Selbstbeurteilung von Aufmerksamkeitsdefiziten bei Alzheimer-Kranken mit sehr leichter Demenz
Abstract
Zusammenfassung: Die Selbstbeurteilung von Aufmerksamkeitsdefiziten wurde bei 14 Patienten mit Alzheimer-Demenz in einem sehr frühen Stadium (MMST > 24) und 14 hinsichtlich Geschlecht, Alter und Schulbildung gematchten sowie hinsichtlich der Depressivität vergleichbaren Kontrollpersonen psychometrisch erfaßt. Als Meßinstrument wurde der “Fragebogen Erlebter Defizite der Aufmerksamkeit (FEDA)” (Zimmermann, Messner, Poser & Sedelmeier, 1991) eingesetzt. Es zeigte sich, daß die nicht-depressiven Patienten mit beginnender Alzheimer-Demenz signifikant stärker ausgeprägte Beschwerden angaben als gesunde Ältere. Mit Hilfe des FEDA-Gesamtwertes konnten 12 Patienten und 11 Kontrollpersonen richtig zugeordnet werden, die Trefferquote betrug somit 82 %. Die Ergebnisse dieser explorativen Studie weisen darauf hin, daß die psychometrisch erfaßte Selbstbeurteilung von Aufmerksamkeitsdefiziten in der Früherkennung einer Demenz bei Alzheimer-Krankheit neben anderen Befunden diagnostisch relevante Information beitragen kann.
Abstract: Self-reported attention deficits were examined in 14 patients with Alzheimer's disease with very mild dementia (MMSE > 24) and 14 healthy controls. The groups were matched for sex, age and education and were comparable in regard to depressivity. Self-report was measured by the “Questionnaire of subjective attention deficits” (Zimmermann et al., 1991). The non-depressive patients with mild dementia of the Alzheimer type reported significantly more subjective attention deficits compared to the healthy elderly. The questionnaire correctly identified 12 patients and 11 control subjects achieving an accuracy of 82%. These preliminary results suggest that self-reported attention deficits might indicate diagnostically relevant information in the early recognition of dementia in Alzheimer's disease.
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