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. 2018 Apr;38(2):113-120.
doi: 10.1177/1539449217747586. Epub 2017 Dec 18.

Examining Anosognosia of Neglect

Emily S Grattan  1 , Elizabeth R Skidmore  2 , Michelle L Woodbury  1   3
Affiliations

Examining Anosognosia of Neglect

Emily S Grattan et al. OTJR (Thorofare N J). 2018 Apr.

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.

Keywords: activities of daily living; cognition; stroke; visual perception.

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Conflict of interest statement

Conflicts of Interest: The Authors declare that there is no conflict of interest.

References

    1. Adams H, Davis P, Leira E, Chang K, Benedixen B, Clark W, Hansen M. Baseline NIH Stroke Scale score strongly predicts outcome after stroke: A report of the Trial of Org 101172 in acute stroke treatment (TOAST) Neurology. 1999;53(1):126–131. - PubMed
    1. Appelros P, Karlsson G, Seiger A, Nydevik I. Prognosis for patients with neglect and anosognosia with special reference to cognitive impairment. J Rehabil Med. 2003;35:254–258. - PubMed
    1. Appelros P, Karlsson GM, Hennerdal S. Anosognosia versus unilateral neglect. Coexistence and their relations to age, stroke severity, lesion site and cognition. Eur J Neurol. 2007;14(1):54–59. doi: 10.1111/j.1468-1331.2006.01544.x. - DOI - PubMed
    1. Appelros P, Karlsson GM, Seiger A, Nydevik I. Neglect and anosognosia after first-ever stroke: incidence and relationship to disability. J Rehabil Med. 2002;34(5):215–220. - PubMed
    1. Azouvi P. Functional consequences and awareness of unilateral neglect: study of an evaluation scale. Neuropsychological rehabilitation. 1996;6(2):133–150.

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