Self-Awareness of Cognitive Efficiency, Cognitive Status, Insight, and Financial Capacity in Patients with Mild AD, aMCI, and Healthy Controls: An Intriguing Liaison with Clinical Implications?

Abstract

Objectives: This study compares objective measures of cognitive performance with subjective perception of specific performance on neuropsychological tests examining basic cognitive domains, including, for the first time, financial capacity. Additionally, differences in assessment between single- and multiple-domain aMCI, mild AD, and healthy elderly regarding insight are examined. Methods: Participants completed a number of neuropsychological tests and the Legal Capacity for Property Law Transactions Assessment Scale (LCPLTAS). After every test, participants were asked to complete the Clinical Insight Rating scale (CIR) and to self-evaluate their performance by comparing it to what they considered as average for people of their age and educational level. Results: These preliminary findings show significant differences in the self-assessment patterns of the four groups in measures of verbal memory, visuospatial perception and memory, executive functions, tests of attention, and financial capacity. Mild AD expressed the highest overestimations, followed by single- and multiple-domain aMCI as well as controls. Accuracy of self-report is not uniform across groups and functional areas. Conclusions: Unawareness of memory deficits in both MCI subtypes is contradictory to subjective memory complaints as being an important component for clinical diagnosis. Financial capacity is overestimated in MCI and mild AD, a finding that has a plethora of clinical and legal implications.

Are sex differences in self‐estimated intelligence an elusive phenomenon? Exploring the role of working memory, creativity, and other psychological correlates in young and older adults

“…Thus, for the first time we are able to rule out the presence of neurological impairment in the study or that SEI is an accurate reflection of the difficulties the participants encountered in the neuropsychological battery. Although direct cognitive performance was assessed (as indicated by the four neuropsychological tests), the objective psychometrically measured cognitive ability does not shape self‐perceptions such as SEI, a finding that is also reported in Greek older adults with mild cognitive impairments and healthy Greek older adults (Fragkiadaki et al., 2016 ; Giannouli & Tsolaki, 2022b ).…”

Elderly Individuals Residing in Nursing Homes in Western Romania Who Have Been Diagnosed with Hearing Loss are at a Higher Risk of Experiencing Cognitive Impairment

“…One particularly noteworthy finding among the statistically significant negative connections is the reduced awareness of overall cognitive abilities, which appears to be associated with lower scores on the MMSE-2. 18 …”

“…The exclusion criteria included individuals with documented histories of depression, stroke, prior alcohol or drug misuse, previous traumatic brain injury and related neurosurgical interventions, as well as any other medical condition (including significant visual impairments that have not been sufficiently corrected). 18 …”

“…The exclusion criteria included individuals with documented histories of depression, stroke, prior alcohol or drug misuse, previous traumatic brain injury and related neurosurgical interventions, as well as any other medical condition (including significant visual impairments that have not been sufficiently corrected). 18 Patients have been examined and enrolled in April 2023. A number of 203 people with ages ≥65 years were included in the research and met the study's eligibility requirements since they were either cognitively unimpaired or had cognitive impairment.…”

Feasibility study of the Digital Patient Benefit Assessment Scale (P-BAS): A Digital Tool to Assess Individual Patient Goals

“…The inclusion criteria for participation consisted of (1) age ≥ 70 years ( de Rooij et al, 2009 ), (2) capable of speaking and understanding Dutch, (3) visiting the hospital for an outpatient consultation, (4) in possession of an e-mail address, and (5) an active care demand for breast cancer, hip, or knee osteoarthritis. One exclusion criteria was cognitive limitations (e.g., dementia or Alzheimer’s disease) since this could influence the awareness of their cognitive functions ( Giannouli & Tsolaki, 2022 ). All patients were asked for written informed consent before participating in the study.…”