Introduction: The purpose of this study is to examine self-awareness of patients with Alzheimer disease (AD) regarding forgetfulness and physical status, with the goal of further psychological understanding of these patients. Methods: The 255 subjects included 33 healthy volunteers and 48 patients with mild cognitive impairment who were elderly community residents selected from the 2017 Wakuya Project and 174 consecutive outpatients with AD at the Tajiri Clinic. Test data were selected from a pooled database. Results from the Mini-Mental State Examination, Clinical Dementia Rating (CDR), Short Falls Efficacy Scale International (FES), and Everyday Memory Checklist (EMC) were used in the study. FES and EMC data were also obtained from family members for comparison. Results: EMC scores in the AD groups (mild to moderate and moderate to severe) were significantly higher (more complaining memory impairment) than those in the CDR 0 (healthy) group and significantly lower (less self-awareness for memory impairment) than the corresponding EMC scores of families of the subjects. In contrast, FES scores of the AD groups did not differ significantly from those of the CDR 0 group, and these scores were higher (more fear of falling) than those of family members. Additionally, family-FES scores of the AD groups were higher than those of the CDR 0 and 0.5 groups. Conclusion: The results showed an evidence of the heterogeneity of awareness, an emotional response (concern or fear, FES), and a cognitive appraisal of function (EMC). These may be explained whereby awareness of/fear of falling increases with AD due to a preserved emotional awareness, whereas awareness of cognitive impairment is impaired due to memory deficits.
Dement Geriatr Cogn Disord

中文翻译：

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阿尔茨海默病患者的心理和身体自我意识：与家庭观点相比，对健忘症的意识降低，对跌倒的恐惧增加：Tajiri 和 Wakuya 项目

简介：本研究的目的是检查阿尔茨海默病（AD）患者对健忘和身体状况的自我意识，目的是进一步了解这些患者的心理。方法： 255 名受试者包括 33 名健康志愿者和 48 名轻度认知障碍患者，他们是从 2017 年和谷计划中选出的老年社区居民，以及 174 名 Tajiri 诊所的连续 AD 门诊患者。测试数据选自合并数据库。该研究使用了简易精神状态检查、临床痴呆评分 (CDR)、国际短时跌倒疗效量表 (FES) 和日常记忆检查表 (EMC) 的结果。FES 和 EMC 数据也从家庭成员那里获得用于比较。结果：AD 组（轻度至中度和中度至重度）的 EMC 分数显着高于 CDR 0（健康）组（更多抱怨记忆障碍），显着低于相应的 EMC（对记忆障碍的自我意识较少）被试家庭的分数。相比之下，AD 组的 FES 分数与 CDR 0 组的 FES 分数没有显着差异，这些分数高于（更害怕跌倒）家庭成员的分数。此外，AD 组的家庭 FES 分数高于 CDR 0 和 0.5 组。结论：结果显示了意识、情绪反应（担忧或恐惧，FES）和功能认知评估（EMC）异质性的证据。这些可以解释为，由于保留的情绪意识，对跌倒的意识/恐惧随着 AD 增加，而认知障碍的意识由于记忆缺陷而受损。
老年痴呆症认知障碍