Behavioral Tests for Central Auditory Processing Evaluation in the Investigation of Early Manifestations of Cognitive Decline and Dementias: A Scoping Review.
IF 1.4 4区 医学Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Taís de Azevedo Picinini, Milena Kovalski Oliveira, Kyla Munoz Galarza, Débora Lüders, Aline Xavier Ferraz, Rogério Hamerschmidt, Cristiano Miranda de Araújo, Adriana Bender Moreira de Lacerda
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引用次数: 0
Abstract
Purpose: This scoping review aimed to identify behavioral tests for central auditory processing (CAP) assessment that can be used to investigate early manifestations of pathological cognitive decline in adults and the older adults. Early detection of cognitive decline and dementias is a strategy for delaying the progression of these clinical conditions.
Method: This scoping review was conducted using various online databases and gray literature sources, including the Latin American and Caribbean Literature in Health Sciences, PubMed/Medline, Scopus, Web of Science, Google Scholar, and ProQuest Dissertations & Theses. Studies were included if they assessed individuals who underwent behavioral tests for CAP evaluation and had completed at least one cognitive test.
Results: A total of 1,190 references were retrieved from the databases, with 151 identified as duplicates. After screening 1,039 articles by title and abstract, eight studies were selected for full-text review, and five were included in the final synthesis. The behavioral tests for CAP evaluation used to investigate preclinical manifestations of cognitive decline and dementia were: Synthetic Sentence Identification With Ipsilateral Competing Message, Staggered Spondaic Word test, Dichotic Sentence Identification, and Dichotic Digits Test. Among these, dichotic tests were identified as having the strongest association with cognitive decline, probable Alzheimer's disease, or dementia.
Conclusions: The findings indicate that dichotic tests are the most frequently utilized behavioral tests for CAP evaluation and serve as valuable tools for detecting early manifestations of cognitive decline and dementias. These tests could play a significant role in the early diagnosis and management of cognitive impairments.
目的：本综述旨在确定中央听觉处理（CAP）评估的行为测试，该测试可用于研究成人和老年人病理性认知衰退的早期表现。早期发现认知能力下降和痴呆是延缓这些临床疾病进展的一种策略。方法：本综述使用各种在线数据库和灰色文献来源进行，包括Latin American and Caribbean literature in Health Sciences、PubMed/Medline、Scopus、Web of Science、谷歌Scholar和ProQuest dissert&thesis。如果研究评估的个体接受了CAP评估的行为测试，并且至少完成了一次认知测试，那么这些研究就被纳入其中。结果：共检索到文献1190篇，其中重复文献151篇。通过题目和摘要对1039篇文章进行筛选后，筛选出8篇研究进行全文综述，5篇纳入最终综合。用于研究认知衰退和痴呆临床前表现的CAP评估行为测试有：同侧竞争信息合成句子识别、交错自发性单词测试、二分句子识别和二分数字测试。在这些测试中，双重测试被认为与认知能力下降、可能的阿尔茨海默病或痴呆症有最密切的联系。结论：研究结果表明，二分法是评估CAP最常用的行为测试，是发现认知能力下降和痴呆早期表现的有价值的工具。这些测试可以在认知障碍的早期诊断和管理中发挥重要作用。
期刊介绍：
Mission: AJA publishes peer-reviewed research and other scholarly articles pertaining to clinical audiology methods and issues, and serves as an outlet for discussion of related professional and educational issues and ideas. The journal is an international outlet for research on clinical research pertaining to screening, diagnosis, management and outcomes of hearing and balance disorders as well as the etiologies and characteristics of these disorders. The clinical orientation of the journal allows for the publication of reports on audiology as implemented nationally and internationally, including novel clinical procedures, approaches, and cases. AJA seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work.
Scope: The broad field of clinical audiology, including audiologic/aural rehabilitation; balance and balance disorders; cultural and linguistic diversity; detection, diagnosis, prevention, habilitation, rehabilitation, and monitoring of hearing loss; hearing aids, cochlear implants, and hearing-assistive technology; hearing disorders; lifespan perspectives on auditory function; speech perception; and tinnitus.
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