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Awareness of cognitive deficits in older adults with epilepsy and mild cognitive impairment.

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Title: Awareness of cognitive deficits in older adults with epilepsy and mild cognitive impairment.
Authors: Galioto, Rachel (AUTHOR), Thamilavel, Selvan (AUTHOR), Blum, Andrew S. (AUTHOR), Tremont, Geoffrey (AUTHOR)
Source: Journal of Clinical & Experimental Neuropsychology. Oct2015, Vol. 37 Issue 8, p785-793. 9p. 3 Charts.
Subjects: Mild cognitive impairment, Epilepsy research, Neuropsychology research, Deficit awareness, Recovered memory
Abstract: Objective: A significant portion of individuals with mild cognitive impairment (MCI) experience limited awareness of cognitive deficits. Although older adults with epilepsy have comparable cognitive deficits to individuals with MCI, little is known about awareness of cognitive deficit in epilepsy. This study compared deficit awareness in epilepsy and MCI and examined its relationship with neuropsychological performance. Method: Sixty-two older adults (31 epilepsy, 31 MCI) completed neuropsychological testing and the Cognitive Difficulties Scale (CDS), a self-report measure of everyday cognitive skills. Informants completed the CDS only. Cognitive domain scores were created. CDS composite scores were created by summing attention–concentration and language and delayed memory factors. Awareness was defined as the difference between patient and informant CDS scores, with limited awareness defined as greater informant complaints. Results: Neuropsychological performance was similar between groups for all domains except that MCI participants had worse delayed memory, t(60) = 2.49, p <.05. CDS scores were similar between patient groups (p >.05). Epilepsy informant CDS scores were related to poorer immediate memory (r = –.41, p =.02). MCI informant CDS scores were related to worse delayed memory (r = –.41, p =.02). Limited awareness was found in 29.0% of epilepsy and 61.3% of MCI participants. Awareness was not related to cognition in epilepsy but was related to worse delayed memory (r = –.41, p =.02) for MCI participants. Conclusions: Older adults with epilepsy and MCI had similar cognitive deficits with the exception of greater impairment in delayed memory for MCI patients. There was less awareness of deficit in the MCI group, suggesting that delayed memory may be a critical factor for deficit awareness. Results argue against executive dysfunction as a major contributor to deficit awareness. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical & Experimental Neuropsychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Awareness of cognitive deficits in older adults with epilepsy and mild cognitive impairment.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Galioto%2C+Rachel%22&quot;&gt;Galioto, Rachel&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Thamilavel%2C+Selvan%22&quot;&gt;Thamilavel, Selvan&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Blum%2C+Andrew+S%2E%22&quot;&gt;Blum, Andrew S.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Tremont%2C+Geoffrey%22&quot;&gt;Tremont, Geoffrey&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Mild+cognitive+impairment%22&quot;&gt;Mild cognitive impairment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Epilepsy+research%22&quot;&gt;Epilepsy research&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Neuropsychology+research%22&quot;&gt;Neuropsychology research&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Deficit+awareness%22&quot;&gt;Deficit awareness&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Recovered+memory%22&quot;&gt;Recovered memory&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: A significant portion of individuals with mild cognitive impairment (MCI) experience limited awareness of cognitive deficits. Although older adults with epilepsy have comparable cognitive deficits to individuals with MCI, little is known about awareness of cognitive deficit in epilepsy. This study compared deficit awareness in epilepsy and MCI and examined its relationship with neuropsychological performance. Method: Sixty-two older adults (31 epilepsy, 31 MCI) completed neuropsychological testing and the Cognitive Difficulties Scale (CDS), a self-report measure of everyday cognitive skills. Informants completed the CDS only. Cognitive domain scores were created. CDS composite scores were created by summing attention–concentration and language and delayed memory factors. Awareness was defined as the difference between patient and informant CDS scores, with limited awareness defined as greater informant complaints. Results: Neuropsychological performance was similar between groups for all domains except that MCI participants had worse delayed memory, t(60) = 2.49, p &lt;.05. CDS scores were similar between patient groups (p &gt;.05). Epilepsy informant CDS scores were related to poorer immediate memory (r = –.41, p =.02). MCI informant CDS scores were related to worse delayed memory (r = –.41, p =.02). Limited awareness was found in 29.0% of epilepsy and 61.3% of MCI participants. Awareness was not related to cognition in epilepsy but was related to worse delayed memory (r = –.41, p =.02) for MCI participants. Conclusions: Older adults with epilepsy and MCI had similar cognitive deficits with the exception of greater impairment in delayed memory for MCI patients. There was less awareness of deficit in the MCI group, suggesting that delayed memory may be a critical factor for deficit awareness. Results argue against executive dysfunction as a major contributor to deficit awareness. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: &lt;i&gt;Copyright of Journal of Clinical &amp; Experimental Neuropsychology is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1080/13803395.2015.1053844
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 9
        StartPage: 785
    Subjects:
      – SubjectFull: Mild cognitive impairment
        Type: general
      – SubjectFull: Epilepsy research
        Type: general
      – SubjectFull: Neuropsychology research
        Type: general
      – SubjectFull: Deficit awareness
        Type: general
      – SubjectFull: Recovered memory
        Type: general
    Titles:
      – TitleFull: Awareness of cognitive deficits in older adults with epilepsy and mild cognitive impairment.
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            NameFull: Galioto, Rachel
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            NameFull: Thamilavel, Selvan
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            NameFull: Blum, Andrew S.
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            NameFull: Tremont, Geoffrey
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              Text: Oct2015
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              Y: 2015
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