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Awareness of memory deficits in subjective cognitive decline, mild cognitive impairment, Alzheimer's disease and Parkinson's disease

  • Nicola T. Lautenschlager (a1)

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Anosognosia or reduced awareness of cognitive and functional problems is a known clinical phenomenon in patients experiencing cognitive decline. It is common even in mild dementia syndromes and is often reported to increase with clinical disease progression (Aalten et al., 2006). More recently it also has been described in older adults with cognitive-impairment-no-dementia (CIND) and mild cognitive impairment (MCI) (Greenop et al., 2011; Maki et al., 2012). The clinical significance of awareness is a topic of controversy in the literature and determining its biological correlates in brain function and structure is an ongoing challenge (Zamboni et al., 2013; Ford et al., 2014).

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Aalten, P., van Valen, V. E., de Vugt, M. E., Lousberg, R., Jolles, J. and Verhey, F. R. (2006). Awareness and behavioural problems in dementia patients: a prospective study. International Psychogeriatrics, 18, 317.
Ford, A. H. et al. (2014). Grey matter changes associated with deficit awareness in mild cognitive impairment: a voxel-based morphometry study. Journal of Alzheimer's Disease, 42, 12511259.
Greenop, K. R. et al. (2011). Awareness of cognitive deficits in older adults with cognitive-impairment-non-dementia (CIND): comparison with informant report. Alzheimer's Disease and Associated Disorders, 25, 2433.
Lehrner, J. et al. (2014). Awareness of memory deficits in subjective cognitive decline, mild cognitive impairment, Alzheimer's disease and Parkinson's disease. International Psychogeriatrics. Epublished ahead of print.
Maki, Y., Amari, M., Yamaguchi, T., Nakaaki, S. and Yamaguchi, H. (2012). Anosognosia patients’ distress and self-awareness of deficits in Alzheimer's disease. American Journal of Alzheimer's Disease and Other Dementias, 27, 339345.
Quinn, C., Clare, L., Jelley, H., Bruce, E. and Woods, B. (2014). “It's in the eyes:” how family members and care staff understand awareness in people with severe dementia. Ageing and Mental Health, 18, 260268.
Zamboni, G. et al. (2013). Neuroanatomiy of impaired self-awareness in Alzheimer's Disease and mild cognitive impairment. Cortex, 49, 668678.

Awareness of memory deficits in subjective cognitive decline, mild cognitive impairment, Alzheimer's disease and Parkinson's disease

  • Nicola T. Lautenschlager (a1)

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