Self-awareness of cognitive dysfunction: Self-reported complaints and cognitive performance in patients with alcohol-induced mild or major neurocognitive disorder

Autor: S.J.W. Walvoort, Paul van der Heijden, Arie J. Wester, Roy P. C. Kessels, Jos I. M. Egger
Rok vydání: 2016
Předmět:
Adult
Male
050103 clinical psychology
medicine.medical_specialty
Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1]
media_common.quotation_subject
Neuropsychological Tests
Experimental Psychopathology and Treatment
Diagnostic Self Evaluation
03 medical and health sciences
0302 clinical medicine
Cog
Minnesota Multiphasic Personality Inventory
MMPI
medicine
Humans
Personality
Cognitive Dysfunction
0501 psychology and cognitive sciences
Effects of sleep deprivation on cognitive performance
Psychiatry
Biological Psychiatry
media_common
California Verbal Learning Test
Neuro- en revalidatiepsychologie
05 social sciences
Neuropsychology and rehabilitation psychology
Wechsler Scales
Wechsler Adult Intelligence Scale
Cognition
Plasticity and Memory [DI-BCB_DCC_Theme 3]
Middle Aged
Psychiatry and Mental health
Alcoholic Korsakoff Syndrome
Self Report
Psychology
Neurocognitive
030217 neurology & neurosurgery
Clinical psychology
Zdroj: Psychiatry Research, 245, pp. 291-296
Psychiatry Research, 245, 291-296
ISSN: 0165-1781
Popis: Contains fulltext : 168135.pdf (Publisher’s version ) (Closed access) Patients with Korsakoff's syndrome (KS) typically have difficulties in recognizing the impact of their alcohol-related cognitive deficits on daily-life functioning. In this study, mean scores on self-reported complaints (measured with Minnesota Multiphasic Personality Inventory-2-Restructured Form; MMPI-2-RF) and cognitive performance (measured with the Wechsler Adult Intelligence Scale-Third edition; WAIS-III; and the California Verbal Learning Test; CVLT) are compared between two matched patient groups with severe (KS) and mild alcohol-related cognitive disorders or non KS (NKS). KS patients demonstrate significantly lower scores on the WAIS-III indices and on the CVLT than the matched NKS group, and significantly higher scores on MMPI-2-RF validity scales that indicate denial of psychological complaints. Both groups are in the normal range on MMPI-2-RF Cognitive Complaints (COG) and Neurological Complaints (NUC) scales compared with the normative sample. Finally, self-reported complaints and cognitive performance are not correlated significantly in both groups. Despite their alcohol-related cognitive impairments, both groups report no cognitive complaints at all indicating self-awareness impairment. In addition to KS patients, also NKS patients are at risk that their apparently "without cognitive complaints" appearance on self-report questionnaires can be easily overlooked. These findings may have important clinical implications for diagnostic and treatment purposes. 6 p.
Databáze: OpenAIRE
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