4.7 Review

Clinical and neurocognitive aspects of hallucinations in Alzheimer's disease

Journal

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS
Volume 83, Issue -, Pages 713-720

Publisher

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.neubiorev.2017.02.021

Keywords

Alzheimer's disease; Clinical management; Hallucinations

Funding

  1. LABEX (excellence laboratory, program investment for the future) DIS-TALZ (Development of Innovative Strategies for a Transdisciplinary approach to Alzheimer disease)
  2. EU
  3. European Regional Development Fund
  4. National Institute on Aging, NIH

Ask authors/readers for more resources

Due to their prevalence, hallucinations are considered as one of the most frequent psychotic symptoms in Alzheimer's disease (AD). These psychotic manifestations reduce patients' well-being, increase the burden of caregivers, contribute to early institutionalization, and are related with the course of cognitive decline in AD. Considering their consequences, we provide a comprehensive account of the current state of knowledge about the prevalence and characteristics of hallucinations in AD. We propose a comprehensive and testable theoretical model about hallucinations in AD: the ALZHA (ALZheimer and HAllucinations) model. In this model, neurological, genetic, cognitive, affective, and iatrogenic factors associated with hallucinations in AD are highlighted. According to the ALZHA model, hallucinations in AD first involve trait markers (i.e., cognitive deficits, neurological deficits, genetic predisposition and/or sensory deficits) to which state markers that may trigger these experiences are added (e.g., psychological distress and/or iatrogenic factors). Finally, we provide recommendations for assessment and management of these psychotic manifestations in AD, with the aim to benefit patients, caregivers, and health professionals. (c) 2017 Elsevier Ltd. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Psychiatry

Admission to jail and psychotic symptoms: a study of the psychotic continuum in a sample of recently incarcerated men

Thomas Fovet, Baptiste Pignon, Marielle Wathelet, Imane Benradia, Jean-Luc Roelandt, Renaud Jardri, Pierre Thomas, Fabien D'Hondt, Ali Amad

Summary: This study investigates the prevalence of psychotic symptoms and psychotic disorders in incarcerated men and compares it with the general population. The study finds that psychotic disorders are more prevalent in men entering jail, while psychotic symptoms are less prevalent. This difference may be due to exposure to vulnerability factors rather than the act of entering jail itself.

SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY (2023)

Article Geriatrics & Gerontology

The use of psychological network analysis in informal dementia care: an empirical illustration

Pierre Gerain, Emilie Wawrziczny, Pascal Antoine

Summary: This study utilized psychological network analysis to explore the relationships between caregivers and partners with dementia. The results revealed a complex network of interacting variables, with dyadic adjustment playing a central role and distress being associated with other variables through various direct and indirect pathways.

AGING & MENTAL HEALTH (2023)

Article Neurosciences

Validation of a data collection set for the psychiatric, addiction, sleep and chronobiological assessments of patients with depression: A Delphi study for the SoPsy-depression French national cohort

P. A. Geoffroy, C. M. Schroder, P. Bourgin, J. Maruani, M. Lejoyeux, M. -P. d'Ortho, C. Couffignal, P. Philip, I. Arnulf, S. Royant-Parola, D. Leger, B. Gohier, F. Gagnadoux, A. Amad, I. Poirot, R. Gaillard, F. Limosin, R. Delorme, R. Jardri, P. Fossati, C. Dubertret, B. Rolland, B. Etain, F. Vorspan, B. Aouizerate, P. Courtet, J. L. Castroman, E. Haffen, D. Drapier, A. Dereux, R. Schwan, A. Luquiens, B. Abril, M. Auriacombe, A. Benyamina, R. Lopez, M. Grall-Bronnec, D. Bennabi, J. Frija-Masson, J. -A. Micoulaud Franchii, T. Schwitzer, J. -B. Maranci, U. K. Huck

Summary: To better identify biomarkers of sleep and biological rhythms and validate more homogeneous subgroups of patients with depressive disorders, a French national cohort was built. A Delphi process was conducted to achieve consensus and establish a validated data collection set of questionnaires to assess psychiatry, addiction, sleep, and chronobiology dimensions of depressive disorders.

ENCEPHALE-REVUE DE PSYCHIATRIE CLINIQUE BIOLOGIQUE ET THERAPEUTIQUE (2023)

Article Psychology, Clinical

Couples facing the honeymoon period of Parkinson's disease: A qualitative study of dyadic functioning

Charlotte Manceau, Emilie Constant, Elodie Brugalle, Emilie Wawrziczny, Celine Sokolowski, Berengere Flinois, Guillaume Baille, Luc Defebvre, Kathy Dujardin, Pascal Antoine

Summary: This qualitative study aims to understand the experience and functioning of couples during the honeymoon period of Parkinson's disease. The results highlight different dynamics between couples, with some adjusting flexibly and positively while others oscillate between rigid hyperprotection and control/avoidance.

