Dementia e Neuropsychologia最新文献

{"title":"A pilot study on factors linked to healthcare providers' communication with older adults.","authors":"Ouafa Izel, Halima El Houmaydy, El Mahjoub El Harsi, Abdelhafid Benksim, Abdelhamid Hachimi","doi":"10.1590/1980-5764-DN-2025-0338","DOIUrl":"10.1590/1980-5764-DN-2025-0338","url":null,"abstract":"<p><p>Effective communication between caregivers and older adults is a key element of optimal care, both therapeutically and psychologically. However, it can be hampered by a variety of factors relating to the older adults, the caregiver, and the working environment.</p><p><strong>Objective: </strong>The aim of this study was to assess the communication skills of caregivers with older adults and to identify the factors likely to influence them in the Marrakech-Safi region.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted between April and October 2024 among 731 caregivers working in healthcare facilities in the Marrakech-Safi region. Caregivers' communication was assessed using the Kalamazoo Essential Elements Communication Checklist-Adapted (KEECC-A). Multiple linear regression was used to determine potential factors influencing the KEECC-A score.</p><p><strong>Results: </strong>The mean overall KEECC-A score was 3.19±0.70. The lowest mean subscale scores were associated with reaching agreement (3.00±0.95), understanding the patient's perspective (3.07±0.95), gathering information (3.13±0.94), and closing the interview (3.17±0.97). Multivariate analysis revealed that stress (B=-0.181±0.065; p=0.006) and illiteracy among older adults (B=0.147±0.057; p=0.010) were the main factors influencing caregivers' communication skills.</p><p><strong>Conclusion: </strong>Although caregivers interact positively with illiterate older adults, stress has a negative impact on communication, highlighting the need for a holistic approach that considers both patient's needs and caregivers' work environment.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"20 ","pages":"e20250338"},"PeriodicalIF":0.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13008345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515314","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":"Teleneuropsychology in Latin America: Experiences and challenges during the COVID-19 pandemic.","authors":"Loreto Olavarria Vera, Claudia Dechent, Mario Parra Rodriguez, Lucía Crivelli, Nilton Santos Custodio Capuñay, Sonia Maria Dozzi Brucki, Maira Okada-Oliveira, Phillip Robert, Yakeel T Quiroz, Andres Antivilo-Bruna, Alejandra Arboleda Ramirez, Patricia Lillo, María Agostina Carello, Teresa Torralva, Teresita Ramos, Claudia Duran-Aniotz, Ricardo Allegri, Andrea Slachevsky","doi":"10.1590/1980-5764-DN-2025-0429","DOIUrl":"10.1590/1980-5764-DN-2025-0429","url":null,"abstract":"<p><p>The COVID-19 pandemic accelerated the use of teleneuropsychology (TeleNP) to deliver remote neuropsychological services in settings with limited clinic access.</p><p><strong>Objective: </strong>To examine TeleNP practices in Latin America (LA), focusing on clinicians' perceptions of utility, validity, and barriers.</p><p><strong>Methods: </strong>A descriptive, exploratory cross-sectional survey was conducted between November 2020 and January 2021 among health professionals practicing neuropsychology in LA. The instrument, validated through a Delphi process, assessed professional background, TeleNP use, patient profiles, applied tests, and perceived advantages and challenges.</p><p><strong>Results: </strong>A total of 212 clinicians from 10 countries participated (mean age and clinical experience=42.7 years and 12.3 years, respectively). Participants were primarily psychologists (75.9%), but also neurologists, geriatricians, psychiatrists and speech-language pathologists. TeleNP adoption rose from 4.2% regular and 13.7% occasional pre-pandemic use to 58% at the time of the survey, with significant cross-country variation (χ²=79.0, df=30, p<0.001). TeleNP was used mainly for patient (90%) and informant (89.5%) interviews, screening (71.8%), and, in half of the cases, more extensive assessments. The advantages reported were improved access (81.5%), reduced transportation costs (79.8%), patient comfort (66.1%), and easier scheduling (66.1%). The main barrier identified was limited patient connectivity (84.7%). Regulatory knowledge was heterogeneous: 36.7% reported TeleNP authorization in their country, 23.5% reported no authorization, and 39.8% were unsure.</p><p><strong>Conclusion: </strong>TeleNP adoption in LA increased during the pandemic and is perceived as a valid, accessible modality to address geographic disparities in neuropsychological care. However, heterogeneous implementation, regulatory uncertainty, and technological limitations remain major challenges, underscoring the need for standardized guidelines.