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dc.contributor.authorJones, Danielle K.*
dc.contributor.authorDrew, P.*
dc.contributor.authorElsey, C.*
dc.contributor.authorBlackburn, D.*
dc.contributor.authorWakefield, S.*
dc.contributor.authorHarkness, K.*
dc.contributor.authorReuber, M.*
dc.date.accessioned2016-05-10T11:43:25Z
dc.date.available2016-05-10T11:43:25Z
dc.date.issued2016
dc.identifier.citationJones D, Drew P, Elsey C, Blackburn D, Wakefield S, Harkness K and Reuber M (2016) Conversational assessment in memory clinic encounters: interactional profiling for differentiating dementia from functional memory disorders. Aging & Mental Health. 20(5): 500-509.
dc.identifier.urihttp://hdl.handle.net/10454/8326
dc.descriptionYes
dc.description.abstractObjectives: In the UK dementia is under-diagnosed, there is limited access to specialist memory clinics, and many of the patients referred to such clinics are ultimately found to have functional (non-progressive) memory disorders (FMD), rather than a neurodegenerative disorder. Government initiatives on ‘timely diagnosis’ aim to improve the rate and quality of diagnosis for those with dementia. This study seeks to improve the screening and diagnostic process by analysing communication between clinicians and patients during initial specialist clinic visits. Establishing differential conversational profiles could help the timely differential diagnosis of memory complaints. Method: This study is based on video- and audio recordings of 25 initial consultations between neurologists and patients referred to a UK memory clinic. Conversation analysis was used to explore recurrent communicative practices associated with each diagnostic group. Results: Two discrete conversational profiles began to emerge, to help differentiate between patients with dementia and functional memory complaints, based on (1) whether the patient is able to answer questions about personal information; (2) whether they can display working memory in interaction; (3) whether they are able to respond to compound questions; (4) the time taken to respond to questions; and (5) the level of detail they offer when providing an account of their memory failure experiences. Conclusion: The distinctive conversational profiles observed in patients with functional memory complaints on the one hand and neurodegenerative memory conditions on the other suggest that conversational profiling can support the differential diagnosis of functional and neurodegenerative memory disorders.
dc.language.isoenen
dc.rights© 2016 Taylor & Francis. This is an Author's Original Manuscript of an article published by Taylor & Francis in Aging & Mental Health in 2016 available online at http://www.tandfonline.com/doi/full/10.1080/13607863.2015.1021753
dc.subjectDementia
dc.subjectFunctional memory disorder
dc.subjectConversation analysis
dc.subjectDifferential diagnosis
dc.subjectInteraction
dc.titleConversational assessment in memory clinic encounters: interactional profiling for differentiating dementia from functional memory disorders
dc.status.refereedYes
dc.date.Accepted2015-02-17
dc.date.application2015-03-24
dc.typeArticle
dc.type.versionAccepted manuscript
dc.identifier.doihttps://doi.org/10.1080/13607863.2015.1021753
refterms.dateFOA2018-07-25T13:59:45Z


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