Awareness in dementia: a review of clinical correlates

Pauline Aalten; Evelien van Valen; Linda Clare; Geraldine Kenny; Frans Verhey

doi:10.1080/13607860500143075

Awareness in dementia: a review of clinical correlates

Pauline Aalten, Evelien van Valen, Linda Clare, Geraldine Kenny, Frans Verhey

Geriatrics

Research output: Contribution to journal › Review article › peer-review

Abstract

This article provides a review of the literature on clinical correlates of awareness in dementia. Most inconsistencies were found with regard to an association between depression and higher levels of awareness. Dysthymia, but not major depression, is probably related to higher levels of awareness. Anxiety also appears to be related to higher levels of awareness. Apathy and psychosis are frequently present in patients with less awareness, and may share common neuropathological substrates with awareness. Furthermore, unawareness seems to be related to difficulties in daily life functioning, increased caregiver burden, and deterioration in global dementia severity. Factors that may be of influence on the inconclusive data are discussed, as are future directions of research.

Original language	English
Pages (from-to)	414-22
Number of pages	9
Journal	Aging & Mental Health
Volume	9
Issue number	5
DOIs	https://doi.org/10.1080/13607860500143075
Publication status	Published - Sept 2005

Keywords

Activities of Daily Living
Affect
Anxiety
Caregivers/psychology
Cognition
Dementia/psychology
Depression
Humans
Self Concept
Severity of Illness Index

Access to Document

10.1080/13607860500143075

Cite this

@article{92b99928d4cc4e56a82a15f59c7f03ab,

title = "Awareness in dementia: a review of clinical correlates",

abstract = "This article provides a review of the literature on clinical correlates of awareness in dementia. Most inconsistencies were found with regard to an association between depression and higher levels of awareness. Dysthymia, but not major depression, is probably related to higher levels of awareness. Anxiety also appears to be related to higher levels of awareness. Apathy and psychosis are frequently present in patients with less awareness, and may share common neuropathological substrates with awareness. Furthermore, unawareness seems to be related to difficulties in daily life functioning, increased caregiver burden, and deterioration in global dementia severity. Factors that may be of influence on the inconclusive data are discussed, as are future directions of research.",

keywords = "Activities of Daily Living, Affect, Anxiety, Caregivers/psychology, Cognition, Dementia/psychology, Depression, Humans, Self Concept, Severity of Illness Index",

author = "Pauline Aalten and \{van Valen\}, Evelien and Linda Clare and Geraldine Kenny and Frans Verhey",

year = "2005",

month = sep,

doi = "10.1080/13607860500143075",

language = "English",

volume = "9",

pages = "414--22",

journal = "Aging \& Mental Health",

issn = "1360-7863",

publisher = "Taylor and Francis Ltd.",

number = "5",

}

TY - JOUR

T1 - Awareness in dementia

T2 - a review of clinical correlates

AU - Aalten, Pauline

AU - van Valen, Evelien

AU - Clare, Linda

AU - Kenny, Geraldine

AU - Verhey, Frans

PY - 2005/9

Y1 - 2005/9

N2 - This article provides a review of the literature on clinical correlates of awareness in dementia. Most inconsistencies were found with regard to an association between depression and higher levels of awareness. Dysthymia, but not major depression, is probably related to higher levels of awareness. Anxiety also appears to be related to higher levels of awareness. Apathy and psychosis are frequently present in patients with less awareness, and may share common neuropathological substrates with awareness. Furthermore, unawareness seems to be related to difficulties in daily life functioning, increased caregiver burden, and deterioration in global dementia severity. Factors that may be of influence on the inconclusive data are discussed, as are future directions of research.

AB - This article provides a review of the literature on clinical correlates of awareness in dementia. Most inconsistencies were found with regard to an association between depression and higher levels of awareness. Dysthymia, but not major depression, is probably related to higher levels of awareness. Anxiety also appears to be related to higher levels of awareness. Apathy and psychosis are frequently present in patients with less awareness, and may share common neuropathological substrates with awareness. Furthermore, unawareness seems to be related to difficulties in daily life functioning, increased caregiver burden, and deterioration in global dementia severity. Factors that may be of influence on the inconclusive data are discussed, as are future directions of research.

KW - Activities of Daily Living

KW - Affect

KW - Anxiety

KW - Caregivers/psychology

KW - Cognition

KW - Dementia/psychology

KW - Depression

KW - Humans

KW - Self Concept

KW - Severity of Illness Index

U2 - 10.1080/13607860500143075

DO - 10.1080/13607860500143075

M3 - Review article

C2 - 16024400

SN - 1360-7863

VL - 9

SP - 414

EP - 422

JO - Aging & Mental Health

JF - Aging & Mental Health

IS - 5

ER -

Awareness in dementia: a review of clinical correlates

Abstract

Keywords

Access to Document

Fingerprint

Cite this