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Centre for Policy on Ageing | |
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| The dimensions of insight in people with dementia | | Author(s) | P Howorth, J Saper |
| Journal title | Aging & Mental Health, vol 7, no 2, March 2003 |
| Pages | pp 113-122 |
| Source | http://www.tandfonline.com |
| Keywords | Dementia ; Emotions ; Behaviour ; Cognitive processes ; Evaluation. |
| Annotation | Factors determining the loss of insight in dementia are examined using a comparison of assessment procedures previously used to quantify loss of insight. In this study, semi-structured interviews were carried out with 32 people with dementia and their carers, which incorporated assessments via clinical interview, discrepancy ratings between patient and carer on an Activities of Daily Living (ADL) scale, and prediction of performance in a memory task. Results of these were compared and supplemented with themes arising from qualitative analysis of the interviews. Significant differences were found between insight as measured by a prediction of performance paradigm and other methods of assessment. This may reflect a distinction between implicit and explicit knowledge. Analysis of interviews identified the following factors as contributing to people's awareness of their difficulties: short-term frustration or distress; continuous discontent; lack of concern; normalisation of problems; worry and anxiety; defensiveness; explicit denial; and priority given to other problems. Insight in dementia is thus a complex, multi-dimensional and value-laden concept. (RH). |
| Accession Number | CPA-030806204 A |
| Classmark | EA: DL: DM: DA: 4C |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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