Dementia e Neuropsychologia最新文献

{"title":"Health multidimensional evaluation of institutionalized older adults according to cognitive performance.","authors":"Beatriz Cintra Martins, Lilian Barbosa Ramos, Anna Karla Carneiro Roriz, Henrique Salmazo da Silva","doi":"10.1590/1980-5764-DN-2024-0133","DOIUrl":"10.1590/1980-5764-DN-2024-0133","url":null,"abstract":"<p><p>The assessment of living and health conditions of the institutionalized older adults contributes to the development of health promotion measures. The high prevalence of cognitive decline in this population leads to unfavorable health outcomes, which can be prevented and managed.</p><p><strong>Objective: </strong>To investigate the health conditions of institutionalized older adults according to global cognitive performance.</p><p><strong>Methods: </strong>Cross-sectional study of institutionalized older adults in Brasília, Distrito Federal (DF) and Salvador, Bahia (BA) using questionnaires on multidimensional health assessment and the Mini-Mental State Examination (MMSE).</p><p><strong>Results: </strong>Of the 185 residents, 86 were evaluated, with the majority of the sample composed of women and people aged 80 years old or older. Cognitive decline in the MMSE was associated with greater difficulties in Activities of Daily Living (ADL) (62.5%). Lower performance on the MMSE was correlated with longer length of institutionalization (p=0.043), older age (p=0.004), poorer Geriatric Oral Health Assessment Index (GOHAI) (p=0.087), greater difficulty in ADL (p<0.001), and higher scores on the Bristol scale (p<0.001). Conversely, higher education (p<0.001), better scores on the Mini Nutritional Assessment (p=0.003), larger Calf Circumference (CC) (p=0.036), and Hand Grip Strength (HGS) (p=0.0467) were associated with better performance in the MMSE.</p><p><strong>Conclusion: </strong>The cognitive performance of institutionalized older people is correlated with sociodemographic and health variables. These results are oriented toward the formulation of public health policies and care management.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"19 ","pages":"e20240133"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The conundrum of the connection between severe psychiatric disorders and dementia.","authors":"Antonio Lucio Teixeira, Gabriel Alejandro de Erausquin, Rene L Olvera","doi":"10.1590/1980-5764-DN-2024-0223","DOIUrl":"10.1590/1980-5764-DN-2024-0223","url":null,"abstract":"<p><p>Psychiatric disorders have been recognized as important risk factors for neurodegenerative diseases, especially dementia. The strength of association varies among different psychiatric conditions, being more pronounced in severe mental illnesses, i.e., schizophrenia and bipolar disorder. Multiple mechanisms seem to underlie this association, such as high prevalence of cardiovascular and other physical morbidities, poor lifestyle choices, and accelerated aging, including 'inflammaging'. They all represent opportunities for intervention, but it is still unclear whether current therapeutic approaches for psychiatric disorders can prevent the development of dementia. Other knowledge gaps include whether the risk of dementia applies to all patients with a certain condition, or if subgroups of patients are more vulnerable than others, whether different types of dementia are linked to specific psychiatric disorders.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"19 ","pages":"e20240223"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Has the Clock Drawing Test been left aside with the replacement of analog clocks by smartphones?","authors":"Anna Alice Vidal Bravalhieri Ribera, Tayla Borges Lino, Nathália Oliveira Rodrigues, Juliana Hotta Ansai, Larissa Pires de Andrade, Gustavo Christofoletti","doi":"10.1590/1980-5764-DN-2024-0178","DOIUrl":"10.1590/1980-5764-DN-2024-0178","url":null,"abstract":"<p><p>The Clock Drawing Test (CDT) is a widely used tool for dementia screening, assessing executive functions by drawing an analog clock. With the rise of smartphones, many individuals have transitioned from their traditional watches to checking hours digitally. This raises questions about whether difficulties in CDT performance are linked to cognitive decline or lack of familiarity with analog clocks. A potential decline in the number of studies using the CDT may reflect concerns regarding this issue.