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2 results on '"conciencia"'

1. [Paradoxical lucidity and personal identity in patients with advanced dementia: change of paradigm?]

Author

Álvarez-Fernández B and Marín-Carmona JM

Subjects
Humans, Aged, Self Concept, Severity of Illness Index, Dementia psychology
Abstract

In this article we approach the concept of paradoxical lucidity (LP) (an unexpected, spontaneous, significant and relevant episode of communication or connection) in persons with advanced dementia. The existence of LP could change the paradigm of dementia as a degenerative, chronic, progressive and irreversible disease (where neuronal death plays the leading role), towards a model where functional deficits of neuronal networks acquire importance, which raises new potentially reversible therapeutic and rehabilitative possibilities. We analyze the ethical consequences that these episodes may have with respect to the implicated persons (patients, caregivers and professionals in charge of their care) and try to answer the following question: Do persons with advanced dementia continue to maintain their personal identity despite suffering cognitive impairment so severe?. The LP indicates that this is possible. In this work we make a transversal outline of the different concepts and theories of personal identity in these patients, from different areas of knowledge (philosophy, psychology, neuroscience)., (Copyright © 2024 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.)

Published
2024
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2. An adapted scale to evaluate insight in Prader-Willi Syndrome.

Author

Cobo J, Coronas R, Pousa E, Oliva JC, Giménez-Palop O, and Caixàs A

Subjects
Female, Humans, Male, Prader-Willi Syndrome complications, Prader-Willi Syndrome diagnosis, Prader-Willi Syndrome drug therapy
Abstract

Objective: To develop an insight scale for Prader-Willi Syndrome (PWS), a genetically determined neurodevelopmental disorder with different psychopathological and behavioural problems., Methodology: A sample of 36 PWS patients (58.3% women) attended at the Endocrinological Department of the Corporació Sanitària Parc Taulí (Sabadell, Barcelona) was evaluated. Insight was assessed by means of an adapted version of the Scale of Unawareness of Mental Disorder (SUMD), including three general insight dimensions: awareness of having a PWS, awareness of the effects of psychopharmacological medication and awareness of the social consequences, as well as three items that assess awareness of each particular symptom of the disease (obesity/overweight, excessive appetite and excessive food intake)., Results: The final Scale included six items and demonstrated an adequate internal consistency (Cronbach Alfa of 0.857 for Caregivers and 0.798 for Clinicians) but a high inter-rate variability. External validation using an Analytical-Visual Insight Scale was adequate., Conclusions: The Adapted version for Prader-Willi patients of the Scale of Unawareness of Mental Disorder (APW-SUD) showed adequate psychometric properties and it is an easy to administer means to assess insight in this population., (Copyright © 2021 Elsevier España, S.L.U. All rights reserved.)

Published
2022
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