{"title":"[Self-defining memories: last episodic memories bastion in normal aging?].","authors":"Pénélope Martinelli, Pascale Piolino","doi":"10.1684/pnv.2009.0178","DOIUrl":"https://doi.org/10.1684/pnv.2009.0178","url":null,"abstract":"<p><p>Autobiographical memory is constituted by different representations including general knowledge about one's past (semantic component) and specific personal events (episodic component). Some old memories can remain very vivid because they are particularly important for the subject's identity. The aim of this paper is, in the first part, to present a review of the properties of these memories, called self-defining memories, which present episodic characteristics and are closely related to personal semantics and subject's identity model. In the second part, we analyse the results of a preliminary study designed to assess the effect of age on self-defining memories compared to episodic and semantic memories. The results show that the elderly subjects' performance is impaired during the retrieval of episodic memories, while no difference was found between young and older group for retrieving semantic and self-defining memories. However, self-defining memories were predominantly constituted of episodic characteristics in the two age groups. In spite of their episodic nature, their close relationship to the subject's identity model enables to maintain an efficient access to most specific details of memories in normal aging. These results could contribute to improve autobiographical memory rehabilitation in old patients with depression and Alzheimer's disease who suffer from overgeneralization of memories.</p>","PeriodicalId":54537,"journal":{"name":"Psychologie & Neuropsychiatrie Du Vieillissement","volume":"7 3","pages":"151-67"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1684/pnv.2009.0178","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28372924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Information and communication technology interventions supporting carers of people with Alzheimer's disease: a literature review].","authors":"Ya-Huei Wu, Véronique Faucounau, Jocelyne de Rotrou, Mathilde Riguet, Anne-Sophie Rigaud","doi":"10.1684/pnv.2009.0175","DOIUrl":"https://doi.org/10.1684/pnv.2009.0175","url":null,"abstract":"<p><p>Caregivers of patients with Alzheimer's disease or related disorders are exposed to many stress factors which increase the risk of developing physical and psychological disturbances. To limit these negative effects, different psychosocial interventions for carers have been proposed. With progress in technologies, telephone or the internet can offer flexible and tailored means to deliver this kind of interventions. In this literature review, we listed and analysed the articles devoted to this topic. Sixteen papers concerning nine intervention programs were selected. The analysis shows that the internet, as a means to deliver an intervention programme, is more interactive, attractive and less intrusive than telephone. Efficacy of the interventions via this kind of technologies can be compared to that observed in face to face ones: despite weak methodology and inconsistent outcomes of the studies, they showed some improvement in burden, anxiety, depression and self-efficacy. Finally, before implementation of this kind of technologies, it is necessary to test learnability, adaptability and acceptability. Usability of a technology is a key factor for its adoption and efficacy.</p>","PeriodicalId":54537,"journal":{"name":"Psychologie & Neuropsychiatrie Du Vieillissement","volume":"7 3","pages":"185-92"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1684/pnv.2009.0175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28372927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Atypical antipsychotic efficacy and safety in managing delirium: a systematic review and critical analysis].","authors":"Camille Pelland, Jean-François Trudel","doi":"10.1684/pnv.2009.0165","DOIUrl":"https://doi.org/10.1684/pnv.2009.0165","url":null,"abstract":"<p><p>Delirium is a common syndrome in hospitalised patients, particularly in the elderly. While haloperidol has long been the preferred treatment, atypical antipsychotics are now often used, even though their efficacy and safety remain unclear. The review was intended to identify published studies on use of olanzapine, risperidone, quetiapine, ziprasidone, and aripiprazole in managing delirium; to assess their methodological quality; and to formulate clinical recommendations. From Medline and Embase databases (1996-2008), we included all retrospective and prospective group studies that made use of standardised symptom rating scales. We classified studies according to research design quality and extracted information on efficacy and safety. Overall, we found methodological quality to be low-to-moderate