{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:56:27Z","timestamp":1792004187785,"version":"4.4.0"},"reference-count":72,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T00:00:00Z","timestamp":1589846400000},"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":["Journal of Alzheimer\u2019s Disease"],"published-print":{"date-parts":[[2020,6,15]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The environment of patients with Alzheimer\u2019s disease and related disorders (ADRD) intensifies the consequences of cognitive impairment and exacerbates behavioral problems if inappropriate or, conversely, mitigate these problems if its design is tailored to the needs of these persons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We evaluate the impacts of hospitalization and of a specific healing garden on self-consciousness which represent a central impairment in ADRD. The self-consciousness questionnaire (SCQ), validated for its assessment at mild to moderate phases of the disease, explores the dimensions of personal identity, awareness of cognitive deficiencies, self-assessment of affective state, awareness of body representation, prospective memory, capacity for introspection, and moral judgments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>After having verified, by means of a preliminary study, its feasibility to the more advanced stages of the disease, this questionnaire allowed assessment of the impact of the environment by comparing, in routine care, patients hospitalized in a cognitive-behavioral unit who solely remain indoors with others who use the Art, Memory and Life healing garden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A significant decrease in SCQ due to an increase in anosognosia during hospitalization was observed in the group that remained indoors. For the group using the garden, a positive effect on overall SCQ score was observed, as a result of a significant improvement in body representation as the driving parameter.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Factors that are grounded in the hypotheses that spearheaded its conception, such as sensory enrichment, familiarity, contact with nature, scaffolding role for cognitive functions, supportive effect for social interactions, and the \u201cNancy hypotheses of beauty\u201d, thus contribute to their validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/jad-190748","type":"journal-article","created":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T14:43:16Z","timestamp":1589899396000},"page":"1283-1300","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Impact of a Healing Garden on Self-Consciousness in Patients with Advanced Alzheimer\u2019s Disease: An Exploratory Study"],"prefix":"10.1177","volume":"75","author":[{"given":"Claire","family":"Gueib","sequence":"first","affiliation":[{"name":"Centre Paul Spillmann, Unit\u00e9 Cognitivo Comportementale, CHRU de Nancy, Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alina","family":"Pop","sequence":"additional","affiliation":[{"name":"Centre Paul Spillmann, Unit\u00e9 Cognitivo Comportementale, CHRU de Nancy, Nancy, France"},{"name":"Centre M\u00e9moire Ressources Recherche de Lorraine, H\u00f4pital de Brabois, All\u00e9e du Morvan, CHRU Nancy, Vandoeuvre les Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aur\u00e9lie","family":"Bannay","sequence":"additional","affiliation":[{"name":"Service d\u2019Evaluation et Information M\u00e9dicales, CHRU Nancy, Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emeline","family":"Nassau","sequence":"additional","affiliation":[{"name":"Centre Paul Spillmann, Unit\u00e9 Cognitivo Comportementale, CHRU de Nancy, Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reinhard","family":"Fescharek","sequence":"additional","affiliation":[{"name":"Fescharek Sculpture & Design, Marburg Lahn, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger","family":"Gil","sequence":"additional","affiliation":[{"name":"Espace Ethique R\u00e9gional CHU Poitiers Universit\u00e9 de Poitiers, Poitiers C\u00e9dex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amandine","family":"Luc","sequence":"additional","affiliation":[{"name":"DRCI, D\u00e9partement MPI, unit\u00e9 de M\u00e9thodologie, Data management et Statistique, CHRU de Nancy H\u00f4pital de Brabois, All\u00e9e du Morvan, Vandoeuvre les Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Th\u00e9r\u00e8se","family":"Rivasseau Jonveaux","sequence":"additional","affiliation":[{"name":"Centre Paul Spillmann, Unit\u00e9 Cognitivo Comportementale, CHRU de Nancy, Nancy, France"},{"name":"Centre M\u00e9moire Ressources Recherche de Lorraine, H\u00f4pital de Brabois, All\u00e9e du Morvan, CHRU Nancy, Vandoeuvre les Nancy, France"},{"name":"Laboratoire Lorrain de Psychologie et de Neurosciences de la Dynamique des Comportements 2LPN EA 7489, Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,5,19]]},"reference":[{"key":"ref001","first-page":"7","volume":"7","author":"Duval C","year":"2009","journal-title":"Psychol Neuropsychiatr Vieil"},{"key":"ref002","doi-asserted-by":"publisher","DOI":"10.1002\/ajp.1350020302"},{"key":"ref003","doi-asserted-by":"publisher","DOI":"10.1162\/089892904970799"},{"key":"ref004","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0404.2001.00280.x"},{"key":"ref005","unstructured":"LechevalierB (1998) Polys\u00e9mie de la conscience. 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