{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T12:05:19Z","timestamp":1784808319185,"version":"3.55.0"},"reference-count":41,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Geriatr Psychiatry Neurol"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>We compared responses of people with Alzheimer\u2019s disease (PwAD) on the Assessment Scale of Psychosocial Impact of the Diagnosis of Dementia and an adapted figurative language version. We hypothesize that figurative language improves acknowledgment of difficulties, varying by awareness object.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>27 mild to moderate PwAD completed measures of cognition, depression and self-reported impairments. Caregivers informed about functionality, apathy and neuropsychiatric symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Acknowledgment of difficulties in activities of daily living was higher in the figurative version, while acknowledgment in the emotional domain was higher in the regular version, in both cases with medium effect sizes. No significant differences emerged for total scores, acknowledgement of cognitive deficits, or changes in social relationships, all with small effect sizes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Language modulation altered acknowledgment by awareness object. Findings support clear, not complex language in assessments. Future studies should define strategies to improve awareness and its predictors across clinical groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08919887261469563","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T15:00:31Z","timestamp":1784559631000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cHas your Memory Been Letting you Down?\u201d Use of Figurative Language Modulates Expression of Awareness of Impairments in Alzheimer\u2019s Disease"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7460-901X","authenticated-orcid":false,"given":"Raquel Luiza","family":"Santos de Carvalho","sequence":"first","affiliation":[{"name":"Pontifical Catholic University of Rio de Janeiro (PUC-Rio)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9477-5246","authenticated-orcid":false,"given":"Luccas Abrantes Peres","family":"dos Santos","sequence":"additional","affiliation":[{"name":"Pontifical Catholic University of Rio de Janeiro (PUC-Rio)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Ferrison","sequence":"additional","affiliation":[{"name":"Pontifical Catholic University of Rio de Janeiro (PUC-Rio)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iris","family":"Bomilcar","sequence":"additional","affiliation":[{"name":"L\u00famen Ci\u00eancia e Sa\u00fade LTDA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elodie","family":"Bertrand","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6267-8202","authenticated-orcid":false,"given":"Marcia Cristina Nascimento","family":"Dourado","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin G.","family":"Morris","sequence":"additional","affiliation":[{"name":"King\u2019s College Institute of Psychiatry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel C.","family":"Mograbi","sequence":"additional","affiliation":[{"name":"Pontifical Catholic University of Rio de Janeiro (PUC-Rio)"},{"name":"King\u2019s College Institute of 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