Evaluation de l'anosognosie chez des patients âgés atteints de maladie d'Alzheimer et syndromes apparentés PDF Download
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Author: Nathalie Verneuil
Publisher:
ISBN:
Category :
Languages : fr
Pages : 260
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Book Description
Contexte : Avec le vieillissement de population, il existe une augmentation du nombre de patients atteints d’une démence de type Alzheimer et associées (environ 860 000 en 2004, 1,2M en 2020). Il s’agit d’un problème de santé publique où les médecins généralistes sont souvent au premier rang. L’anosognosie, définie comme la non reconnaissance de sa maladie par les patients, est fréquente dans ces maladies. Les objectifs de cette thèse sont de comparer l’évaluation de l’anosognosie faite par l’expert et celle faite par l’aidant, de déterminer ses caractéristiques et de mieux préciser les conséquences notamment sur le plan comportemental. - Méthode : Le questionnaire proposé par le Dr Trouillet a été utilisé pour évaluer le niveau d’anosognosie. Nous avons utilisé les volets patients et aidants. Nous avons complété cette évaluation de l’anosognosie par une cotation simple faite par le médecin expert (médecin consultant mémoire). Ce questionnaire a été proposé à 58 patients à l’hôpital Gériatrique des Bâteliers (CHRU Lille) et de Seclin. Nous avons évalué l’autonomie du patient (score IADL), ses fonctions cognitives (Mini Mental Status) et le niveau de gravité de la démence (CDR). Les troubles du comportement ont été évalués avec l’échelle NPI-R. On a utilisé les tests de Wilcoxon et du Khi 2 pour les comparaisons de moyennes quantitatives et qualitatives, et le test de Spearman pour les corrélations. -Résultats : Nous retrouvons une corrélation positive entre l’évaluation de l’anosognosie faite par l’expert (AExp) et celle faite par l’aidant. Les évaluations de l’anosognosie faites par l’expert, l’aidant et le patient sont positivement corrélées, ce qui laisse entendre que le questionnaire du Dr Trouillet est intéressant mais ne suffit pas à le valider. Cependant, l’aidant surévalue de façon significative le niveau d’anosognosie par rapport à l’expert. Le niveau d’anosognosie (AExp) est corrélé à la perte d’autonomie, la gravité de la maladie et les troubles comportementaux. Nous trouvons ainsi une corrélation positive entre scores totaux NPI R (gravité et retentissement) et score total AExp (p
Author: Thomas Crook
Publisher: Mark Powley Associates, Incorporated
ISBN:
Category : Medical
Languages : en
Pages : 358
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Book Description
Author: Yasser Khazaal
Publisher: Frontiers Media SA
ISBN: 2889454967
Category : Video games in education
Languages : en
Pages : 311
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Book Description
Recent years have seen important developments in the computer and game industry, including the emergence of the concept of serious games. It is hypothesized that tools such as games, virtual reality, or applications for smartphones may foster learning, enhance motivation, promote behavioral change, support psychotherapy, favor empowerment, and improve some cognitive functions. Computers and games may create supports for training or help people with cognitive, emotional, or behavioral change. Games take various formats, from board games to informatics to games with interactive rules of play. Similarly, computer tools may vary widely in format, from self-help or assisted computerized training to virtual reality or applications for smartphones. Some tools that may be helpful for mental health were specifically designed for that goal, whereas others were not. Gamification of computer-related products and games with a numeric format tend to reduce the gap between games and computers tools and increase the conceptual synergy in such fields. Games and computer design share an opportunity for creativity and innovation to help create, specifically design, and assess preventive or therapeutic tools. Computers and games share a design conception that allows innovative approaches to overcome barriers of the real world by creating their own rules. Yet, despite the potential interest in such tools to improve treatment of mental disorders and to help prevent them, the field remains understudied and information is under-disseminated in clinical practice. Some studies have shown, however, that there is potential interest and acceptability of tools that support various vehicles, rationales, objectives, and formats. These tools include traditional games (e.g., chess games), popular electronic games, board games, computer-based interventions specifically designed for psychotherapy or cognitive training, virtual reality, apps for smartphones, and so forth. Computers and games may offer a true opportunity to develop, assess, and disseminate new prevention and treatment tools for mental health and well-being. Currently, there is a strong need for state-of-the-art information to answer questions such as the following: Why develop such tools for mental health and well-being? What are the potential additions to traditional treatments? What are the best strategies or formats to improve the possible impact of these tools? Are such tools useful as a first treatment step? What is the potential of a hybrid model of care that combines traditional approaches with games and/or computers as tools? What games and applications have already been designed and studied? What is the evidence from previous studies? How can such tools be successfully designed for mental health and well-being? What is rewarding or attractive for patients in using such treatments? What are the worldwide developments in the field? Are some protocols under development? What are the barriers and challenges related to such developments? How can these tools be assessed, and how can the way that they work, and for whom, be measured? Are the potential benefits of such products specific, or can these additions be attributed to nonspecific factors? What are the users’ views on such tools? What are the possible links between such tools and social networks? Is there a gap between evidence-based results and market development? Are there any quality challenges? What future developments and studies are needed in the field?
