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Article Dans Une Revue American Journal of Alzheimer's Disease and Other Dementias Année : 2020

What and "How": A New Perspective for Understanding Unawareness in Alzheimer’s Disease Through a Combination of Two Perspectives

Résumé

OBJECTIVES: Assessments of unawareness in Alzheimer’s disease mainly focus on the objects (the "what") of unawareness. A recent person-centered approach proposes to also assess the processes (the "how"). The present study combines 2 approaches to understand this heterogeneity in assessments of unawareness. METHOD: We recruited 46 participants from 8 nursing homes. They underwent a semi-structured interview and were assessed using a prediction-performance paradigm. Spearman correlations were calculated, and generalized additive models were established. RESULTS: The 2 approaches are associated through cognitive deficits, confrontation with difficulties and identity changes. Objects (the what), mechanisms, and modes of expression (the how) explain at least 29.6% of the variance of unawareness. CONCLUSIONS: Unawareness is more than simply being unaware of something; it is a synergy between the objects and processes of arousal and expression. Moreover, unawareness extends beyond the disease to include the self. Considering the entire person seems to be necessary.
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hal-03662347 , version 1 (19-05-2022)

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Amandine Mayelle, Mohamad El Haj, Pascal Antoine. What and "How": A New Perspective for Understanding Unawareness in Alzheimer’s Disease Through a Combination of Two Perspectives. American Journal of Alzheimer's Disease and Other Dementias, 2020, 35, pp.1533317520925333. ⟨10.1177/1533317520925333⟩. ⟨hal-03662347⟩
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