Self-awareness of cognitive dysfunction: Self-reported complaints and cognitive performance in patients with alcohol-induced mild or major neurocognitive disorder

Walvoort, S.J.W.; Heijden, P.T. van der; Wester, Arie J.; Kessels, Roy P. C.; Egger, J.I.M.

doi:10.1016/j.psychres.2016.08.007

Cited by 21 publications

(17 citation statements)

References 50 publications

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“…Our results confirm previous reports and support clinical experiences that awareness in people with KS is impaired . Furthermore, as determined by Walvoort et al who compared self‐reported complaints and cognitive performance between people with KS and people with mild alcohol‐related cognitive dysfunction (non‐KS), we found that awareness was mostly impaired for the cognitive domain. Compared with Wester et al on people with KS who were temporally admitted to a specialized psychiatric admission ward (PCRS discrepancy score pretreatment and posttreatment 29.6 and 29.9, respectively), we found that awareness was more impaired (discrepancy score = 39.3).…”

Section: Discussionsupporting

confidence: 92%

“…An explanation for the relationship between moderately impaired awareness and apathy that we found in our study sample could be a common neuropathological substrate, namely, frontal lobe pathology and lesions in fronto‐subcortical circuit because of alcohol neurotoxicity . Furthermore, both impaired awareness and apathy are related to executive dysfunctioning . Accumulating evidence suggests that people with KS perform poorly on executive functioning, including shifting, updating, planning, and inhibition tasks because of frontal dysfunction .…”

Section: Discussionmentioning

confidence: 52%

“…Only a few observational, case‐control studies have investigated awareness in people with KS . However, these studies were limited by small sample sizes and were conducted on people who had been temporarily admitted to a specialized psychiatric admission ward.…”

Section: Introductionmentioning

confidence: 99%

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Awareness and its relationships with neuropsychiatric symptoms in people with Korsakoff syndrome or other alcohol‐related cognitive disorders living in specialized nursing homes

Gerridzen

Joling

Depla

et al. 2019

Int J Geriat Psychiatry

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Objectives Impaired awareness of functional deficits is often observed in people with Korsakoff syndrome (KS) and may result in refusal of care, although this area has been understudied. This study aimed to investigate levels of impaired awareness and their relationships with neuropsychiatric symptoms (NPS) in people with KS residing in specialized nursing homes. Methods A cross‐sectional, observational study was conducted among 215 residents with KS or other alcohol‐related cognitive disorders. Awareness was measured with the Patient Competency Rating Scale (PCRS). NPS and subsyndromes were measured with the Neuropsychiatric Inventory–Questionnaire (NPI‐Q). Adjusted multilevel regression analyses were performed to examine the relationships between the level of awareness and NPS. Results The mean level of impaired awareness was 39.3 (SD = 19.9) indicating moderate impairment. Twenty‐nine percent of the residents had no or mildly impaired awareness; 37% were moderately impaired, and 34% were severely impaired. Residents with moderately impaired awareness showed more severe apathy than residents with no or mildly impaired awareness (difference 1.23; 95% CI 1.02‐1.48; p = 0.03). No associations were found between the level of awareness and other NPI outcomes. Cognitive functioning seems to have the strongest impact on the association between level of awareness and NPS in KS residents. Conclusions Impaired awareness of functional deficits is highly common in KS residents; however, apart from apathy, is not significantly related with NPS. Additional research should further examine, which interventions are effective in dealing with impaired awareness in these people, particularly when apathy is present.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 52%

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Awareness and its relationships with neuropsychiatric symptoms in people with Korsakoff syndrome or other alcohol‐related cognitive disorders living in specialized nursing homes

