Awareness in early-stage Alzheimer's disease: a review of methods and evidence.
PURPOSE: This review has three main aims: (1) To illustrate the strengths and limitations of current approaches to assessing awareness of difficulties and impairments in people with early-stage Alzheimer's disease (AD). (2) To consider the evidence regarding factors associated with level of awarenes...
| Publicado en: | British Journal of Clinical Psychology Vol. 43; no. 2; pp. 177 - 197 |
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| Formato: | review Journal Article |
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Wiley-Blackwell
Jun2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106575821&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106575821 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01446657 99B jtl: British Journal of Clinical Psychology issn: 01446657 maglogo: Y pubinfo: dt: Jun2004 vid: 43 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106575821 2005031436 10.1348/014466504323088042 NLM15169617 106575821 ppf: 177 ppct: 20 formats: fmt: @attributes: type: P tig: atl: Awareness in early-stage Alzheimer's disease: a review of methods and evidence. aug: au: Clare L affil: School of Psychology, University of Wales Bangor, Bangor, Gwynedd LL77 2AS, UK; l.clare@bangor.ac.uk sug: subj: Alzheimer's Disease Psychosocial Factors Cognition Cognition Disorders Psychosocial Factors Self Concept ab: PURPOSE: This review has three main aims: (1) To illustrate the strengths and limitations of current approaches to assessing awareness of difficulties and impairments in people with early-stage Alzheimer's disease (AD). (2) To consider the evidence regarding factors associated with level of awareness. (3) To highlight the implications for assessment and intervention. METHODS: A comprehensive range of literature on awareness in AD published in the past 20 years is critically reviewed. RESULTS: Four main approaches to the assessment of awareness can be discerned, each with significant conceptual and methodological limitations. These limitations affect the quality of the available evidence regarding factors associated with level of awareness, which is contradictory, with few clear findings emerging. Awareness does, however, appear to be related to the outcome of rehabilitation, and this has important implications for the selection of appropriate and sensitive interventions. CONCLUSIONS: The review highlights the need for a broad conceptualization of awareness. Greater clarity about theoretical frameworks, and improved assessment methods, are required in order to enhance understanding of variations in awareness in early-stage AD. Awareness is an important variable for clinicians to consider. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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