although it does seem to be improving. While two randomised olanzapine trials and one risperidone trial found these molecules to be as effective as haloperidol, results are contaminated by various biases. The only available randomised quetiapine trial used amisulpride as the control. These agents appear reasonably safe and induce fewer extrapyramidal side effects than haloperidol does. Occasional hypotension has been reported with risperidone and quetiapine, and occasional worsening of delirium with olanzapine. Data are scarce on their potential for relieving acute agitation in delirium. Haloperidol remains a time-tested treatment, particularly in critical care; safe, it is available in oral, IM and IV forms. Newer agents may be preferable when looking to avoid neurological side effects. Data on ziprasidone and aripiprazole are sparse; these molecules most likely are unsafe given their arrhythmia-inducing potential.</p>","PeriodicalId":54537,"journal":{"name":"Psychologie & Neuropsychiatrie Du Vieillissement","volume":"7 2","pages":"109-19"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1684/pnv.2009.0165","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28274978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Sense of personal identity from a psychoanalytical perspective].","authors":"Daniel Widlöcher","doi":"10.1684/pnv.2009.0170","DOIUrl":"https://doi.org/10.1684/pnv.2009.0170","url":null,"abstract":"<p><p>Psychoanalytical perspective on the sense of personal identity displays paradoxical aspects. It increases the knowledge of the Self, particularly of the Unconscious. However, simultaneously, it stresses the gap between the knowledge which we can have of ourselves and what is thought inside us. We successively study the consequences on the sense of identity of the psychoanalytical method, structural models and identification processes. The ego theory and the ambiguities of the self consciousness will be singled out.</p>","PeriodicalId":54537,"journal":{"name":"Psychologie & Neuropsychiatrie Du Vieillissement","volume":"7 2","pages":"85-9"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1684/pnv.2009.0170","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28274975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Corticobasal degeneration: clinical and neuropsychological profile].","authors":"Olivier Felician, Lejla Koric, Nicolas Rochefort","doi":"10.1684/pnv.2009.0159","DOIUrl":"https://doi.org/10.1684/pnv.2009.0159","url":null,"abstract":"<p><p>Corticobasal degeneration (CBD) is a rare neurodegenerative disorder, primarily defined on clinical and pathological grounds. CBD may present with a large set of cognitive and motor symptoms in relation with asymmetrically distributed lesions in the fronto-parietal cortex and basal ganglia. CBD has long been considered as a motor system disease, with a prominent alteration of movements and gestures. In recent years, however, cognitive and behavioral disturbances have increasingly been recognized. In some instances, they are the prevalent manifestations of the disorder, leading to diagnostic misclassifications and uncertainties. This article reviews the evolution of the nosological concept of CBD across the past decade, along with describing the main disturbances involving cognition, behavior, body and gesture representations that may occur throughout the course of this illness.</p>","PeriodicalId":54537,"journal":{"name":"Psychologie & Neuropsychiatrie Du Vieillissement","volume":"7 2","pages":"91-100"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1684/pnv.2009.0159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28274976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Inhibitory process: what evolution after the age of 50?].","authors":"Christine Moroni, Sophie Bayard","doi":"10.1684/pnv.2009.0155","DOIUrl":"https://doi.org/10.1684/pnv.2009.0155","url":null,"abstract":"<p><p>Increased difficulty with inhibition responses has been reported in aging. We used a French adaptation of the Victoria Stroop Test to assess the evolution of inhibitory processes in 107 healthy participants aged from 50 year old to 95 year old. A mild influence of age was shown on the efficiency of the inhibitory processes, and an important heterogeneity of performances for participants over the age of 81. Decline of the inhibitory processes was observed mainly when the task required a strong inhibitory process, and when an analysis of the speed to perform each task and the produced errors was conjointly performed.</p>","PeriodicalId":54537,"journal":{"name":"Psychologie & Neuropsychiatrie Du Vieillissement","volume":"7 2","pages":"121-9"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1684/pnv.2009.0155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28276525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Véronique Provencher, Nathalie Bier, Thérèse Audet, Lise Gagnon