Gerridzen

Joling

Depla

et al. 2019

Int J Geriat Psychiatry

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“…For example, in the case of alcohol consumption, Marceau et al (11) indicate that the Montreal Cognitive Assessment (MoCA) instrument, a specific brief administration screening test, has high sensitivity regarding the detection of alcohol use-related cognitive impairment. Usually, alcoholics have difficulty recognizing their cognitive deficits: when the efficiency of higher-order cognitive processes is affected, cognitive dysfunction self-awareness is reduced (25); this might explain why only 77 of the 1299 participants included in the present study reported having cognitive impairment.…”

Section: Discussionmentioning

confidence: 91%

Drug Trend Study in Mexican Population: Consumption and Cognitive Dysfunction Correlates

et al. 2019

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Introduction: Drug abuse screening tests (DAST) are a useful tool in decision making regarding the planning and implementation of drug-related public health policies. In addition, they constitute a rapid way to obtain data on the effects of drug consumption in specific populations.Objective: To describe the correlation between drug abuse (per type of drug) and cognitive dysfunction prevalence based on the information reported in a DAST.Materials and methods: A DAST was administered to 1299 individuals from 5 cities in Baja California, Mexico. In addition, an internal consistency reliability test was conducted to determine the internal consistency level of the instrument.Results: Several correlations between the consumption of different drugs were found. The main associations were found between methamphetamine and marijuana consumption. In addition, a positive correlation between the age at first drug use and cognitive impairment was found.Conclusions: DAST are brief administration instruments that allow obtaining data on drug abuse and drug addiction patterns. In addition, they can be used to identify the interaction between the consumption patterns of different drugs and the possible association between age at first drug use and cognitive dysfunction.

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“…Alcohol dependence is associated with neurocognitive deficits related to pathological changes in structure, metabolism, and function of the brain [1,2]. Researchers suggest that 33-50% percent of people with alcohol use disorders exhibit detectable cognitive or motor impairments [3].…”

Section: Introductionmentioning

confidence: 99%

Differences in Executive Functions and Problem Solving Styles of Protracted Sober and Relapsed Alcohol-dependent Patients

Burhanoğlu¹

2014

Brain Disord Ther

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In this study, it is aimed to compare the executive functioning and problem solving styles of relapsed alcoholdependent and protracted sober patients and to evaluate the potential clinical factors that act on the duration of sobriety. Fifty-six male patients meeting the DSM-IV alcohol dependence criteria included in the study. All patients were in sobriety period, classified as 32 of them in acute sobriety (relapsed after a maximum period of 6 months sobriety and just completed 3 weeks of detoxification) and 24 of them as protracted sobriety group (sober for a minimum period of 12 months). To evaluate the executive functions and problem solving styles Stroop test, Hanoi Tower Test and Problem Solving Inventory were applied. No significant differences found between two groups regarding executive functions. The protracted sobers were found to use "reflective" and "planfulness" styles more than the relapsed group. There was not any correlation between executive function and cumulative drinking, length of sobriety, educational status, age, alcohol dependency in the family, duration of illness, the amount of daily drinking, and amount of hospitalization. It is concluded that problem solving styles may play a role in staying sober as the "reflective" and "planfulness" styles were being used significantly more in the protracted sober group. Executive functioning which had been shown to be distorted in alcohol-dependent patients did not differ in relapsed and protracted sobriety. Further studies are needed to receive these results to be a determinant in the duration of sobriety.

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Self-awareness of cognitive dysfunction: Self-reported complaints and cognitive performance in patients with alcohol-induced mild or major neurocognitive disorder

Cited by 21 publications

References 50 publications

Awareness and its relationships with neuropsychiatric symptoms in people with Korsakoff syndrome or other alcohol‐related cognitive disorders living in specialized nursing homes

Awareness and its relationships with neuropsychiatric symptoms in people with Korsakoff syndrome or other alcohol‐related cognitive disorders living in specialized nursing homes

Drug Trend Study in Mexican Population: Consumption and Cognitive Dysfunction Correlates

Differences in Executive Functions and Problem Solving Styles of Protracted Sober and Relapsed Alcohol-dependent Patients

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