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"20 ","pages":"e20250429"},"PeriodicalIF":0.0,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12969836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436345","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":"Standardization of gesture apraxia assessment in the elderly population of Olinda city in Northeast Brazil.","authors":"Paulo Roberto de Brito-Marques, Amanda Braga-Santos","doi":"10.1590/1980-5764-DN-2025-0336","DOIUrl":"10.1590/1980-5764-DN-2025-0336","url":null,"abstract":"<p><p>Apraxia is the inability to voluntarily perform learned gestures, even though sensory and motor functions are preserved.</p><p><strong>Objective: </strong>To standardize apraxia gestures and pantomimes in the elderly population.</p><p><strong>Methods: </strong>A brief clinical and family history, demographic data, the Edinburgh Handedness Inventory, the Mini-Mental State (MMS), the Modified Mini-Mental State (MMMS), and an evaluation of ideomotor apraxia and pantomimes based on Liepmann's criteria were conducted.</p><p><strong>Results: </strong>There were significant associations between pantomime tasks and MMS, MMMS, and age. Additionally, significant correlations were observed between ideomotor apraxia and MMS, MMMS, age, and higher education levels.</p><p><strong>Conclusion: </strong>The gesture tests demonstrated neuropsychological potential applicability in elderly individuals aged 60 to 79 who have completed at least eight years of education.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"20 ","pages":"e20250336"},"PeriodicalIF":0.0,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12969837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436379","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":"Executive functions in adults: scoping review of computerized neuropsychological batteries.","authors":"Victor Linking Magalhães Campos, Antonio de Pádua Serafim","doi":"10.1590/1980-5764-DN-2025-0374","DOIUrl":"10.1590/1980-5764-DN-2025-0374","url":null,"abstract":"<p><p>Computerized assessment of executive functions (EF) has the potential to increase access to more cost-effective diagnostics, considering the relevance of these skills for quality of life and adaptive functioning.</p><p><strong>Objective: </strong>This study conducted a scoping review to identify computerized fixed batteries for assessing EF in adults.</p><p><strong>Methods: </strong>A systematic search was conducted in the United States National Library of Medicine (PubMed), Scopus, Web of Science, Cochrane Library (Reviews), PsychNet, and Scientific Electronic Library Online (SciELO) databases, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR).</p><p><strong>Results: </strong>A total of 15,704 records were identified, of which 62 studies met the eligibility criteria. In these, 42 batteries were mapped, which together encompassed 174 tasks associated with executive domains. No battery exclusively assesses EF, and most were developed for computerized application in a supervised face-to-face format. It was also observed that there was no explicit theoretical basis in the construction of the instruments, evidencing important conceptual gaps.</p><p><strong>Conclusion: </strong>There are fixed computerized batteries applicable to the assessment of EF in adults, although not specific, reflecting the advance of digitalization in neuropsychological practice. The findings highlight the need for cross-cultural adaptations and psychometric validation studies that strengthen the theoretical basis and diagnostic accuracy of these instruments.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"20 ","pages":"e20250374"},"PeriodicalIF":0.0,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12965716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379122","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":"ERRATUM: Current evidence on drug therapy for dementia in people with Down syndrome: an overview of systematic reviews.","authors":"","doi":"10.1590/1980-5764-DN-2024-0241erratum","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2024-0241erratum","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1590/1980-5764-DN-2024-0241.].