CH des vallées de l'Ariège, Consultations mémoire, Foix, France.
Univ. Lille, CNRS, CHU Lille, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, Lille, France.
J Alzheimers Dis. 2020;76(1):89-95. doi: 10.3233/JAD-200017.
This study aimed to provide a model of awareness in Alzheimer's disease using the stage of the disease as a risk factor. Awareness was assessed using three methods (patient-caregiver discrepancy, prediction-performance discrepancy, clinical rating). Twenty-five healthy control subjects and sixty-one patients participated, with measures of cognition, apathy, depression, and awareness. These measures were introduced into a manual backward regression. Confounding factors impacting at least 15% of the exposure factor estimate were maintained in the model. Except for the prediction performance discrepancy, also presenting cognitive associations, the other awareness assessments suggested a major role of depression and apathy as impacting factors.
本研究旨在使用疾病阶段作为风险因素,为阿尔茨海默病提供一种意识模型。使用三种方法(患者-护理人员差异、预测表现差异、临床评估)评估意识。二十五位健康对照者和六十一位患者参与了研究,评估了认知、淡漠、抑郁和意识等指标。这些指标被引入手动反向回归。保留了在模型中至少影响暴露因素估计值 15%的混杂因素。除了预测表现差异外,其他意识评估也表明抑郁和淡漠是影响因素。