Associations among measures of awareness of cognitive deficits in dementia.

Alzheimer's & Dementia : the Journal of the Alzheimer's Association
Ozioma C OkonkwoGeoffrey Tremont

Abstract

Awareness of deficits is a complex phenomenon. In this study, we examined the relationships among various measures of awareness of cognitive deficits in dementia, and investigated the unique association between clinician ratings and alternative approaches to assessing awareness. Participants included 108 patients with very mild (n = 50) or mild (n = 58) dementia. Awareness of cognitive difficulties was assessed by clinician ratings, informant ratings, patients' reports of cognitive difficulties, discrepancies between patients' and informants' reports of cognitive difficulties, and patients' perceptions of performance on neuropsychological tests. Correlational analyses were used to assess associations among these measures of awareness, and ordinal logistic regression was used to examine the unique relationship between clinician ratings of awareness and the other approaches. All measures of awareness were significantly correlated with one another. Coefficients ranged from 0.26 to -0.64. Patients categorized as unaware by either clinicians or informants reported fewer cognitive difficulties. Of the awareness measures evaluated, clinician ratings had the strongest correlation with measures of global cognition. In the regression ana...Continue Reading

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Citations

Nov 29, 2013·International Psychogeriatrics·Yi-Chun YehCheng-Sheng Chen
Dec 8, 2015·Journal of Alzheimer's Disease : JAD·Emilie Avondino, Pascal Antoine
May 21, 2013·Psychiatry and Clinical Neurosciences·Pascal AntoineCaroline Billiet
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Nov 7, 2012·Dementia and Geriatric Cognitive Disorders·A DeCarolisF Giubilei
Oct 22, 2020·Journal of the International Neuropsychological Society : JINS·Carlton S GassAlice Rhodes
Feb 18, 2021·International Journal of Geriatric Psychiatry·Victor CalilPaulo Mattos

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