</p><p><strong>Objective: </strong>To investigate whether the number of studies using CDT has been affected over the years by the predominance of smartphones over analog clocks.</p><p><strong>Methods: </strong>This bibliometric study analyzed 1,298 articles published in PubMed over the past 30 years (1994-2023). Data included year of publication region and methodological design. The chi-square test was used for statistical analysis. Significance was set at 5%.</p><p><strong>Results: </strong>The number of studies using CDT has increased over the past 30 years, from 118 (1994-2003) to 405 (2004-2013) and 775 (2014-2023). Most studies were conducted in Europe (37.6%), Asia (27.7%), and North America (21.0%). The primary focus of the studies was diagnosis (82.2%), followed by treatment (11.5%).</p><p><strong>Conclusion: </strong>The prevalence of smartphones over analog clocks has not affected the number of studies that have used CDT. Although analog clocks are no longer a part of daily life for many people, this trend does not currently pose an obstacle to the use of the CDT.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"19 ","pages":"e20240178"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social functioning in bipolar disorder: investigating the role played by comorbid physical illnesses and cognition.","authors":"Isabela Martins Becattini Pereira, Lucas Machado Mantovani, Gabriel Anselmo Frota, Raphael Rocha Wenceslau, Juliana Cunha Matos, Breno Fiuza Cruz, Antônio Lúcio Teixeira, Izabela Guimarães Barbosa","doi":"10.1590/1980-5764-DN-2024-0188","DOIUrl":"10.1590/1980-5764-DN-2024-0188","url":null,"abstract":"<p><p>Bipolar disorder (BD) is a psychiatric disorder associated with functioning and cognitive impairments, as well as a higher prevalence of physical disease comorbidities.</p><p><strong>Objective: </strong>To determine the main predictors of functioning in patients with BD.</p><p><strong>Methods: </strong>Thirty-five patients with BD type I in remission participated in this study. To better characterize the degree of impairment, 20 matched controls were also studied. Functioning was assessed through the Functioning Assessment Short Test (FAST) and the UCSD Performance-based Skills Assessment (UPSA), while cognition was assessed through the BAC-A. Current physical conditions were assessed and categorized according to the Cumulative Illness Rating Scale (CIRS). Regression analyses were performed to examine the relationship between functioning and clinical variables, global cognitive performance, and physical comorbidities in BD.</p><p><strong>Results: </strong>UPSA correlated positively with the BAC-A total score (r=0.488; p=0.025), years of education (rho=0.41; p<0.01), and CIRS total score (rho=0.394; p<0.001). CIRS was the only predictor that remained negatively and significantly correlated with the UPSA total score (R²=0.446, F (1, 33)=8.198, p=0.007).</p><p><strong>Conclusion: </strong>Patients with BD had poor functioning, with the primary determinant of poor functioning being the burden of physical illnesses. In addition, the low agreement between the FAST and UPSA scales suggests these tolls assess distinct constructs.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"19 ","pages":"e20240188"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screen use in children - two sides of the coin: a critical narrative review.","authors":"Everton Ferreira de Souza, Rafael Antônio Vicente Lacerda, Janaína Aparecida Favero Desio, Camila Marciele Kammers, Silvana Henkes, Natasha Ferraz da Paixão Ribeiro, Monique Freitas de Sá, Driele Martins da Silva, Anna Carolina de Oliveira Resende Teixeira, Júlio César Claudino Dos Santos","doi":"10.1590/1980-5764-DN-2024-0173","DOIUrl":"10.1590/1980-5764-DN-2024-0173","url":null,"abstract":"<p><p>Like a coin, the impacts of screens on children's development have two sides, as reflected in current scientific knowledge. This narrative review aimed to explore the dual-faceted state of the art regarding screen use, highlighting both positive and negative aspects on neurodevelopment, intervention proposals, and future perspectives for appropriate screen use. Recent scientific findings emphasize two central points: on the one hand, the benefits of appropriate use, such as co-viewing and the use of educational content; on the other hand, the negative impacts of excessive screen use, passive, and non-educational use on the development of neural networks. In this sense, with the advent of the digital age and in light of current scientific results, it is clear that eliminating screens from daily life is unrealistic. Therefore, implementing strategies to ensure a healthy balance between screen time and other activities important for child development is essential.