OBJECTIVE This study examined the neuropsychological correlates and impact on caregiver distress of reduced awareness of mood symptoms in patients with suspected neurodegenerative disease. METHOD Records from a clinical sample of older adults were examined (N = 940). RESULTS More than one-third of patient and caregiver ratings of mood symptoms did not agree (comparing patient and caregiver self-report measures); 27.9% of patients were unaware of depression (UoD) and 16.6% of patients were unaware of anxiety (UoA). The UoD group exhibited poorer verbal memory and executive abilities and the UoA group exhibited poorer verbal memory than those with preserved awareness. Unawareness was not associated with caregiver distress. CONCLUSIONS These findings highlight the importance of capturing informant report in clinical practice with older adults suspected of cognitive impairment. Unawareness of mood symptoms was related to memory dysfunction and-to a lesser extent-to executive abilities and may have implications for addressing patient and caregiver needs for disorders affecting these cognitive systems.

中文翻译：

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老年人混合临床样本中的精神症状的意识。

目的本研究检查了神经可疑神经退行性疾病患者的心理心理相关性及其对降低护理人员情绪症状意识的影响。方法检查了老年人临床样本的记录（N = 940）。结果超过三分之一的患者和看护者对情绪症状的评价不同意（比较患者和看护者的自我报告指标）；27.9％的患者未意识到抑郁症（UoD），16.6％的患者未意识到焦虑症（UoA）。与具有保留意识的人相比，UoD组的语言记忆和执行能力较差，UoA组的语言记忆较差。意识不足与照顾者的困扰无关。结论这些发现强调了在临床实践中，对于怀疑患有认知功能障碍的老年人，获取信息报告的重要性。对情绪症状的不了解与记忆功能障碍有关，并在较小程度上与执行能力有关，可能对解决患者和护理人员对影响这些认知系统的疾病的需求具有影响。