Della Sala S, Cocchini G, Beschin N, Cameron A
Human Cognitive Neuroscience, Psychology, University of Edinburgh, Edinburgh, UK.
Clin Neuropsychol. 2009 Apr;23(3):406-27. doi: 10.1080/13854040802251393. Epub 2009 Feb 11.
There has been a growing interest in anosognosia in both clinical and research domains, yet relatively little attention has been paid to methods for evaluating it. Usually, the presence and severity of anosognosia is assessed by means of structured interviews or questionnaires. Both interviews and questionnaires can provide valuable information, but they rely heavily on self-evaluation and language, and are therefore prone to bias and pose more difficulty in the assessment of aphasic patients. The aim of this study was to develop a new tool, the VATA-m (Visual-Analogue Test for Anosognosia for motor impairment), to assess explicit anosognosia for motor impairments. The VATA-m is a questionnaire that compares a patient's self-evaluation with a caregivers' evaluation of the patient's abilities on a series of motor tasks. In addition, the test overcomes some of the limitations of the existing structured interviews and questionnaires, by enhancing reliability, improving data interpretation and diagnosis, and enabling assessment of patients with aphasia.
在临床和研究领域,人们对疾病感缺失的兴趣日益浓厚,但对其评估方法的关注相对较少。通常,疾病感缺失的存在和严重程度是通过结构化访谈或问卷来评估的。访谈和问卷都能提供有价值的信息,但它们严重依赖自我评估和语言表达,因此容易产生偏差,并且在评估失语症患者时会遇到更多困难。本研究的目的是开发一种新工具,即VATA-m(运动障碍疾病感缺失视觉模拟测试),以评估对运动障碍的显性疾病感缺失。VATA-m是一份问卷,它将患者的自我评估与护理人员对患者在一系列运动任务中的能力评估进行比较。此外,该测试克服了现有结构化访谈和问卷的一些局限性,提高了可靠性,改进了数据解读和诊断,并能够对失语症患者进行评估。