{"title":"[Long-term effect of a cognitive intervention on learning and participation in a significant leisure activity in early dementia of Alzheimer type: a case study].","authors":"Véronique Provencher, Nathalie Bier, Thérèse Audet, Lise Gagnon","doi":"10.1684/pnv.2009.0166","DOIUrl":"https://doi.org/10.1684/pnv.2009.0166","url":null,"abstract":"<p><p>Decreased ability to accomplish significant leisure activities often occurs in early stages of dementia of Alzheimer type (DAT). As a long term effect, it may eventually affect the quality of life of the patient as well as that of the caregiver's. In a previous study, a woman with early DAT (77 years old, MMSE: 24/30) improved her participation in 2 leisure activities (listening to music and praying in a group) following the learning of a few tasks (e.g. using a radio cassette, remembering the significance of an pre-programmed ring) as a result of a cognitive intervention. The present study presents the long term effect of this intervention on the retention of the learned tasks and on spontaneous participation in both leisure activities of her daily living. Measures of tasks' learning and spontaneous participation in activities have been obtained through direct observation (ex: ability to use the tasks learned without assistance) and telephone conversations with the caregiver. The measures were taken 9 to 15 months post-intervention. Nine months after the end of the intervention, the participant could no longer use the radio cassette, but was able to remember the significance of the pre-programmed ring. Similarly, she stopped listening to music, but still attended her prayer group. The intervention appears to maintain participation in a leisure activity for several months in a patient with early DAT, in spite of expected functional decline. This functional impact can be achieved through retention of specific learned tasks as well as by strong external cues (daily pre-programmed ring), and can increase the quality of life for patients with DAT.</p>","PeriodicalId":54537,"journal":{"name":"Psychologie & Neuropsychiatrie Du Vieillissement","volume":"7 2","pages":"131-40"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1684/pnv.2009.0166","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28276526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Is frontotemporal dementia a disease of identity?].","authors":"Florence Lebert","doi":"10.1684/pnv.2009.0167","DOIUrl":"https://doi.org/10.1684/pnv.2009.0167","url":null,"abstract":"<p><p>Patients with frontotemporal dementia (FTD) have major behavioral troubles and a loss of insight. These factors contribute to reduce self-awareness and recognition of identify of others and by others. Autobiographical amnesia, loss of insight and executive dysfunctions are the major reasons of vulnerable \"self\" in FTD. Mind representation deficits, decrease of perception of emotions and semantic amnesia contribute to reduced recognition of the relative's identity. Alterations of body expressions, social disinhibition, changes in social and religious values decrease the recognition of patient's identity by the relatives. Different psychological components of identity are modified by the FTD such as feeling of unity, of consistency, of temporality and of affiliation. The fact that brain lesions of FTD are focalized can contribute to understand the biological knowledge of \"identity\". To know the neurological substrate of alterations of identity, this can help to improve the empathy of the suffering caregivers for the patient.</p>","PeriodicalId":54537,"journal":{"name":"Psychologie & Neuropsychiatrie Du Vieillissement","volume":"7 2","pages":"79-83"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1684/pnv.2009.0167","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28274974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The so-called hypersexual behaviors in dementia].","authors":"Christian Derouesné","doi":"10.1684/pnv.2009.0164","DOIUrl":"https://doi.org/10.1684/pnv.2009.0164","url":null,"abstract":"<p><p>Real hypersexuality is rare in demented subjects. Most inappropriate sexual behaviors are related to disinhibition or lack of taking into account contextual environment and feelings of others. Four dimensions should be taken into account for their analysis: research of intimacy, libido enhancement, disinhibition, and cognitive factors. An integrative model is proposed to adequately adapt their management, using both psychocomportemental and pharmacological approaches.</p>","PeriodicalId":54537,"journal":{"name":"Psychologie & Neuropsychiatrie Du Vieillissement","volume":"7 2","pages":"101-8"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1684/pnv.2009.0164","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28274977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}