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Heterogeneity of anosognosia in Alzheimer's disease according to the object of awareness

Research output: Contribution to journalArticle

Elodie Bertrand, Daniel C. Mograbi, Richard G. Brown, Jesus Landeira-Fernandez, Robin G. Morris

Original languageEnglish
Pages (from-to)282-290
Number of pages9
JournalPsychology and Neuroscience
Volume12
Issue number2
DOIs
Publication statusPublished - 1 Jun 2019

King's Authors

Abstract

Anosognosia or unawareness of neuropsychological deficits, other symptoms, or the illness itself is frequent in Alzheimer's disease (AD). The aim of this study was to explore the multidimensionality of awareness in AD, comparing directly the awareness of patients in relation to several different objects: executive functions, depression, apathy, disinhibition, and overall condition. Awareness was determined by discrepancy between patient- and informant-report. The results showed that the level of awareness differs according to the object studied, with awareness for overall condition and executive functions being more impaired and relatively more preservation of awareness for disinhibition and apathy. Correlational analysis suggested that awareness for executive function impairment, apathy, and condition correlate strongly, while awareness of depression appears to be an independent construct. These findings have several clinical implications, highlighting the importance of a more thorough evaluation of the patients' awareness.

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