Investigating poor insight in Alzheimer's disease: A survey of research approaches

Dementia

Volumn 6, Issue 1, 2007, Pages 45-61

  Robertsson, Barbro ^a   Nordström, Monica ^b   Wijk, Helle ^b  

^a UNIVERSITY OF GOTHENBURG   (Sweden)

^b UNIVERSITY OF GOTHENBURG   (Sweden)

Author keywords

Alzheimer's disease; Coping strategies; Impaired awareness; Poor insight; Self unawareness

Indexed keywords

EID: 34447269156     PISSN: 14713012     EISSN: 17412684     Source Type: Journal    
DOI: 10.1177/1471301207075629     Document Type: Article

References (69)

1. American Psychiatric Association (APA) (1994). Diagnostic and statistical manual of mental disorders. DSM-IV fourth edition. Washington, DC: APA.
2. Arkin, S., & Mahendra, N. (2001). Insight in Alzheimer's patients: Results of a longitudinal study using three assessment methods. Am J Alzheimers Dis Other Demen, 16(4), 211-224.
3. Auchus, A. P., Woodard, J. L., Goldstein, F. C., Green, J., & Green, R. C. (1996). Anosognosia in Alzheimer's disease. Arch Neurol, 53(1), 10-10.
4. Bahro, M., Silber, E., & Sunderland, T. (1995). How do patients with Alzheimer's disease cope with their illness? - A clinical experience report. Journal of the American Geriatrics Society, 43, 41-46.
5. Bender MP, C. R. (1997). Inhabitants of a lost kingdom: A model of the subjective experiences of dementia. Ageing And Society, 17(3), 513-532.
6. Brun, A., Englund, B., Gustafson, L., Passant, U., Mann, D. M. A., Neary, D., et al. (1994). Clinical and neuropathological criteria for frontotemporal dementia. Journal of Neurology, Neurosurgery, and Psychiatry, 57(4), 416-418.
7. Clare, L. (2002). We'll fight it as long as we can: Coping with the onset of Alzheimer's disease. Aging Ment Health, 6(2), 139-148.
8. Clare, L. (2003). Managing threats to self: Awareness in early stage Alzheimer's disease. Soc Sci Med, 57(6), 1017-1029.
9. Clare, L. (2004a). Awareness in early-stage Alzheimer's disease: A review of methods and evidence. Br J Clin Psychol, 43(Pt 2), 177-196.
10. Clare, L. (2004b). The construction of awareness in early-stage Alzheimer's disease: A review of concepts and models. Br J Clin Psychol, 43(Pt 2), 155-175.
11. Cotrell, V. C. (1997). Awareness deficits in Alzheimer's desease: Issues in assessment and intervention. The Journal of Applied Gerontology, 16(1, March), 71-90.
12. Dalla Barba, G., Parlato, V., Iavarone, A., & Boller, F. (1995). Anosognosia, intrusions and 'frontal' functions in Alzheimer's disease and depression. Neuropsychologia, 33(2), 247-259.
13. Derouesné, C., Thibault, S., Lagha-Pierucci, S., Baudouin-Madec, V., Ancri, D., & Lacomblez, L. (1999). Decreased awareness of cognitive deficits in patients with mild dementia of the Alzheimer type. Int J Geriatr Psychiatry, 14(12), 1019-1030.
14. Duke, L. M., Seltzer, B., Seltzer, J. E., & Vasterling, J. J. (2002). Cognitive components of deficit awareness in Alzheimer's disease. Neuropsychology, 16(3), 359-369.
15. Gil, R., Arroyo-Anllo, E. M., Ingrand, P., Gil, M., Neau, J. P., Ornon, C., et al. (2001). Self-consciousness and Alzheimer's disease. Acta Neurol Scand, 104(5), 296-300.
16. Green, J., Goldstein, F. C., Sirockman, B. E., & Green, R. C. (1993). Variable awareness of deficits in Alzheimer's disease. Neuropsychiatry Neuropsychol Behav Neurol, 6(3), 159-165.
17. Gwyther, L. P. (1997). The perspective of the person with Alzheimer disease: Which outcomes matter in early to middle stages of dementia? Alzheimer Dis Assoc Disord, 11 Suppl 6, 18-24.
18. Harwood, D. G., Sultzer, D. L., & Wheatley, M. V. (2000). Impaired insight in Alzheimer disease: Association with cognitive deficits, psychiatric symptoms, and behavioral disturbances. Neuropsychiatry Neuropsychol Behav Neurol, 13(2), 83-88.
19. Herskovits, E. (1995). Struggling over subjectivity: Debates about the 'self' and Alzheimer's disease. Med Anthropol Q 9(2), 146-164.
20. Holst, G., & Hallberg, I. R. (2003). Exploring the meaning of everyday life, for those suffering from dementia. American Journal of Alzheimer's Disease and Other Dementias, 18(6), 359-365.
21. Howorth, P., & Saper, J. (2003). The dimensions of insight in people with dementia. Aging Ment Health, 7(2), 113-122.
22. Hutchinson, S. A., Leger-Krall, S., & Wilson, H. S. (1997). Early probable Alzheimer's disease and awareness context theory. Soc Sci Med, 45(9), 1399-1409.
