Yıl: 2022 Cilt: 28 Sayı: 4 Sayfa Aralığı: 248 - 253 Metin Dili: İngilizce DOI: 10.4274/tnd.2022.48347 İndeks Tarihi: 08-05-2023

Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum

Öz:
Objective: To understand how the patients’ and their study partners’/caregivers’ perspectives on cognitive decline change at the subjective cognitive decline (SCD), mild cognitive impairment (MCI), and probable Alzheimer’s disease (PRAD) stages of the Alzheimer’s disease (AD) continuum. Materials and Methods: Twenty-three individuals with the diagnosis of SCD, 33 individuals with the diagnosis of MCI, and 17 individuals with the diagnosis of PRAD were included. A cognitive testing battery including the standardized mini-mental state examination (MMSE), digit span forward and backwards tests, and the semantic fluency test were administered to all patients. The cognitive function instrument (CFI) was used for the subjective assessment of cognitive decline. The same questions in the CFI were answered both by the patients (CFI-self report) and the study partners (CFI-partner report). Results: In the SCD and the MCI groups, the CFI-self report scores were higher than the CFI-partner report scores, whereas an opposite pattern was found in the PRAD group with higher CFI-partner report scores and lower CFI-self report scores. The CFI self report scores positively correlated with the MMSE scores in the PRAD group showing higher ratings in cognitively less impaired individuals, and vice versa. The CFI partner-report scores did not show a significant correlation with the MMSE scores in any of the groups, however a trend for a negative correlation was observed in the MCI group. Finally, the CFI-self report and partner report scores significantly correlated only in the MCI group. Conclusion: Report-based assessment of cognitive decline can be informative, particularly in the early stages of the AD continuum. THowever, the loss of insight in PRAD may mask the symptoms when the subjective cognitive assessment relies on the patients’ perspective. The greatest concordance between the patients’ and their partners’ perspectives was evident in the MCI stage which represented a transitional period between SCD and PRAD.
Anahtar Kelime:

Alzheimer Hastalığının Farklı Evrelerindeki Bilişsel Bozukluklarda Hasta ve Bakım Veren Perspektifinin İncelenmesi

Öz:
Amaç: Alzheimer hastalığının (AH) subjektif bilişsel gerileme (SBG), hafif bilişsel bozukluk (HBB) ve olası Alzheimer hastalığı (OAH) demansı evrelerinde hastaların ve eşlerinin/bakım verenlerin bilişsel bozulma ile ilgili perspektiflerinin nasıl değiştiğinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Yirmi üç SBG, 33 HBB ve 17 OAH tanılı hasta çalışmaya dahil edildi. Katılımcılara standardize minimental test (SMMT), sayı menzili testi ve semantik akıcılık testleri uygulandı. Kognitif fonksiyon enstrümanı (KFE) bilişsel bozukluğun subjektif değerlendirmesi için kullanıldı. Aynı sorular hastalar tarafından katılımcı bildirimi (KFE-KB), çalışma partnerleri tarafından ise çalışma partneri bildirimi (KFE-ÇPB) kullanılarak yanıtlandı. Bulgular: SBG ve HBB gruplarında KFE-KB skorlarının KFE-ÇPB skorlarına göre daha yüksek olduğu görüldü. OAH grubunda ise tam tersi bir durum gözlendi ve KFE-ÇPB skorlarının KFE-KB skorlarına göre daha yüksek olduğu görüldü. Ayrıca OAH grubunda SMMT skorları ile KFE-KB skorları arasında pozitif korelasyon saptandı ve bilişsel bozukluğu daha ağır olan hastaların KFE-KB skorlarının daha düşük olduğu, bilişsel bozukluğu daha hafif olan hastaların ise KFE-KB skorlarının daha yüksek olduğu görüldü. Grupların hiçbirinde KFE-ÇPB skorları ile SMMT skorları arasında anlamlı korelasyon saptanmadı ancak HBB grubunda negatif korelasyon eğilimi görüldü. KFE-KB ve KFE-ÇPB skorları arasında anlamlı korelasyon sadece HBB grubunda gözlendi. Sonuç: Bilişsel bozuklukların subjektif değerlendirmesi özellikle AH’nin erken evrelerinde bilgilendirici olabilir. Ancak, OAH olgularında içgörü kaybı gelişmesi nedeniyle hastaların perspektifine dayanan subjektif bilişsel değerlendirme yanıltıcı olabilir. Hastaların ve eşlerinin perspektifleri arasında en yüksek uyumluluk SBG ve OAH arasında bir geçiş dönemini temsil eden HBB evresinde saptanmıştır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Seckin M, ÖZTÜRK G, Dilmac E, Gürvit H (2022). Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum. , 248 - 253. 10.4274/tnd.2022.48347
Chicago Seckin Mustafa,ÖZTÜRK GÜLCAN,Dilmac Ecem,Gürvit Hakan Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum. (2022): 248 - 253. 10.4274/tnd.2022.48347
MLA Seckin Mustafa,ÖZTÜRK GÜLCAN,Dilmac Ecem,Gürvit Hakan Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum. , 2022, ss.248 - 253. 10.4274/tnd.2022.48347
AMA Seckin M,ÖZTÜRK G,Dilmac E,Gürvit H Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum. . 2022; 248 - 253. 10.4274/tnd.2022.48347
Vancouver Seckin M,ÖZTÜRK G,Dilmac E,Gürvit H Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum. . 2022; 248 - 253. 10.4274/tnd.2022.48347
IEEE Seckin M,ÖZTÜRK G,Dilmac E,Gürvit H "Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum." , ss.248 - 253, 2022. 10.4274/tnd.2022.48347
ISNAD Seckin, Mustafa vd. "Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum". (2022), 248-253. https://doi.org/10.4274/tnd.2022.48347
APA Seckin M, ÖZTÜRK G, Dilmac E, Gürvit H (2022). Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum. Türk Nöroloji Dergisi, 28(4), 248 - 253. 10.4274/tnd.2022.48347
Chicago Seckin Mustafa,ÖZTÜRK GÜLCAN,Dilmac Ecem,Gürvit Hakan Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum. Türk Nöroloji Dergisi 28, no.4 (2022): 248 - 253. 10.4274/tnd.2022.48347
MLA Seckin Mustafa,ÖZTÜRK GÜLCAN,Dilmac Ecem,Gürvit Hakan Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum. Türk Nöroloji Dergisi, vol.28, no.4, 2022, ss.248 - 253. 10.4274/tnd.2022.48347
AMA Seckin M,ÖZTÜRK G,Dilmac E,Gürvit H Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum. Türk Nöroloji Dergisi. 2022; 28(4): 248 - 253. 10.4274/tnd.2022.48347
Vancouver Seckin M,ÖZTÜRK G,Dilmac E,Gürvit H Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum. Türk Nöroloji Dergisi. 2022; 28(4): 248 - 253. 10.4274/tnd.2022.48347
IEEE Seckin M,ÖZTÜRK G,Dilmac E,Gürvit H "Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum." Türk Nöroloji Dergisi, 28, ss.248 - 253, 2022. 10.4274/tnd.2022.48347
ISNAD Seckin, Mustafa vd. "Self-perspective Versus Caregiver-perspective on Cognitive Impairment at Different Stages of the Alzheimer’s Continuum". Türk Nöroloji Dergisi 28/4 (2022), 248-253. https://doi.org/10.4274/tnd.2022.48347