</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"20 ","pages":"e2024241erratum"},"PeriodicalIF":0.0,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444683","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":"Depression, anxiety, and mental state in patients with early-stage dementia: comparison of reminiscence therapy and cognitive stimulation therapy.","authors":"Zeynep Gümüş Demir, Idil Arasan Doğan, Remziye Keskin, Defne Demet Koyutürk","doi":"10.1590/1980-5764-DN-2025-0354","DOIUrl":"10.1590/1980-5764-DN-2025-0354","url":null,"abstract":"<p><p>Psychosocial interventions may differentially target affective and cognitive symptoms in mild dementia, yet comparative evidence in long-term care is limited.</p><p><strong>Objective: </strong>To compare the effects of Reminiscence Therapy (RT) and Cognitive Stimulation Therapy (CST) on depression, anxiety, and cognitive functioning in older adults with mild dementia living in long-term care facilities.</p><p><strong>Methods: </strong>A quasi-experimental, quantitative study was conducted with 24 participants diagnosed with mild dementia, allocated equally to RT (n=12) and CST (n=12). Thirteen were male and eleven were female. Data were collected using a Sociodemographic Information Form, the Geriatric Depression Scale, the Beck Anxiety Inventory, and the Standardized Mini-Mental State Examination. Both groups received 10 weekly sessions lasting 90 minutes each.</p><p><strong>Results: </strong>Distinct patterns emerged between the interventions. RT was more effective for emotional symptoms: depressive symptoms decreased significantly (t(11)=8.26, p<0.001) and anxiety also improved (t(11)=10.41, p<0.001). CST led to greater gains in cognitive performance (t(11)=-2.42, p=0.034) while also reducing depressive (t(11)=3.08, p=0.010) and anxiety symptoms (t(11)=5.05, p<0.001). These differential effects suggest unique therapeutic mechanisms.</p><p><strong>Conclusion: </strong>Both RT and CST may provide valuable psychosocial benefits for older adults with mild dementia. The findings highlight the need for individualized intervention strategies that consider each person's emotional and cognitive profiles when designing mental health care plans in long-term care settings.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"20 ","pages":"e20250354"},"PeriodicalIF":0.0,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272432","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":"Neurology of cognition and social behavior. A narrative review of neurobiological bases and clinical aspects.","authors":"Raimundo Nonato Campos-Sousa, Kelson James Almeida","doi":"10.1590/1980-5764-DN-2025-0301","DOIUrl":"10.1590/1980-5764-DN-2025-0301","url":null,"abstract":"<p><p>Cognitive and behavioral processes of a social nature emerge in childhood and remain efficient throughout life. An increase in the prevalence of neurocognitive and psychiatric disorders has been noted, with consequent difficulty in understanding facial and body expressions, as well as perceiving emotions. The aim of this narrative or non-systematic review was to provide an overview of the neurobiology and neural bases of cognition about social behavior. We reviewed the neural correlates involved in social perception, empathy, theory of mind (ToM) and decision-making. We also discussed the clinical setting, and recommended tests to evaluate social signs, empathy, ToM process, and social decision-making. Neuropsychological assessment and clinical evaluation of social cognition is an increasing field to evaluate human cognition, with interesting findings added to neurologist practice.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"20 ","pages":"e20250301"},"PeriodicalIF":0.0,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272140","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":"Implicit attitudes towards older people among paid and unpaid caregivers of older people: a cross-sectional study.","authors":"Madson Alan Maximiano-Barreto, Bruna Moretti Luchesi, Marcos Hortes Nisihara Chagas","doi":"10.1590/1980-5764-DN-2025-0337","DOIUrl":"10.1590/1980-5764-DN-2025-0337","url":null,"abstract":"<p><p>Ageism is a type of prejudice that can be manifested implicitly or explicitly. Implicit ageism has been assessed in different populations (e.g., students and healthcare providers). This form of prejudice can exert an impact on social relationships and the offer of care, as many caregivers (e.g., those of older people) may work with individuals that are not of their interest for various reasons, which can have an impact on both mental health and the quality of care offered to others (e.g., older people).</p><p><strong>Objective: </strong>To assess implicit attitudes towards older people among paid and unpaid caregivers of older people.