23. Katz, N., Fleming, J., Keren, N., Lightbody, S., & Hartman-Maeir, A. (2002). Unawareness and/or denial of disability: Implications for occupational therapy intervention. Can J Occup Ther, 69(5), 281-292.
24. Katz, N., & Hartman-Maeir, A. (1997). Occupational performance and metacognition. Canadian Journal of Occupational Therapy, 64(2), 53-62.
25. Keady, J. (1996). The experience of dementia: A review of the literature and implications for nursing practice. Journal of Clinical Nursing, 5(5), 275-288.
26. Keady, J., & Nolan, M. (1995a). IMMEL 2: Working to augment coping responses in early dementia. Br J Nurs, 4(7), 377-380, discussion 380-391.
27. Keady, J., & Nolan, M. (1995b). IMMEL: Assessing coping responses in the early stages of dementia. Br J Nurs, 4(6), 309-314.
28. Kitwood, T., & Bredin, K. (1992). Towards a theory of dementia care: Personhood and well-being. Ageing Soc, 12, 269-287.
29. Kotler-Cope, S., & Camp, C. J. (1995). Anosognosia in Alzheimer disease. Alzheimer Dis Assoc Disord, 9(1), 52-56.
30. Lamar, M., Lasarev, M. R., & Libon, D. J. (2002). Determining levels of unawareness in dementia research. J Neuropsychiatry Clin Neurosci, 14(4), 430-437.
31. Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist, 9(3), 179-186.
32. Lopez, O. L., Becker, J. T., Somsak, D., Dew, M. A., & DeKosky, S. T. (1994). Awareness of cognitive deficits and anosognosia in probable Alzheimer's disease. Eur Neurol, 34(5), 277-282.
33. McDaniel, K. D., Edland, S. D., & Heyman, A. (1995). Relationship between level of insight and severity of dementia in Alzheimer disease. CERAD Clinical Investigators. Consortium to Establish a Registry for Alzheimer's Disease. Alzheimer Dis Assoc Disord, 9(2), 101-104.
34. McGlone, J., Gupta, S., Humphrey, D., Oppenheimer, S., Mirsen, T., & Evans, D. R. (1990). Screening for early dementia using memory complaints from patients and relatives. Arch Neurol, 47(11), 1189-1193.
35. McGlynn, S. M. (1991). Unawareness of deficits in dementia and schizophrenia. In G. P. Prigatano & D. L. Schacter (Eds.), Awareness of deficit after brain injury. Clinical and theoretical issues (pp. 84-110). New York: Oxford University Press.
36. McNair, D. M., & Kahn, R. J. (1983). Self-assessment of cognitive deficits. In T. Crook, S. Ferris & R. Bartus (Eds.), Assessment in Geriatric Psychopharmacology (pp. 137-143). New Canaan, CN: Mark Powley Associates, Inc.
37. Michon, A., Deweer, B., Pillon, B., Agid, Y., & Dubois, B. (1994). Relation of anosognosia to frontal lobe dysfunction in Alzheimer's disease. J Neurol Neurosurg Psychiatry, 57(7), 805-809.
38. Migliorelli, R., Teson, A., Sabe, L., Petracca, G., Petracchi, M., Leiguarda, R., et al. (1995). Anosognosia in Alzheimer's disease: A study of associated factors. J Neuropsychiatry Clin Neurosci, 7(3), 338-344.
39. Neundorfer, M. M. (1997). Awareness of variability in awareness. Alzheimer Dis Assoc Disord, 11(3), 121-122.
40. Nygard, L. (2004). Responses of persons with dementia to challenges in daily activities: A synthesis of findings from empirical studies. American Journal of Occupational Therapy, 58(4), 435-445.
41. Nygard, L., & Borell, L. (1998). A life-world of altering meaning: Expressions of the illness experience of dementia in everyday life over 3 years. Occupational Therapy Journal of Research, 18(2), 109-136.
42. Ohman, A., Nygard, L., & Borell, L. (2001). The vocational situation in cases of memory deficits or younger-onset dementia. Scandinavian Journal of Caring Sciences, 15(1), 34-43.
43. Ott, B. R., Lafleche, G., Whelihan, W. M., Buongiorno, G. W., Albert, M. S., & Fogel, B. S. (1996). Impaired awareness of deficits in Alzheimer disease. Alzheimer Dis Assoc Disord, 10(2), 68-76.
44. Ott, B. R., Noto, R. B., & Fogel, B. S. (1996). Apathy and loss of insight in Alzheimer's disease: A SPECT imaging study. J Neuropsychiatry Clin Neurosci, 8(1), 41-46.
45. Phinney, A. (1998). Living with dementia from the patient's perspective. J Gerontol Nurs, 24(6), 8-15.
46. Phinney, A., Wallhagen, M., & Sands, L. P. (2002). Exploring the meaning of symptom awareness and unawareness in dementia. Journal of Neuroscience Nursing, 34(2), 79-81, 85-90.
47. Poveda, A. M. (2003). An anthropological perspective of Alzheimer disease. Geriatr Nurs, 24(1), 26-31.