BRITISH JOURNAL OF HEALTH PSYCHOLOGY (2023)

Article Psychiatry

Ten dollars today or 50 dollars after one month? Temporal discounting in Korsakoff syndrome

Mohamad El Haj, Ahmed A. A. Moustafa

Summary: The objective of this study was to investigate decision making in patients with Korsakoff syndrome (KS). The findings revealed that patients with KS tend to prefer immediate over future rewards compared to control participants. Additionally, temporal discounting was found to be correlated with inhibition in both populations. These results suggest that patients with KS may have difficulties suppressing the temptation of smaller, immediate rewards.

COGNITIVE NEUROPSYCHIATRY (2023)

Article Neurosciences

The neural signature of reality-monitoring: A meta-analysis of functional neuroimaging studies

Layla Lavalle, Jerome Brunelin, Renaud Jardri, Frederic Haesebaert, Marine Mondino

Summary: Distinguishing imagination and thoughts from perceived information in reality-monitoring is important, but the common brain substrates between reality monitoring and self-monitoring have received little attention. Using meta-analyses of functional magnetic resonance imaging studies, we found that the lobule VI of the cerebellum consistently engages in both reality- and self-monitoring. This offers new insights into the common brain regions underlying these two cognitive processes and suggests that the neural signature of self persists in memories.

HUMAN BRAIN MAPPING (2023)

Article Psychiatry

Updates on anosognosia in Alzheimer's disease

Jean-Pierre Jacus, Virginie Voltzenlogel, Audric-Joel Farrie, Pascal Antoine, Christine-Vanessa Cuervo-Lombard

Summary: Impaired awareness in patients with Alzheimer's Disease (AD) increases dependence and burden on caregivers, but clinical evaluation of this symptomatology remains inadequate. The three main assessment methods, patient-caregiver discrepancy, clinician rating, and performance discrepancy methods, have limited impact due to lack of validated evaluation tools, leading to contrasting results. Recent studies show positive correlations between impaired awareness and apathy and AD severity, and negative relationships with depressive symptoms. Therefore, impaired awareness is mainly influenced by patient's depression and apathy. The shared aspects of apathy and impaired awareness are discussed from neuroanatomical, clinical, and conceptual perspectives, along with the relevance and limitations of quantitative and qualitative assessment methods, particularly phenomenological.

GERIATRIE ET PSYCHOLOGIE NEUROPSYCHIATRIE DE VIEILLISSEMENT (2023)

Article Neurosciences

How Do Women and Men Look at the Past? Large Scanpath in Women during Autobiographical Retrieval-A Preliminary Study

Mohamad El Haj, Claire Boutoleau-Bretonniere, Lina Guerrero Sastoque, Quentin Lenoble, Ahmed A. A. Moustafa, Guillaume Chapelet, Elisa Sarda, Andre Ndobo

Summary: This study compared the eye movement differences between men and women during autobiographical memory retrieval. The findings showed that women had shorter fixations, longer duration and amplitude of saccades, and higher autobiographical specificity compared to men. However, these gender differences in eye movement disappeared after controlling for autobiographical specificity. Female participants generated a larger scan with shorter fixation and higher saccade amplitude during autobiographical retrieval, whereas male participants increased their fixation duration and showed poorer gaze scan. The large saccades in women during autobiographical retrieval may contribute to better autobiographical memory functioning and the retrieval of more autobiographical details compared to men.

BRAIN SCIENCES (2023)

Editorial Material Psychology, Experimental

The interdisciplinary science of autobiographical memory

Mohamad El Haj

Summary: In order to have a comprehensive understanding of autobiographical memory, WIREs Cognitive Science is releasing a special issue that gathers contributions from various perspectives in the field. The article introduces the philosophy of the collaborative project and the knowledge gained from the included articles, as well as insights into future research directions. It highlights the interdisciplinary nature of autobiographical memory research and the first-time gathering of different theoretical approaches in this special issue.

WILEY INTERDISCIPLINARY REVIEWS-COGNITIVE SCIENCE (2023)

Article Neurosciences

Functional connectivity and glutamate levels of the medial prefrontal cortex in schizotypy are related to sensory amplification in a probabilistic reasoning task

Melodie Derome, Petya Kozuharova, Andreea O. Diaconescu, Sophie Deneve, Renaud Jardri, Paul Allen

Summary: The study investigates the presence of central inference mechanism in individuals with high schizotypy traits and its neurobiological basis associated with sensory amplification. The findings reveal changes in central inference parameters, altered cortical excitatory neurotransmission, and altered resting state functional connectivity related to sensory amplification in individuals with high schizotypy traits.

