due to some limitations of the work, it is only a pilot study. Results The data showed that no significant differences exist between pre and post values in the control group (that did not receive music therapy) in any basic emotion measure (fear, happiness, anger and sadness). However, in the intervention group (that received music therapy for three months) a significant improvement can be observed in all the emotions comparing pre and post intervention (more happiness and less fear, anger and sadness). Moreover, the result comparing control and intervention group between them in post-session showed that the patients of the intervention groups had a significant improvement in happiness and sadness after the application of music therapy. Conclusions An intervention using music therapy increases the state of happiness and decreases sadness in mild Alzheimer sufferers.

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“…This leads to an initial disease suspicion still based on cognitive and/or functional complaints that are noticed by patients and/or relatives and considered abnormal enough to seek a consultation ( Weir et al, 2011 ). Most screening techniques are based on the assessment of the affected subject, raising the issue of lack of awareness of illness, often already present in the initial stages of it ( Leicht et al, 2010 ; Degirmenci et al, 2013 ), and strongly affecting the initiative or willingness to be evaluated. In addition, the practical difficulties of conducting a direct assessment of many potential patients have led to considering distance interviews, either by telephone ( Lewis et al, 2001 ) or the internet ( Dougherty et al, 2010 ; Bateman et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Does Your Loved One With Cognitive Symptoms Need to See a Doctor? Check It Online

Agüera-Ortíz

Martı́n-Carrasco

Arriola-Manchola

et al. 2022

Front. Comput. Neurosci.

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Widespread access to emerging information and communication technologies (ICT) allows its use for the screening of diseases in the general population. At the initiative of the Spanish Confederation of Associations of Families of People with Alzheimer’s disease and other dementias (CEAFA), a website (http://www.problemasmemoria.com) has been created that provides information about Alzheimer’s disease and includes questionnaires to be completed by family or friends concerned about memory problems of a relative. A cross-sectional, randomized, multicenter study was performed to evaluate feasibility, validity, and user satisfaction with an electronic method of completion vs. the current method of paper-based questionnaires for clinically dementia screening completed by the informants: the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) and the Alzheimer’s disease-8 screening test (AD8). A total of 111 pairs were recruited by seven memory clinics. Informants completed IQCODE and AD8 questionnaires both in their paper and electronic versions. The correlation between paper and electronic versions was significantly positive for IQCODE (r = 0.98; p < 0.001) and AD8 (r = 0.96; p < 0.001). The execution time did not differ significantly, and participants considered their use equally easy. This study shows that an electronic version of the IQCODE and AD8 questionnaires is suitable for its online use via the internet and achieves the same results as the traditional paper versions.

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Cognitive Insight in Alzheimer’s Disease

Abstract: This study is the first to investigate cognitive insight in patients with probable AD. The BCIS-R and BCIS-C scores were significantly lower in patients than in control group.

Cited by 10 publications

References 27 publications

Concepts and objects of awareness in Alzheimer’s disease: an updated systematic review

Concepts and objects of awareness in Alzheimer’s disease: an updated systematic review

Music Therapy Decreases Sadness and Increases Happiness in Alzheimer Patients: A Pilot Study

Does Your Loved One With Cognitive Symptoms Need to See a Doctor? Check It Online

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