ArticleFrontiers in aging neuroscience2023
Studying lack of awareness of cognitive decline in neurodegenerative diseases requires measures of both anosognosia and denial.
Article in Frontiers in aging neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Rapid Review of Interventions Designed to Enhance Personalised Care for People With Dementia When There Are Concerns About Reduced Awareness of Difficulties.International journal of geriatric psychiatry · 2025Pooled it
- Genetic and Pathological Testing Attitudes for Parkinson's Disease in At-Risk Relatives.Movement disorders clinical practice · 2026Article
- Engagement with behaviour change in people with mild cognitive impairment and mild frailty: a qualitative study.BMJ open · 2026Article
- Understanding illness awareness in Alzheimer's disease: a qualitative study with patient-caregiver dyads in Colombia.Frontiers in aging neuroscience · 2026Article
- Care challenges related to lack of awareness in people with dementia.Frontiers in dementia · 2026Article
- Beliefs in Right Hemisphere Syndromes: From Denial to Distortion.Brain sciences · 2025Review
- Neuropsychological correlates of reduced self-awareness of functional competency in persons with subjective memory complaints, mild cognitive impairment, and early probable Alzheimer's dementia.Frontiers in neurology · 2025Article
- Clinical perspectives on neuropsychological rehabilitation: challenges, expectations, and family involvement.Frontiers in human neuroscience · 2025Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The cause(s) of lack of awareness of cognitive decline in neurodegenerative diseases can be multifactorial. Yet neurologically oriented research on anosognosia of cognitive decline almost exclusively assumes that the underlying disturbance of neuro-networks that support various cognitive functions accounts for the reduced self-awareness. Cultural and psychosocial factors, including the person's emotional state, however, can contribute to the underreporting or avoidance of admitting to cognitive impairments in neurodegenerative diseases. Research on the causes of lack of awareness of cognitive decline in neurodegenerative disorders needs to include these variables. We briefly present two case examples of underreporting or "unawareness" of memory difficulties in persons with mild cognitive impairment (MCI) (or minor neurocognitive disorder). One presented with classic anosognosia for memory impairment, while the other initially reported no memory impairment but later admitted to "denying" her memory difficulties secondary to anxiety. Based on these patients' clinical presentations and available research, we suggest three potential screening items that may help identify probable denial of memory impairments when studying anosognosia in MCI.
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