Insight for impairment in independent living skills in Alzheimer's disease and multi-infarct dementia.
DeBettignies BH
Bok Engelsk
| Utgitt | Department of Neurology, Baylor College of Medic
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| Omfang | 9 s.
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| Utgave | Kopi
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| Opplysninger | - Dementing diseases cause a deterioration in thecapacity for independent living skills (ILS). The present study investigated thelevel of insight in ILS impairment in 12 Alzheimer's disease (AD)patients, 12 multi-infarct dementia (MID) patients, and 12 normalelderly controls, using two different measurement techniques: informantreport and patient self-report. Pairwise comparisons at the .05 levelrevealed a significantly greater loss of insight for ILS impairmentin. - patients as compared to both controls and MID patients.Additional analyses revealed that loss of insight, operationally defined asthe discrepancy between informant report and patient self-report, wasnot significantly related to age, education, mental status, or level ofdepression, but was significantly related to degree of caregiver burden.These results indicate that intervention strategies are needed thattake into consideration the level of patient insight for ILSimpairment, as well as the caregiver's perception of the patient's capabilitiesand the degree of burden experienced by the caregiver.
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