Examining Anosognosia of Neglect

Overview

Journal OTJR (Thorofare N J)

Specialties Occupational Medicine
Psychiatry
Rehabilitation Medicine

Date 2017 Dec 19

PMID 29251546

Citations 4

Authors

Emily S Grattan

Elizabeth R Skidmore

Michelle L Woodbury

Affiliations

Soon will be listed here.

Abstract

Unilateral neglect (neglect) and anosognosia often co-occur post stroke. It is unknown whether anosognosia of neglect varies for different types of daily activities. The objective is to examine the frequency of anosognosia of neglect for items on the Catherine Bergego Scale (CBS) and to determine the level of agreement between participant/assessor item ratings and total scores. Secondary analysis of data was carried out. We conducted descriptive analyses and interrater reliability analyses (Cohen's kappa) to determine the level of agreement between assessor and participant item ratings. A paired t test was conducted to compare assessor and participant total scores. The frequency of anosognosia among items varied (29.2%-83.3%) and Kappa statistics ranged from -0.07 (no agreement) to 0.23 (fair agreement) for item ratings. There was a significant difference- t(36) = 3.02, p ≤ .01)-between assessor ( M = 8.0, SD = 5.2) and participant-rated ( M = 5.3, SD = 4.5) total CBS scores. Anosognosia is prevalent among those with neglect. Findings highlight the importance of assessing for anosognosia.

Citing Articles

Unilateral Spatial Neglect May Not Be Detected by Performance-Based Functional Neglect Assessment.

Grattan E, Hounshel Smith B, Mullen K, Woodbury M Am J Occup Ther. 2024; 78(2).

PMID: 38350038 PMC: 11017738. DOI: 10.5014/ajot.2024.050497.

Is Anosognosia for Left-Sided Hemiplegia Due to a Specific Self-Awareness Defect or to a Poorly Conscious Working Mode Typical of the Right Hemisphere?.

Gainotti G Behav Sci (Basel). 2023; 13(12).

PMID: 38131820 PMC: 10740477. DOI: 10.3390/bs13120964.

Implicit Selective Attention: The Role of the Mesencephalic-basal Ganglia System.

Esposito M, Palermo S, Nahi Y, Tamietto M, Celeghin A Curr Neuropharmacol. 2023; 22(9):1497-1512.

PMID: 37653629 PMC: 11097991. DOI: 10.2174/1570159X21666230831163052.

Independence in Daily Activities after Stroke among Occupational Therapy Patients and Its Relationship with Unilateral Neglect.

De-Rosende-Celeiro I, Rey-Villamayor A, Francisco-de-Miguel I, Avila-Alvarez A Int J Environ Res Public Health. 2021; 18(14).

PMID: 34299988 PMC: 8306679. DOI: 10.3390/ijerph18147537.

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