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Decreased awareness of cognitive deficits inpatients with mild dementia of the Alzheimer type
Author(s)Christian Derouesné, Stéphanie Thibault, Samira Lagha-Pierucci
Journal titleInternational Journal of Geriatric Psychiatry, vol 14, no 12, December 1999
Pagespp 1019-1030
KeywordsCognitive impairment ; Dementia ; Evaluation ; France.
AnnotationTo study unawareness of cognitive deficits in patients with mild dementia of Alzheimer's type (DAT), the authors surveyed medical records of outpatients meeting the NINCDS-ADRDA criteria for probable DAT who were able to complete the Cognitive Difficulties Scale (CDS), and had a close informant relative (IR) who could complete the family form of the same questionnaire. 88 patients aged 73.2 ±8.6 years participated in this French research, of whom 52 had a follow-up interview after a mean 21 month interval. Awareness of cognitive deficits varied greatly between patients, according to the assessment method used and the stage of progression of the disease. Most patients with mild DAT were cognitively aware of their cognitive deficits, but failed to appraise their severity and consequences for everyday life. Decreased awareness was positively correlated with age and perfusion deficits in the frontal regions and negatively with the anxious symptomatology. However, the main correlate of unawareness was apathy. (RH).
Accession NumberCPA-000203204 A
ClassmarkE4: EA: 4C: 765

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