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"19 ","pages":"e20240173"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the Global Integration Method on the parents' perception of functional goals in children and adolescents with autism.","authors":"Deisiane Oliveira Souto, Amanda Aparecida Alves Cunha Nascimento, Thalita Karla Flores Cruz, Arthur Felipe Barroso de Lima, Gabriela Silva Oliveira, Ana Clara Schaper Fernandes, Vitor Geraldi Haase","doi":"10.1590/1980-5764-DN-2024-0154","DOIUrl":"10.1590/1980-5764-DN-2024-0154","url":null,"abstract":"<p><p>Children with autism spectrum disorder (ASD) may experience impairments across all domains of the International Classification of Functioning, Disability, and Health. However, there is a scarcity of programs that integrate interventions encompassing all these domains.</p><p><strong>Objective: </strong>To investigate parents' perception of performance and satisfaction with functional goals for children with ASD after intervention with the Global Integration.</p><p><strong>Methods: </strong>This single-group quasi-experimental study involved a total of 98 participants aged 1.8 to 18.2 years who underwent a 3-month intervention, five times a week, for 3-4 h per day. The intervention involved functional task training in an environment inspired by the natural environment associated with the use of a flexible therapeutic suit. The primary outcome measure was the Canadian Occupational Performance Measure, administered before and after the intervention.</p><p><strong>Results: </strong>Ninety-five participants completed the study. Approximately 60% of participants showed improvements in performance and satisfaction that ranged from 1 to 9 points on the Canadian Occupational Performance Measure. The Global Integration Method program resulted in significant improvements in goal performance (p<0.001, d=0.80) and satisfaction (p<0.001, d=0.67). Most parents (81%) believed that the Global Integration Method incorporated aspects of family-professional collaboration and were satisfied (93%) with the intervention.</p><p><strong>Conclusion: </strong>In the perception of parents, the Global Integration Method demonstrated effectiveness in achieving functional goals for children with ASD and their families. Parents expressed satisfaction with the intervention and indicated that it incorporated elements of family-professional collaboration.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"19 ","pages":"e20240154"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What are the reasons for the repeated failures of clinical trials with anti-amyloid drugs for AD treatment?","authors":"Orestes Vicente Forlenza, Breno José Alencar Pires Barbosa","doi":"10.1590/1980-5764-DN-2025-E001","DOIUrl":"10.1590/1980-5764-DN-2025-E001","url":null,"abstract":"","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"19 ","pages":"e2025E001"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The underappreciated contribution of Oskar Fischer to the knowledge of Frontotemporal Lobar Degeneration.","authors":"Eliasz Engelhardt, Lea Tenenholz Grinberg","doi":"10.1590/1980-5764-DN-2024-0226","DOIUrl":"10.1590/1980-5764-DN-2024-0226","url":null,"abstract":"<p><p>Frontotemporal Lobar Degeneration (FTLD) encompasses progressive neurodegeneration primarily affecting the frontal and/or temporal lobes, presenting in varied pathological entities. These pathologies lead to diverse clinical syndromes collectively known as Frontotemporal Dementia (FTD), which includes a behavioral variant, and primary progressive aphasia, with its non-fluent and semantic variants, and related conditions with parkinsonism or motoneuron disease features. The historical development of FTD concept is rooted in the pioneering work of Arnold Pick, who first described clinical cases of focal brain atrophy. Oskar Fischer significantly advanced this field by detailing the histopathological features of these conditions, such as the 'spongiform cortical wasting', and identifying characteristic neuronal changes such as the 'ballooned cells'. Fischer's contributions, alongside those of contemporaries like Alois Alzheimer, laid the foundation for understanding FTLD histopathology. Here, Fischer's overlooked work is spotlighted, advocating for a greater recognition, which he rightfully deserves for his contributions to the field of neurodegenerative diseases.