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Caregiver Reports of Lucid Episodes in Alzheimer’s Dementia and Lewy Body Dementias

AI Summary
  • Lucid episodes, transient recovery of lost abilities and communication, were reported by most caregivers: 67% in Alzheimer's and 81% in Lewy body dementias.
  • Lewy body dementia episodes showed greater changes in awareness and communication and lasted longer than those reported in Alzheimer's dementia.
  • PLWD in Lewy body dementias more often recognised their lucidity, suggesting differences in intensity, timing, and meta-awareness may inform care strategies.
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J Geriatr Psychiatry Neurol. 2026 Jul 1:8919887261464594. doi: 10.1177/08919887261464594. Online ahead of print.

ABSTRACT

Purpose of ResearchLucidity is the transient recovery of abilities and communication that were seemingly lost among people living with dementia (PLWD). This study describes lucid episodes reported by Alzheimer’s dementia (AD) and Lewy Body Dementias (LBD) caregivers. We analyzed survey data from 212 current AD (n = 191) and LBD caregivers who reported the frequency, duration, and characteristics of 653 lucid episodes witnessed in the past month.Major FindingsMost AD caregivers (67%) and LBD caregivers (81%) witnessed a lucid episode within the past month. LBD caregivers reported lucid episodes with greater changes in awareness and communication, compared to AD caregivers. LBD caregivers reported longer lucid episodes and that the PLWD knew about their change in lucidity, compared to AD caregivers.ConclusionsFindings suggest that differences in lucid episode intensity, timing, and meta-awareness between AD and LBD are possible and may inform care strategies for PLWD.

PMID:42387273 | DOI:10.1177/08919887261464594

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