enerbol and Memory-Disorders

In this study, we focused on acceptance of memory impairment and satisfaction with life in patients with mild to moderate Alzheimer's disease (AD). We interviewed 71 consecutive patients with AD and asked (1) whether they had memory loss, (2) whether they found trouble in life, and (3) how their daily life was. We categorized the patients into three groups based on awareness of memory loss and reference to the cause of memory loss. Cognitive functions were lower in patients who were not aware of memory loss. The rate of satisfaction with life was the highest in patients who were not aware of memory loss, and was the lowest in patients who complained of memory loss with reference to the cause of memory loss, indicating that patients could hardly accept their lives when memory impairment was a serious issue. However, in these patients, depression scores were not high, suggesting that they may somehow adapt themselves to their current status by defining the reason for memory loss. In patients who complained of memory impairment but did not refer to the cause of memory loss, there was a variation in awareness of memory loss and satisfaction with life. The present study indicated that we have to provide individual care and support for AD patients considering their level of acceptance of memory impairment.

Topics: Aged; Aged, 80 and over; Alzheimer Disease; Behavior; Female; Humans; Life; Male; Memory Disorders; Personal Satisfaction; Quality of Life

Category-specific deficits for living things have been explained variously as an artifact due to differences in the familiarity of concepts in different categories (E. Funnell & J. Sheridan, 1992) or as the result of an underlying impairment to sensory knowledge (E. K. Warrington & T. Shallice, 1984). Efforts to test these hypotheses empirically have been hindered by the shortcomings of currently available stimulus materials. A new set of stimuli are described that the authors developed to overcome the limitations of existing sets. The set consists of color photographs, matched across categories for familiarity and visual complexity. This set was used to test the semantic knowledge of a classic patient, J.B.R. (E. K. Warrington & T. Shallice, 1984). The results suggest that J.B.R.'s deficit for living things cannot be explained in terms of familiarity effects and that the most severely affected categories are those whose identification is most dependent on sensory information.

Topics: Adult; Age Factors; Aged; Amygdala; Anomia; Association; Brain; Brain Damage, Chronic; Chi-Square Distribution; Concept Formation; Hippocampus; Humans; Life; Male; Memory Disorders; Neuropsychological Tests; Pattern Recognition, Visual; Reference Values; Semantics; Temporal Lobe; Verbal Behavior