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"19 ","pages":"e20240226"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative discourse analysis of logical memory recall in normal elderly from rural and urban areas.","authors":"Lúcia Inês de Araújo, Sérgio Leme da Silva, Leonardo Caixeta","doi":"10.1590/1980-5764-DN-2024-0164","DOIUrl":"10.1590/1980-5764-DN-2024-0164","url":null,"abstract":"<p><p>This study examined the nature of errors in prose recall made in normal aging from different cultural backgrounds: rural and urban areas.</p><p><strong>Objective: </strong>The aim of this study was to examine the nature of errors in prose recall made in normal aging from different cultural backgrounds.</p><p><strong>Methods: </strong>We evaluated neurologically normal elderly divided into two groups: 12 subjects resident in a rural area in Central Brazil (group 1, called \"Interior\") and 10 subjects from a metropolitan area in a big city in Central Brazil (group 2, called \"Metropolis\"). Responses by 22 nondemented older adults to the Logical Memory subtest of the Wechsler Memory Scale were examined in a propositional analysis.</p><p><strong>Results: </strong>Healthy older adults from rural areas (interior group) showed good immediate recalls, but had deficits in retention over a delay. Subjects from urban areas made errors of omission, not commission, at immediate recall.</p><p><strong>Conclusion: </strong>These errors probably reflect difficulty with attentional control rather than memory per se. There are differences in the performance of the elderly when considering different levels of education for neuropsychological tests associated with immediate recalls (but not with delayed recall), suggesting that working memory systems may be more impacted by years of schooling than the coding memory system.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"19 ","pages":"e20240164"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health outcomes in dementia caregivers: a systematic review of yoga-based interventions.","authors":"Paula Pillar Pinto, Andrea Camaz Deslandes, Helena Moraes","doi":"10.1590/1980-5764-DN-2024-0151","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2024-0151","url":null,"abstract":"<p><p>Mind-body interventions have been explored to enhance the psychological well-being of dementia caregivers; however, the specific effects of yoga practice remain underexamined.</p><p><strong>Objective: </strong>The aim of this study was to investigate the benefits of yoga on quality of life (QoL), life satisfaction, psychological well-being, attention, self-compassion, perceived stress, anxiety, depression, and caregiver burden for dementia caregivers.</p><p><strong>Methods: </strong>A comprehensive search was conducted on September 11, 2024, in databases including SciELO, PubMed, BVSalud, Web of Science, Embase, and PsycINFO, focusing on the effects of yoga for informal dementia caregivers compared to passive or active control groups through randomized and non-randomized trials. An initial review reduced 284 to 180 unique records; 172 studies were excluded, leaving 8 that met the inclusion criteria. Two authors independently selected and extracted data using a data extraction sheet based on the Cochrane Consumers and Communication Review Group. The Cochrane Risk of Bias tools (ROB2 and ROBINS-I) were employed to evaluate bias risk.</p><p><strong>Results: </strong>The review included three randomized and five non-randomized studies with a total of 161 participants, predominantly female (wives and daughters), with ages ranging from 39 to 76 years. Four studies utilized hatha yoga, while four employed non-traditional yoga. Significant improvements were observed in QoL, depression, stress, anxiety, and self-compassion, but not in caregiver burden. Furthermore, positive effects were more pronounced in face-to-face or online interventions than in recorded videos. On average, studies exhibited a moderate risk of bias.</p><p><strong>Conclusion: </strong>Yoga practice can serve as an effective intervention for enhancing the psychological aspects of dementia caregivers.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"19 ","pages":"e20240151"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}