Assessing awareness in early-stage Alzheimer's disease: Development and piloting of the Memory Awareness Rating Scale
Assessing awareness in early-stage Alzheimer's disease: Development and piloting of the Memory Awareness Rating Scale
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DOI：
10.1080/09602010244000129
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发表时间：
2002-08-01
影响因子：
2.7
通讯作者：
Hodges, JR
中科院分区：
文献类型：
--
作者：
Clare, L;Wilson, BA;Hodges, JR
有迹象表明，意识可能对早期阿尔茨海默病（AD）的功能和康复干预的反应产生重要影响，但迄今为止的研究还没有得出明确的发现，需要一个全面的解释模型和可靠的评估方法。采用理论驱动的方法来评估早期阿尔茨海默病的意识，用于开发记忆意识评定量表（MARS），该量表解决了现有研究中采用的评估方法的关键方法学局限性。 MARS 在 12 对夫妇中进行了试点，其中一对伴侣被诊断出患有 AD。这表明 MARS 具有令人满意的心理测量特性，并建议对量表进行一些改进，以提高其实用性。通过 MARS 获得的结果可以进一步考虑在尝试理解和评估意识时出现的理论和方法问题。这种严格评估早期 AD 记忆困难意识的方法的发展，为进一步研究早期 AD 记忆困难意识与神经心理康复结果之间的关系奠定了基础。
There are indications that awareness may have an important impact on functioning and response to rehabilitative interventions in early-stage Alzheimer's disease (AD), yet studies have so far produced few clear findings, and a comprehensive explanatory model is needed together with a reliable assessment method. A theory-driven approach to assessing awareness in early-stage Alzheimer's disease was used to develop the Memory Awareness Rating Scale (MARS), a measure that addresses key methodological limitations of the assessment methods adopted in existing studies. The MARS was piloted with 12 couples where one partner had a diagnosis of AD. This demonstrated that the MARS has satisfactory psychometric properties, and suggested some refinements to the scale that may improve its usefulness. Results obtained with the MARS allow further consideration of theoretical and methodological issues that arise in attempting to understand and assess awareness. The development of this rigorous method of assessing awareness of memory difficulties in early-stage AD provides a basis for further investigation of the relationship between awareness of memory difficulties and outcome of neuropsychological rehabilitation in early-stage AD.