Author: David J. Kupfer
Publisher: American Psychiatric Pub
ISBN:
Category : Medical
Languages : en
Pages : 340
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Book Description
Produced as a partnership between the American Psychiatric Association and the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism and the National Institute on Drug Abuse, this thought-provoking collection of white papers: Examines nomenclature issues. Reviews genetic, brain imaging, postmortem, and animal model research and includes strategic insights for a new research agenda Outlines recent progress in developmental neuroscience, genetics, psychology, psychopathology, and epidemiology, focusing on the turbulent first two decades of life. Suggests a research agenda for personality disorders that uses a dimensional rather than the current categorical approach to diagnosis. Proposes a research agenda to evaluate the clinical utility and validity of adding relational disorders to DSM-IV. Reevaluates the relationship between mental disorders and disability, proposing that diagnosis and disability be uncoupled. Examines the importance of culture in psychopathology and the main cultural variables at play in the diagnostic process.
Author:
Publisher: Elsevier
ISBN: 0444538186
Category : Psychology
Languages : en
Pages : 229
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Book Description
There is a critical, bidirectional relationship between sleep and cognition, yet the literature in this area is scattered, and it is surprisingly difficult to find a comprehensive overview of the basic principles, latest discoveries, and outstanding challenges. This issue of Progress in Brain Research is split over 2 volumes, bringing together cutting-edge research on the topic in the basic, clinical and applied sciences. The 2 volumes review current knowledge and understanding, provide a starting point for researchers and practitioners entering the field, and build a platform for further research and discovery. - Leading authors review the state-of-the-art in their field of investigation, and provide their views and perspectives for future research - Chapters are extensively referenced to provide readers with a comprehensive list of resources on the topics covered - All chapters include comprehensive background information and are written in a clear form that is also accessible to the non-specialist
Author: Nathalie Verneuil
Publisher:
ISBN:
Category :
Languages : fr
Pages : 260
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Book Description
Contexte : Avec le vieillissement de population, il existe une augmentation du nombre de patients atteints d’une démence de type Alzheimer et associées (environ 860 000 en 2004, 1,2M en 2020). Il s’agit d’un problème de santé publique où les médecins généralistes sont souvent au premier rang. L’anosognosie, définie comme la non reconnaissance de sa maladie par les patients, est fréquente dans ces maladies. Les objectifs de cette thèse sont de comparer l’évaluation de l’anosognosie faite par l’expert et celle faite par l’aidant, de déterminer ses caractéristiques et de mieux préciser les conséquences notamment sur le plan comportemental. - Méthode : Le questionnaire proposé par le Dr Trouillet a été utilisé pour évaluer le niveau d’anosognosie. Nous avons utilisé les volets patients et aidants. Nous avons complété cette évaluation de l’anosognosie par une cotation simple faite par le médecin expert (médecin consultant mémoire). Ce questionnaire a été proposé à 58 patients à l’hôpital Gériatrique des Bâteliers (CHRU Lille) et de Seclin. Nous avons évalué l’autonomie du patient (score IADL), ses fonctions cognitives (Mini Mental Status) et le niveau de gravité de la démence (CDR). Les troubles du comportement ont été évalués avec l’échelle NPI-R. On a utilisé les tests de Wilcoxon et du Khi 2 pour les comparaisons de moyennes quantitatives et qualitatives, et le test de Spearman pour les corrélations. -Résultats : Nous retrouvons une corrélation positive entre l’évaluation de l’anosognosie faite par l’expert (AExp) et celle faite par l’aidant. Les évaluations de l’anosognosie faites par l’expert, l’aidant et le patient sont positivement corrélées, ce qui laisse entendre que le questionnaire du Dr Trouillet est intéressant mais ne suffit pas à le valider. Cependant, l’aidant surévalue de façon significative le niveau d’anosognosie par rapport à l’expert. Le niveau d’anosognosie (AExp) est corrélé à la perte d’autonomie, la gravité de la maladie et les troubles comportementaux. Nous trouvons ainsi une corrélation positive entre scores totaux NPI R (gravité et retentissement) et score total AExp (p
Author: Clare Cooper Marcus
Publisher: John Wiley & Sons
ISBN: 1118231910
Category : Architecture
Languages : en
Pages : 338
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Book Description
This comprehensive and authoritative guide offers an evidence-based overview of healing gardens and therapeutic landscapes from planning to post-occupancy evaluation. It provides general guidelines for designers and other stakeholders in a variety of projects, as well as patient-specific guidelines covering twelve categories ranging from burn patients, psychiatric patients, to hospice and Alzheimer's patients, among others. Sections on participatory design and funding offer valuable guidance to the entire team, not just designers, while a planting and maintenance chapter gives critical information to ensure that safety, longevity, and budgetary concerns are addressed.