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 111 paid and unpaid caregivers of older people who reside in the city of São Carlos-SP, Brazil and surrounding region. The caregivers completed data collection instruments addressing implicit attitudes, the impact of providing care, depressive symptoms, sociodemographic characteristics and aspects of the care provided. Based on the score of the implicit attitude test, the caregivers were divided into three groups: \"neutral implicit attitudes\", \"positive implicit attitudes\" and \"negative implicit attitudes\".</p><p><strong>Results: </strong>Women accounted for the vast majority of the sample (91.0%) and age ranged from 19 to 76 years. A total of 63.1% of the paid and unpaid caregivers had negative implicit attitudes towards older people and only 12.6% had positive implicit attitudes.</p><p><strong>Conclusion: </strong>Caregivers of older people have negative implicit attitudes towards older people. Further studies are needed to investigate the impact of implicit attitudes on the caregiver-recipient relationship.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"20 ","pages":"e20250337"},"PeriodicalIF":0.0,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272149","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 cognitive function in individuals with Down syndrome and dementia: a systematic review.","authors":"Ana Clara Lira do Nascimento, Egeval Pereira da Paz, Graziela Rosa Lopes Bastos Freire, Sonja Costa Coelho Gayoso E Almendra, Maria Costa Coelho Gayoso E Almendra, Lívia Fabrícia Francisco de Lima, Ludmila Belo Ramos da Silva, Júlia Feitosa Brito Dos Santos, Bianca Alves de Paiva, Luís Eduardo Soares Sampaio Novaes, Matheus Mendes de Melo, Ana Iza Gomes da Penha Sobral","doi":"10.1590/1980-5764-DN-2025-0308","DOIUrl":"10.1590/1980-5764-DN-2025-0308","url":null,"abstract":"<p><p>Individuals with Down syndrome (DS) face a high risk of dementia, particularly Alzheimer's disease (AD). Early diagnosis is complex due to pre-existing cognitive deficits, underscoring the need for specific diagnostic criteria.</p><p><strong>Objective: </strong>To present cognitive and behavioral features of dementia in DS and examine cognitive assessment tools.</p><p><strong>Methods: </strong>Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the databases United States National Library of Medicine (PubMed), Scopus, Web of Science, and Virtual Health Library (BVS) were searched for studies (2014-2024) in English, Portuguese, or Spanish. The quality of the included articles was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) criteria.</p><p><strong>Results: </strong>Of 254 records screened, 28 studies met the inclusion criteria. Early dementia in DS presents with declines in executive functions, memory, language, attention, and behavioral changes. Behavioral symptoms, including agitation, hallucinations, and apathy, were prominent in AD-DS and prodromal dementia, and may serve as early indicators.</p><p><strong>Conclusion: </strong>Early dementia in individuals with DS is characterized by cognitive and behavioral declines, with behavioral symptoms potentially serving as early diagnostic markers.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"19 Suppl 1","pages":"e20250308"},"PeriodicalIF":0.0,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12903883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203261","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":"Language skills in Parkinson's disease: state of the art.","authors":"Guilherme Briczinski de Souza, Bárbara Costa Beber","doi":"10.1590/1980-5764-DN-2025-0350","DOIUrl":"10.1590/1980-5764-DN-2025-0350","url":null,"abstract":"<p><p>This review aims to examine the state of the art regarding changes in language abilities in Parkinson's disease (PD), with a focus on different linguistic domains. To this end, the language alterations are organized into sections (phonetic and phonology, morphology, syntax, semantic and lexicon, and pragmatics) that correspond to each linguistic domain and are complemented by considerations for future research. Linguistic changes can emerge early in the course of PD, even when verbal abilities are not yet significantly compromised. As the disease progresses, individuals with PD commonly exhibit executive dysfunction, visuospatial difficulties, and memory impairment. Communication deficits extend beyond speech and voice, and are directly impacted by linguistic functions. Given the progressive nature of PD, the study of language provides valuable insights into the impact of neurodegeneration on communication, an area often overshadowed by the predominant focus on motor speech disorders, such as dysarthria.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"20 ","pages":"e20250350"},"PeriodicalIF":0.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12885475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158703","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}