Unawareness of memory impairment and behavioral abnormalities in patients with Alzheimer's disease: relation to professional health care burden.
Identifieur interne : 001672 ( Main/Exploration ); précédent : 001671; suivant : 001673Unawareness of memory impairment and behavioral abnormalities in patients with Alzheimer's disease: relation to professional health care burden.
Auteurs : M J Al-Aloucy [France] ; R. Cotteret ; P. Thomas ; M. Volteau ; I. Benmaou ; G. Dalla BarbaSource :
- The journal of nutrition, health & aging [ 1760-4788 ] ; 2011.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne (MeSH), Autorapport (MeSH), Concept du soi (MeSH), Conscience immédiate (MeSH), Famille (MeSH), Femelle (MeSH), Humains (MeSH), Hôpitaux (MeSH), Maladie d'Alzheimer (complications), Maladie d'Alzheimer (psychologie), Mâle (MeSH), Prestations des soins de santé (MeSH), Sujet âgé (MeSH), Tests neuropsychologiques (MeSH), Troubles de la cognition (psychologie), Troubles de la mémoire (psychologie), Troubles de la mémoire (étiologie), Troubles mentaux (psychologie), Troubles mentaux (étiologie), Études transversales (MeSH), Évaluation gériatrique (MeSH).
- MESH :
- psychologie : Maladie d'Alzheimer, Troubles de la cognition, Troubles de la mémoire, Troubles mentaux.
- étiologie : Troubles de la mémoire, Troubles mentaux.
- complications : Activités de la vie quotidienne, Autorapport, Concept du soi, Conscience immédiate, Famille, Femelle, Humains, Hôpitaux, Maladie d'Alzheimer, Mâle, Prestations des soins de santé, Sujet âgé, Tests neuropsychologiques, Études transversales, Évaluation gériatrique.
English descriptors
- KwdEn :
- Activities of Daily Living (MeSH), Aged (MeSH), Alzheimer Disease (complications), Alzheimer Disease (psychology), Awareness (MeSH), Cognition Disorders (psychology), Cross-Sectional Studies (MeSH), Delivery of Health Care (MeSH), Family (MeSH), Female (MeSH), Geriatric Assessment (MeSH), Hospitals (MeSH), Humans (MeSH), Male (MeSH), Memory Disorders (etiology), Memory Disorders (psychology), Mental Disorders (etiology), Mental Disorders (psychology), Neuropsychological Tests (MeSH), Self Concept (MeSH), Self Report (MeSH).
- MESH :
- complications : Alzheimer Disease.
- etiology : Memory Disorders, Mental Disorders.
- psychology : Alzheimer Disease, Cognition Disorders, Memory Disorders, Mental Disorders.
- Activities of Daily Living, Aged, Awareness, Cross-Sectional Studies, Delivery of Health Care, Family, Female, Geriatric Assessment, Hospitals, Humans, Male, Neuropsychological Tests, Self Concept, Self Report.
Abstract
OBJECTIVES
The present study investigates the impact of unawareness of deficit (anosognosia) in patients with Alzheimer's disease upon professional health care burden.
DESIGN
Cross-sectional study with a consecutive clinical sample from an Alzheimer day-care hospital in France.
SUBJECTS
65 patients with probable AD, aged from 75 to 94 years old, consecutively admitted at the Alzheimer Day Hospital to complete a program of cognitive stimulation and psychosocial rehabilitation.
MEASUREMENTS
Each patient was submitted to a standardized evaluation including clinical investigation, cerebral imagery, and neuropsychological assessment. Anosognosia of memory deficit and anosognosia of behavioral disturbances were measured as the "discrepancy scores" between patients' self-reports and family member ratings of patient memory performance and behavioral disturbances. Professional health care burden was assessed with the Professional Health Care Dementia Burden Index (PCDBI; maximal score: 12), designed for this study. Multiple linear regressions were used to examine the correlations between the PCDBI and the severity of anosognosia.
RESULTS
The findings showed a significant positive correlation between the PCDBI and both anosognosia of memory impairment and behavioral abnormalities (both p at least less than 0.05). However, there was no significant correlation between the severity of the burden and the severity of cognitive decline or functional impairment (both p at least>0.05).
CONCLUSION
Anosognosia in Alzheimer disease patients has a negative impact upon the professional caregivers' burden over and above the cognitive deficit and the functional impairments.