Author: Olivier Godefroy
Publisher: Cambridge University Press
ISBN: 1139461893
Category : Medical
Languages : en
Pages : 637
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Book Description
The care of stroke patients has changed dramatically. As well as improvements in the emergency care of the condition, there have been marked advances in our understanding, management and rehabilitation of residual deficits. This book is about the care of stroke patients, focusing on behavioural and cognitive problems. It provides a comprehensive review of the field covering the diagnostic value of these conditions, in the acute and later phases, their requirements in terms of treatment and management and the likelihood and significance of long-term disability. This book will appeal to all clinicians involved in the care of stroke patients, as well as to neuropsychologists, other rehabilitation therapists and research scientists investigating the underlying neuroscience.
Author: Gérard Deloche
Publisher: Routledge
ISBN: 0429949219
Category : Psychology
Languages : en
Pages : 503
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Book Description
Originally published in 1987, interest in mathematical cognition was not new in psychology. However, it was rediscovered in the 1970s under the influential work of the Genevan School. In particular, Piaget’s work on conservation, including conservation of number, profoundly influenced developmental psychologists who, working first in the Piagetian theoretical framework, began to discover a broader set of topics in mathematical cognition. In developmental psychology, the field continued to expand and covered a wide range of topics. During the same period, however, no such evolution occurred in neuropsychology, and except for some studies around the time of publication, very little had been published on acalculia and number processing disorders. However, a more general theoretical evolution occurred in neuropsychology, mainly due to increasing collaboration between clinical and experimental neuropsychologists, on the one hand and cognitive psychologists on the other. The objective of this book was to promote an evolution in the neuropsychology of calculation and number processing deficits and thus to introduce clinical and experimental neuropsychologists, as well as developmental and cognitive psychologists, to recent research and theoretical approaches that are of particular interest for the neuropsychological approach to mathematical cognition.
Author: Jeffrey A. Knight
Publisher: Psychological Assessment Resources
ISBN: 9780911907377
Category : Medical
Languages : en
Pages : 738
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Book Description
Author: Lynn C. Robertson
Publisher: Oxford University Press
ISBN: 019516623X
Category : Medical
Languages : en
Pages : 279
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Book Description
Owing to its bizarre nature and its implications for understanding how brains work, synesthesia has recently received a lot of attention in the popular press and motivated a great deal of research and discussion among scientists. The questions generated by these two communities are intriguing: Does the synesthetic phenomenon require awareness and attention? How does a feature that is not present become bound to one that is? Does synesthesia develop or is it hard wired? Should it change our way of thinking about perceptual experience in general? What is its value in understanding perceptual systems as a whole?This volume brings together a distinguished group of investigators from diverse backgrounds--among them neuroscientists, novelists, and synesthetes themselves--who provide fascinating answers to these questions. Although each approaches synesthesia from a very different perspective, and each was curious about and investigated synesthesia for very different reasons, the similarities between their work cannot be ignored. The research presented in this volume demonstrates that it is no longer reasonable to ask whether or not synesthesia is real--we must now ask how we can account for it from cognitive, neurobiological, developmental, and evolutionary perspectives. This book will be important reading for any scientist interested in brain and mind, not to mention synesthetes themselves, and others who might be wondering what all the fuss is about.
