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@ARTICLE{Salmon:1024844,
      author       = {Salmon, Eric and Meyer, François and Genon, Sarah and
                      Collette, Fabienne and Bastin, Christine},
      title        = {{N}eural correlates of impaired cognitive processes
                      underlying self-unawareness in {A}lzheimer's disease},
      journal      = {Cortex},
      volume       = {171},
      issn         = {0010-9452},
      address      = {New York, NY},
      publisher    = {Elsevier},
      reportid     = {FZJ-2024-02510},
      pages        = {1 - 12},
      year         = {2024},
      abstract     = {Self-unawareness concerning current symptoms remains a
                      clinical challenge in Alzheimer's disease. Reduced
                      self-awareness likely depends on complex biopsychosocial
                      mechanisms that comprise multiple cognitive processes,
                      regulated by personal goals and values. We specifically
                      reviewed the cognitive processes impaired in unaware
                      participants with AD by emphasizing the related impaired
                      brain activity observed during task-based fMRI. Unawareness
                      can be explained by a failure in functioning of or in
                      connection between brain regions that intervene in access,
                      retrieval and updating of (present or extended)
                      self-information (posterior midline, medial temporal,
                      inferior parietal cortices), or in its monitoring,
                      evaluation, or control (medial and lateral prefrontal
                      cortices). Although one must be cautious when relating
                      function to brain regions, impaired processes were
                      tentatively related to the Cognitive Awareness Model.
                      Although brain function depends on neural networks, impaired
                      brain activity during cognitive processes was discussed
                      according to previous studies reporting correlations between
                      brain regions and scores of anosognosia. The review provides
                      a framework to help clinicians considering processes that
                      can explain unawareness in dementia. In patients at early
                      stages of AD, different levels of awareness of cognitive or
                      social clinical changes might be described as impairment in
                      the interaction between specific cognitive processes and
                      contents.},
      cin          = {INM-7},
      ddc          = {610},
      cid          = {I:(DE-Juel1)INM-7-20090406},
      pnm          = {5251 - Multilevel Brain Organization and Variability
                      (POF4-525)},
      pid          = {G:(DE-HGF)POF4-5251},
      typ          = {PUB:(DE-HGF)36 / PUB:(DE-HGF)16},
      pubmed       = {37977109},
      UT           = {WOS:001114191800001},
      doi          = {10.1016/j.cortex.2023.10.009},
      url          = {https://juser.fz-juelich.de/record/1024844},
}