DOI: 10.1007/s12603-011-0045-1
PubMed: 21528161
Affiliations:
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Cotteret</name></author><author><name sortKey="Thomas, P" sort="Thomas, P" uniqKey="Thomas P" first="P" last="Thomas">P. Thomas</name></author><author><name sortKey="Volteau, M" sort="Volteau, M" uniqKey="Volteau M" first="M" last="Volteau">M. Volteau</name></author><author><name sortKey="Benmaou, I" sort="Benmaou, I" uniqKey="Benmaou I" first="I" last="Benmaou">I. Benmaou</name></author><author><name sortKey="Dalla Barba, G" sort="Dalla Barba, G" uniqKey="Dalla Barba G" first="G" last="Dalla Barba">G. Dalla Barba</name></author></analytic><series><title level="j">The journal of nutrition, health & aging</title><idno type="eISSN">1760-4788</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living (MeSH)</term><term>Aged (MeSH)</term><term>Alzheimer Disease (complications)</term><term>Alzheimer Disease (psychology)</term><term>Awareness (MeSH)</term><term>Cognition Disorders (psychology)</term><term>Cross-Sectional Studies (MeSH)</term><term>Delivery of Health Care (MeSH)</term><term>Family (MeSH)</term><term>Female (MeSH)</term><term>Geriatric Assessment (MeSH)</term><term>Hospitals (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Memory Disorders (etiology)</term><term>Memory Disorders (psychology)</term><term>Mental Disorders (etiology)</term><term>Mental Disorders (psychology)</term><term>Neuropsychological Tests (MeSH)</term><term>Self Concept (MeSH)</term><term>Self Report (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne (MeSH)</term><term>Autorapport (MeSH)</term><term>Concept du soi (MeSH)</term><term>Conscience immédiate (MeSH)</term><term>Famille (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Hôpitaux (MeSH)</term><term>Maladie d'Alzheimer (complications)</term><term>Maladie d'Alzheimer (psychologie)</term><term>Mâle (MeSH)</term><term>Prestations des soins de santé (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Tests neuropsychologiques (MeSH)</term><term>Troubles de la cognition (psychologie)</term><term>Troubles de la mémoire (psychologie)</term><term>Troubles de la mémoire (étiologie)</term><term>Troubles mentaux (psychologie)</term><term>Troubles mentaux (étiologie)</term><term>Études transversales (MeSH)</term><term>Évaluation gériatrique (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Alzheimer Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Memory Disorders</term><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Maladie d'Alzheimer</term><term>Troubles de la cognition</term><term>Troubles de la mémoire</term><term>Troubles mentaux</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Alzheimer Disease</term><term>Cognition Disorders</term><term>Memory Disorders</term><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Troubles de la mémoire</term><term>Troubles mentaux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Aged</term><term>Awareness</term><term>Cross-Sectional Studies</term><term>Delivery of Health Care</term><term>Family</term><term>Female</term><term>Geriatric Assessment</term><term>Hospitals</term><term>Humans</term><term>Male</term><term>Neuropsychological Tests</term><term>Self Concept</term><term>Self Report</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Autorapport</term><term>Concept du soi</term><term>Conscience immédiate</term><term>Famille</term><term>Femelle</term><term>Humains</term><term>Hôpitaux</term><term>Maladie d'Alzheimer</term><term>Mâle</term><term>Prestations des soins de santé</term><term>Sujet âgé</term><term>Tests neuropsychologiques</term><term>Études transversales</term><term>Évaluation gériatrique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>The present study investigates the impact of unawareness of deficit (anosognosia) in patients with Alzheimer's disease upon professional health care burden.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Cross-sectional study with a consecutive clinical sample from an Alzheimer day-care hospital in France.</p></div><div type="abstract" xml:lang="en"><p><b>SUBJECTS</b></p><p>65 patients with probable AD, aged from 75 to 94 years old, consecutively admitted at the Alzheimer Day Hospital to complete a program of cognitive stimulation and psychosocial rehabilitation.</p></div><div type="abstract" xml:lang="en"><p><b>MEASUREMENTS</b></p><p>Each patient was submitted to a standardized evaluation including clinical investigation, cerebral imagery, and neuropsychological assessment. Anosognosia of memory deficit and anosognosia of behavioral disturbances were measured as the "discrepancy scores" between patients' self-reports and family member ratings of patient memory performance and behavioral disturbances. Professional health care burden was assessed with the Professional Health Care Dementia Burden Index (PCDBI; maximal score: 12), designed for this study. Multiple linear regressions were used to examine the correlations between the PCDBI and the severity of anosognosia.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The findings showed a significant positive correlation between the PCDBI and both anosognosia of memory impairment and behavioral abnormalities (both p at least less than 0.05). However, there was no significant correlation between the severity of the burden and the severity of cognitive decline or functional impairment (both p at least>0.05).