48. Reed, B. R., Jagust, W. J., & Coulter, L. (1993). Anosognosia in Alzheimer's disease: Relationships to depression, cognitive function, and cerebral perfusion. J Clin Exp Neuropsychol, 15(2), 231-244.
49. Robertsson, B. (2005). Insight in dementia as communicated in focus group meetings. Unpublished manuscript.
50. Robinson, P., Ekman, S., Meleis, A. I., Winblad, B., & Wahlund, L. (1997). Suffering in silence: The experience of early memory loss. Health Care in Later Life, 2(2), 107-120.
51. Rymer, S., Salloway, S., Norton, L., Malloy, P., Correia, S., & Monast, D. (2002). Impaired awareness, behavior disturbance, and caregiver burden in Alzheimer disease. Alzheimer Dis Assoc Disord, 16(4), 248-253.
52. Sabat, S. R. (2002). Epistemological issues in the study of insight in people with Alzheimer's disease. Dementia, 1(3), 279-293.
53. Seltzer, B., Vasterling, J. J., Yoder, J. A., & Thompson, K. A. (1997). Awareness of deficit in Alzheimer's disease: Relation to caregiver burden. Gerontologist, 37(1), 20-24.
54. Sevush, S. (1999). Relationship between denial of memory deficit and dementia severity in Alzheimer disease. Neuropsychiatry Neuropsychol Behav Neurol, 12(2), 88-94.
55. Sevush, S., & Leve, N. (1993). Denial of memory deficit in Alzheimer's disease. Am J Psychiatry, 150(5), 748-751.
56. Shankar, K. K., Walker, M., Frost, D., & Orrell, M. W. (1999). The development of a valid and reliable scale for rating anxiety in dementia (RAID). Aging and Mental Health, 3(1), 39-49.
57. Smith, C. A., Henderson, V. W., McCleary, C. A., Murdock, G. A., & Buckwalter, J. G. (2000). Anosognosia and Alzheimer's disease: The role of depressive symptoms in mediating impaired insight. J Clin Exp Neuropsychol, 22(4), 437-444.
58. Snow, A. L., Norris, M. P., Doody, R., Molinari, V. A., Orengo, C. A., & Kunik, M. E. (2004). Dementia Deficits Scale. Rating self-awareness of deficits. Alzheimer Dis Assoc Disord, 18(1), 22-31.
59. Starkstein, S. E., Sabe, L., Chemerinski, E., Jason, L., & Leiguarda, R. (1996). Two domains of anosognosia in Alzheimer's disease. J Neurol Neurosurg Psychiatry, 61(5), 485-490.
60. Starkstein, S. E., Vazquez, S., Migliorelli, R., Teson, A., Sabe, L., & Leiguarda, R. (1995). A single-photon emission computed tomographic study of anosognosia in Alzheimer's disease. Arch Neurol, 52(4), 415-420.
61. Starmark, J. E., Hellstrom, P., & Agren, H. (2000). When insight on disease is halting. I. Clinical assessment of impaired insight - current research summarized. Lakartidningen, 97(4), 320-326, 328-328.
62. Tappen, R. M., Williams, C., Fishman, S., & Touhy, T. (1999). Persistence of self in advanced Alzheimer's disease. Image: Journal of Nursing Scholarship, 31(2), 121-125.
63. Terry, R. D., Masliah, E., & Hansen, L. A. (1994). Structural basis of the cognitive alterations in Alzheimer disease. In R. D. Terry, R. Katzman & K. L. Bick (Eds.), Alzheimer Disease (p. 472-472). New York: Raven Press.
64. Torres, S. (2006). Culture, migration and inequality in a globalised world: Challenges for ethno- and anthropogerontology. In D. D. J. Baars, C. Phillipson & A. Walker (Eds.), Ageing, globalisation and inequality: The new critical gerontology. Amityville, NY: Baywood Publishing.
65. Vasterling, J. J., Seltzer, B., & Watrous, W. E. (1997). Longitudinal assessment of deficit unawareness in Alzheimer's disease. Neuropsychiatry Neuropsychol Behav Neurol, 10(3), 197-202.
66. Vogel, A., Stokholm, J., Gade, A., Andersen, B. B., Hejl, A. M., & Waldemar, G. (2004). Awareness of deficits in mild cognitive impairment and Alzheimer's disease: Do MCI patients have impaired insight? Dement Geriatr Cogn Disord, 17(3), 181-187.
67. Wagner, M. T., Spangenberg, K. B., Bachman, D. L., & O'Connell, P. (1997). Unawareness of cognitive deficit in Alzheimer disease and related dementias. Alzheimer Dis Assoc Disord, 11(3), 125-131.
68. Werezak, L., & Stewart, N. (2002). Learning to live with early dementia. Canadian Journal of Nursing Research, 34(1), 67-85.
69. Zanetti, O., Vallotti, B., Frisoni, G. B., Geroldi, C., Bianchetti, A., Pasqualetti, P., et al. (1999). Insight in dementia: When does it occur? Evidence for a nonlinear relationship between insight and cognitive status. J Gerontol B Psychol Sci Soc Sci, 54(2), 100-106.