INSIGHT FOR IMPAIRMENT IN INDEPENDENT LIVING SKILLS IN ALZHEIMERS-DISEASE AND MULTIINFARCT DEMENTIA
INSIGHT FOR IMPAIRMENT IN INDEPENDENT LIVING SKILLS IN ALZHEIMERS-DISEASE AND MULTIINFARCT DEMENTIA
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DOI：
10.1080/01688639008400980
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发表时间：
1990-03-01
影响因子：
2.2
通讯作者：
PIROZZOLO, FJ
中科院分区：
文献类型：
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作者：
DEBETTIGNIES, BH;MAHURIN, RK;PIROZZOLO, FJ
痴呆症会导致独立生活能力下降。本研究采用两种不同的测量技术：知情者报告和患者自我报告，调查了12名阿尔茨海默病（AD）患者、12名多发梗塞性痴呆（MID）患者和12名正常老年人的ILS损害自知力水平。0.05水平的成对比较显示，与对照组和MID患者相比，AD患者对ILS损伤的洞察力损失显著更大。进一步的分析显示，失去洞察力，操作定义为线人报告和患者自我报告之间的差异，是没有显着相关的年龄，教育，精神状态，或抑郁水平，但显着相关的程度照顾者的负担。这些结果表明，干预策略是需要考虑到患者的ILS损伤的洞察力的水平，以及照顾者的病人的能力和负担的程度的看法。
Dementing diseases cause a deterioration in the capacity for independent living skills (LS). The present study investigated the level of insight in ILS impairment in 12 Alzheimer''s disease (AD) patients, 12 multi-infarct dementia (MID) patients, and 12 normal elderly controls, using two different measurement techniques: informant report and patient self-report. Pairwise comparisons at the .05 level revealed a significantly greater loss of insight for ILS impairment in AD patients as compared to both controls and MID patients. Additional analyses revealed that loss of insight, operationally defined as the discrepancy between informant report and patient self-report, was not significantly related to age, education, mental status, or level of depression, but was significantly related to degree of caregiver burden. These results indicate that intervention strategies are needed that take into consideration the level of patient insight for ILS impairment, as well as the caregiver''s perception of the patient''s capabilities and the degree of burden experienced by the caregiver.