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Longitudinal assessment of awareness in early-stage Alzheimer's disease using comparable questionnaire-based and performance-based measures
 — a prospective one-year follow-up study
Author(s)L Clare, B A Wilson
Journal titleAging & Mental Health, vol 10, no 2, March 2006
Pagespp 156-165
Sourcehttp://www.tandfonline.com
KeywordsDementia ; Early ; Recognition ; Attitude ; Adjustment ; Evaluation ; Longitudinal surveys.
AnnotationFew studies of awareness in dementia have taken a longitudinal perspective, yet exploring the ways in which awareness changes over time may offer important information about the processes involved and the relationship between awareness and other variables. This study explored in detail the patterns of change in awareness scores over time for a group of 12 participants with early-stage Alzheimer's disease (AD) using a multi-dimensional measure giving comparable discrepancy scores for each of the components of the assessment, with similar patterns for questionnaire-based and performance-based ratings. The small changes that were observed reflected both participant and informant factors. Most of the participants showed only very minor changes in mean discrepancy score and change in Mini Mental State Examination (MMSE) score over time, although there was a significant decline in MMSE scores at follow-up. The observation of different longitudinal trajectories for awareness scores, reflecting increased or decreased awareness or no change, may indicate the operation of different processes affecting the operation of explicit awareness that can be understood within a biopsychosocial formulation of this complex construct. (RH).
Accession NumberCPA-061107004 A
ClassmarkEA: 4J: 4AD: DP: DR: 4C: 3J

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