Anosognosia and rehabilitation: Definitions, practice implications, and directions for future research

Abstract

Abstract

Anosognosia, the unawareness of impairment, affects a broad range of clinical populations.  Patients presenting with anosognosia deny their deficits and may not see the merits of participating in rehabilitation. This review paper, written by two Master of Occupational Therapy students, explores pertinent research on the concept of anosognosia and its potential relationship to rehabilitation outcomes, as well as discusses some of the clinical implications in treating individuals with anosognosia. The information in this article will be relevant to any disciplines working with people with decreased insight, particularly in a rehab setting. 

Author Biographies

Nicole Matichuk, University of British Columbia, Vancouver

2nd Year Master's of Occupational Therapy Student

University of British Columbia 

Liv Brekke, University of British Columbia, Vancouver

2nd Year Master's of Occupational Therapy Student
University of British Columbia, Vancouver

References

References

Gialanella, B., Monguzzi, V., Santoro, R., & Rocchi, S. (2005). Functional recovery after hemiplegia in patients with neglect: The rehabilitative role of anosognosia. Stroke (00392499), 36(12), 2687-2690 4p.

Jehkonen, M., Laihosalo, M., & Kettunen, J. (2006). Anosognosia after stroke: Assessment, occurrence, subtypes and impact on functional outcome reviewed. Acta Neurologica Scandinavica, 114(5), 293-306.

Katz, N., Fleming, J., Keren, N., Lightbody, S., & Hartman-Maeir, A. (2002). Unawareness and/or denial of disability: Implications for occupational therapy intervention. Canadian Journal of Occupational Therapy.Revue Canadienne d'Ergothérapie, 69(5), 281.

Koltai, D. C., Welsh-Bohmer, K., & Schmechel, D. E. (2001). Influence of anosognosia on treatment outcome among dementia patients. Neuropsychological Rehabilitation, 11(3-4), 455-475.

Kortte, K. B., & Wegener, S. T. (2004). Denial of illness in medical rehabilitation populations: Theory, research and definition. Rehabilitation Psychology, 49(3), 187-199 13p.

Mak, E., Chin, R., Ng, L. ., Yeo, D., & Hameed, S. (2015). Clinical associations of anosognosia in mild cognitive impairment and alzheimer's disease. International Journal of Geriatric Psychiatry, 30(12), 1207-1214.

Orfei, M. D., Robinson, R. G., Prigatano, G. P., Starkstein, S., Rüsch, N., Bria, P., . . . Spalletta, G. (2007). Anosognosia for hemiplegia after stroke is a multifaceted phenomenon: A systematic review of the literature. Brain, 130(12), 3075-3090.

Prigatano, G. P. (2009). Anosognosia: Clinical and ethical considerations. Current Opinion in Neurology, 22(6), 606.

Starkstein, S. E., Jorge, R. E., & Robinson, R. G. (2010). The frequency, clinical correlates, and mechanism of anosognosia after stroke. Canadian Journal of Psychiatry.Revue Canadienne De Psychiatrie, 55(6), 355.

Thomas, J. L. (2015). Clinical concerns in dealing with brain-injured patients. Biofeedback, 43(1), 38-41.

Published
2016-06-21
Section
Articles