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Anosognosia in Alzheimer disease patients has a negative impact upon the professional caregivers' burden over and above the cognitive deficit and the functional impairments.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21528161</PMID><DateCompleted><Year>2011</Year><Month>11</Month><Day>09</Day></DateCompleted><DateRevised><Year>2019</Year><Month>11</Month><Day>12</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1760-4788</ISSN><JournalIssue CitedMedium="Internet"><Volume>15</Volume><Issue>5</Issue><PubDate><Year>2011</Year><Month>May</Month></PubDate></JournalIssue><Title>The journal of nutrition, health & aging</Title><ISOAbbreviation>J Nutr Health Aging</ISOAbbreviation></Journal><ArticleTitle>Unawareness of memory impairment and behavioral abnormalities in patients with Alzheimer's disease: relation to professional health care burden.</ArticleTitle><Pagination><MedlinePgn>356-60</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The present study investigates the impact of unawareness of deficit (anosognosia) in patients with Alzheimer's disease upon professional health care burden.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Cross-sectional study with a consecutive clinical sample from an Alzheimer day-care hospital in France.</AbstractText><AbstractText Label="SUBJECTS" NlmCategory="METHODS">65 patients with probable AD, aged from 75 to 94 years old, consecutively admitted at the Alzheimer Day Hospital to complete a program of cognitive stimulation and psychosocial rehabilitation.</AbstractText><AbstractText Label="MEASUREMENTS" NlmCategory="METHODS">Each patient was submitted to a standardized evaluation including clinical investigation, cerebral imagery, and neuropsychological assessment. Anosognosia of memory deficit and anosognosia of behavioral disturbances were measured as the "discrepancy scores" between patients' self-reports and family member ratings of patient memory performance and behavioral disturbances. Professional health care burden was assessed with the Professional Health Care Dementia Burden Index (PCDBI; maximal score: 12), designed for this study. Multiple linear regressions were used to examine the correlations between the PCDBI and the severity of anosognosia.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The findings showed a significant positive correlation between the PCDBI and both anosognosia of memory impairment and behavioral abnormalities (both p at least less than 0.05). However, there was no significant correlation between the severity of the burden and the severity of cognitive decline or functional impairment (both p at least>0.05).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Anosognosia in Alzheimer disease patients has a negative impact upon the professional caregivers' burden over and above the cognitive deficit and the functional impairments.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Al-Aloucy</LastName><ForeName>M J</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Alzheimer Day Centre, Paul Doumer, GHU Nord, Assistance Publique-Hôpitaux de Paris, Liancourt, France. alaloucy@chups.jussieu.fr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cotteret</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Thomas</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Volteau</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Benmaou</LastName><ForeName>I</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Dalla Barba</LastName><ForeName>G</ForeName><Initials>G</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>J Nutr Health Aging</MedlineTA><NlmUniqueID>100893366</NlmUniqueID><ISSNLinking>1279-7707</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000203" MajorTopicYN="N">Activities of Daily Living</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000544" MajorTopicYN="N">Alzheimer Disease</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001364" MajorTopicYN="Y">Awareness</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003072" MajorTopicYN="N">Cognition Disorders</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003695" MajorTopicYN="Y">Delivery of Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005190" MajorTopicYN="N">Family</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015577" MajorTopicYN="N">Geriatric Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006761" MajorTopicYN="N">Hospitals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008569" MajorTopicYN="N">Memory Disorders</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001523" MajorTopicYN="N">Mental Disorders</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009483" MajorTopicYN="N">Neuropsychological Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012649" MajorTopicYN="Y">Self 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Benmaou</name><name sortKey="Cotteret, R" sort="Cotteret, R" uniqKey="Cotteret R" first="R" last="Cotteret">R. Cotteret</name><name sortKey="Dalla Barba, G" sort="Dalla Barba, G" uniqKey="Dalla Barba G" first="G" last="Dalla Barba">G. Dalla Barba</name><name sortKey="Thomas, P" sort="Thomas, P" uniqKey="Thomas P" first="P" last="Thomas">P. Thomas</name><name sortKey="Volteau, M" sort="Volteau, M" uniqKey="Volteau M" first="M" last="Volteau">M. Volteau</name></noCountry><country name="France"><noRegion><name sortKey="Al Aloucy, M J" sort="Al Aloucy, M J" uniqKey="Al Aloucy M" first="M J" last="Al-Aloucy">M J Al-Aloucy</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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