title: Integrating the Constructs of Anosognosia and Metacognition: a Review of Recent Findings in Dementia.
abstract: The current review integrates recent findings regarding the construct of self-awareness in dementia from both clinical and cognitive perspectives. We present the predominant theoretical models of awareness and summarize both traditional and emerging approaches to assessing awareness from clinical and meta-cognitive perspectives. In this review, we focus primarily on findings from recent studies in anosognosia and meta-cognition in the context of neurodegenerative disease with special emphasis on Alzheimer's disease and frontotemporal dementia. Emerging trends in the study of awareness, including examination of the longitudinal course of anosognosia, and investigation of the neural substrates underlying meta-cognitive abilities are addressed. Finally, the practical importance of studying and assessing awareness from both theoretical and clinical angles is emphasized.
authors.affiliation: Cognitive Neuroscience Division of the Taub Institute for Research on Alzheimer's Disease, Columbia University Medical Center, New York, NY, USA.|Aging Brain, G.H. Sergievsky Center, Columbia University Medical Center, New York, NY, USA.|Taub Institute, Columbia University Medical Center, 630 West 168th St., P&S Box 16, New York, NY, 10032, USA.
authors.forename: Preeti
authors.initials: P
authors.lastname: Sunderaraman
authors.affiliation: Cognitive Neuroscience Division of the Taub Institute for Research on Alzheimer's Disease, Columbia University Medical Center, New York, NY, USA. sc2460@columbia.edu.|Aging Brain, G.H. Sergievsky Center, Columbia University Medical Center, New York, NY, USA. sc2460@columbia.edu.|Department of Neurology, Columbia University Medical Center, New York, NY, USA. sc2460@columbia.edu.|Taub Institute, Columbia University Medical Center, 630 West 168th St., P&S Box 16, New York, NY, 10032, USA. sc2460@columbia.edu.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Cosentino
mesh_terms: D000368:Aged; D000377:Agnosia / Q000523:psychology*; D000544:Alzheimer Disease / Q000523:psychology*; D001364:Awareness; D057180:Frontotemporal Dementia / Q000523:psychology*; D006801:Humans; D000067489:Metacognition; D008960:Models, Psychological; D009483:Neuropsychological Tests
keywords: Aging; Anosognosia; Awareness; Dementia; Meta-cognition; Self