NEUROIMAGE (2023)

Article Behavioral Sciences

Understanding visual hallucinations: A new synthesis

Daniel Collerton, James Barnes, Nico J. Diederich, Rob Dudley, Dominic Ffytche, Karl Friston, Christopher G. Goetz, Jennifer G. Goldman, Renaud Jardri, Jaime Kulisevsky, Simon J. G. Lewis, Shigetoshi Naral, Claire O'Callaghan, Marco Onofrj, Javier Pagonabarraga, Thomas Parr, James M. Shine, Glenn Stebbins, John-Paul Taylor, Ichiro Tsuda, Rimona S. Weil

Summary: Despite years of research, it remains uncertain why people sometimes perceive things that aren't there. Eight models of complex visual hallucinations have been proposed since 2000, each based on different understandings of brain organization. To address this variability, researchers established an integrated Visual Hallucination Framework that aligns with current theories of veridical and hallucinatory vision, enabling a systematic investigation of the relationship between hallucination phenomenology and cognitive structures. The episodic nature of hallucinations suggests a complex relationship between state and trait markers, highlighting new avenues for research and potential approaches to treating distressing hallucinations.

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS (2023)

Review Geriatrics & Gerontology

A scoping review of intensive longitudinal methods in informal caregivers of people with dementia

P. Gerain, E. Wawrziczny, P. Antoine

Summary: This scoping review aims to summarize the use of intensive longitudinal methods (ILMs) in informal dementia caregivers. The results show that ILMs have the potential to contribute to understanding the complexity of daily life and the changing resources and challenges of dementia caregivers. However, further research is needed on emotion regulation, temporal lags, and the use of ILMs in interventional designs.

BMC GERIATRICS (2023)

Article Medicine, General & Internal

The Pupil Knows: Pupil Dilation Indexes and Their Inhibitory Ability in Normal Aging

Mohamad El Haj, Claire Boutoleau-Bretonniere, Guillaume Chapelet

Summary: In this study, the researchers measured the pupil dilation of both older and younger adults while they performed tasks requiring cognitive inhibition. The results showed that both age groups had fewer accurate responses in the interference condition compared to the color-naming and word-reading conditions. Additionally, larger pupil dilation was observed in the interference condition for both older and younger adults.

JOURNAL OF CLINICAL MEDICINE (2023)

Article Neurosciences

Memory in Social Interactions: The Effects of Introspection on Destination Memory in Traumatic Brain Injury

Mohamad El Haj, Ahmed A. Moustafa, Philippe Allain

Summary: This study aimed to investigate whether processing attributes of destinations would improve destination memory in patients with traumatic brain injury (TBI). The results showed that destination memory was better after introspection compared to control condition in healthy participants. However, there were no significant differences between the two conditions in patients with TBI. Nevertheless, more than half of the patients with TBI demonstrated better destination memory after introspection. Further research is needed to understand how introspection may influence memory in social interactions in patients with TBI.

BRAIN SCIENCES (2023)

Article Linguistics

Pupil size shows diminished increases on verbal fluency tasks in patients with behavioral-variant-frontotemporal dementia

Mohamad El Haj, Dimitrios Kapogiannis, Claire Boutoleau-Bretonniere

Summary: This study assessed linguistic processing in patients with behavioral variant frontotemporal dementia (bvFTD) using pupillometry. The results showed that patients with bvFTD had smaller pupil size during verbal fluency tasks and counting compared to control participants. However, larger pupil size was observed during verbal fluency tasks compared to counting in both groups. Moreover, patients with bvFTD performed poorer in verbal fluency tasks compared to control participants.

JOURNAL OF NEUROLINGUISTICS (2024)

Article Behavioral Sciences

Success versus failure in cognitive control: Meta-analytic evidence from neuroimaging studies on error processing

Edna C. Cieslik, Markus Ullsperger, Martin Gell, Simon B. Eickhoff, Robert Langner

Summary: Previous studies on error processing have primarily focused on the posterior medial frontal cortex, but the role of other brain regions has been underestimated. This study used activation likelihood estimation meta-analyses to explore brain activity related to committing errors and responding successfully in interference tasks. It was found that the salience network and the temporoparietal junction were commonly involved in both correct and incorrect responses, indicating their general involvement in coping with situations that require increased cognitive control. Error-specific convergence was observed in the dorsal posterior cingulate cortex, posterior thalamus, and left superior frontal gyrus, while successful responding showed stronger convergence in the dorsal attention network and lateral prefrontal regions. Underrecruitment of these regions in error trials may reflect failures in activating the appropriate stimulus-response contingencies necessary for successful response execution.

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS (2024)