Dementia e Neuropsychologia最新文献

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Floor and ceiling effects on the Montreal Cognitive Assessment in patients with Parkinson's disease in Brazil. 巴西帕金森病患者在蒙特利尔认知评估中的下限和上限效应。
Dementia e Neuropsychologia Pub Date : 2023-12-04 eCollection Date: 2023-01-01 DOI: 10.1590/1980-5764-DN-2023-0022
Brenda Hanae Bentes Koshimoto, Pedro Renato de Paula Brandão, Vanderci Borges, Henrique Ballalai Ferraz, Artur Francisco Schumacher-Schuh, Carlos Roberto de Mello Rieder, Maira Rozenfeld Olchik, Ignacio Fernandez Mata, Vitor Tumas, Bruno Lopes Santos-Lobato
{"title":"Floor and ceiling effects on the Montreal Cognitive Assessment in patients with Parkinson's disease in Brazil.","authors":"Brenda Hanae Bentes Koshimoto, Pedro Renato de Paula Brandão, Vanderci Borges, Henrique Ballalai Ferraz, Artur Francisco Schumacher-Schuh, Carlos Roberto de Mello Rieder, Maira Rozenfeld Olchik, Ignacio Fernandez Mata, Vitor Tumas, Bruno Lopes Santos-Lobato","doi":"10.1590/1980-5764-DN-2023-0022","DOIUrl":"10.1590/1980-5764-DN-2023-0022","url":null,"abstract":"<p><p>Parkinson's disease (PD) is a common neurodegenerative disease associated with cognitive impairment. The Montreal Cognitive Assessment (MoCA) has been used as a recommended global cognition scale for patients with PD, but there are some concerns about its application, partially due to the floor and ceiling effects.</p><p><strong>Objective: </strong>To explore the floor and ceiling effects on the MoCA in patients with PD in Brazil.</p><p><strong>Methods: </strong>Cross-sectional study with data from patients with PD from five Brazilian Movement Disorders Clinics, excluding individuals with a possible diagnosis of dementia. We analyzed the total score of the MoCA, as well as its seven cognitive domains. The floor and ceiling effects were evaluated for the total MoCA score and domains. Multivariate analyses were performed to detect factors associated with floor and ceiling effects.</p><p><strong>Results: </strong>We evaluated data from 366 patients with PD and approximately 19% of individuals had less than five years of education. For the total MoCA score, there was no floor or ceiling effect. There was a floor effect in the abstraction and delayed memory recall domains in 20% of our sample. The ceiling effect was demonstrated in all domains (80.8% more common in naming and 89% orientation), except delayed recall. Education was the main factor associated with the floor and ceiling effects, independent of region, sex, age at evaluation, and disease duration.</p><p><strong>Conclusion: </strong>The floor and ceiling effects are present in specific domains of the MoCA in Brazil, with a strong impact on education. Further adaptations of the MoCA structure for underrepresented populations may reduce these negative effects.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"17 ","pages":"e20230022"},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488648","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}
引用次数: 0
Brain-derived neurotrophic factor interplay with oxidative stress: neuropathology approach in potential biomarker of Alzheimer's disease. 脑源性神经营养因子与氧化应激的相互作用:阿尔茨海默病潜在生物标志物的神经病理学方法。
Dementia e Neuropsychologia Pub Date : 2023-12-04 eCollection Date: 2023-01-01 DOI: 10.1590/1980-5764-DN-2023-0012
Robert Shen, Christian Ardianto, Celia Celia, Veronika Maria Sidharta, Poppy Kristina Sasmita, Irawan Satriotomo, Yuda Turana
{"title":"Brain-derived neurotrophic factor interplay with oxidative stress: neuropathology approach in potential biomarker of Alzheimer's disease.","authors":"Robert Shen, Christian Ardianto, Celia Celia, Veronika Maria Sidharta, Poppy Kristina Sasmita, Irawan Satriotomo, Yuda Turana","doi":"10.1590/1980-5764-DN-2023-0012","DOIUrl":"10.1590/1980-5764-DN-2023-0012","url":null,"abstract":"<p><p>The aging population poses a serious challenge concerning an increased prevalence of Alzheimer's disease (AD) and its impact on global burden, morbidity, and mortality. Oxidative stress, as a molecular hallmark that causes susceptibility in AD, interplays to other AD-related neuropathology cascades and decreases the expression of central and circulation brain-derived neurotrophic factor (BDNF), an essential neurotrophin that serves as nerve development and survival, and synaptic plasticity in AD. By its significant correlation with the molecular and clinical progression of AD, BDNF can potentially be used as an objectively accurate biomarker for AD diagnosis and progressivity follow-up in future clinical practice. This comprehensive review highlights the oxidative stress interplay with BDNF in AD neuropathology and its potential use as an AD biomarker.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"17 ","pages":"e20230012"},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488644","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}
引用次数: 0
Development and validation of a brief digital cognitive test based on the paradigm of stimulus equivalence in a sample of older adults. 在老年人样本中开发和验证基于刺激等效范式的简短数字认知测试。
Dementia e Neuropsychologia Pub Date : 2023-12-04 eCollection Date: 2023-01-01 DOI: 10.1590/1980-5764-DN-2022-0050
Marcos Hortes Nisihara Chagas, Andreza Gomes Spiller Nery, Ana Julia de Lima Bomfim, Natalia Mario Aggio
{"title":"Development and validation of a brief digital cognitive test based on the paradigm of stimulus equivalence in a sample of older adults.","authors":"Marcos Hortes Nisihara Chagas, Andreza Gomes Spiller Nery, Ana Julia de Lima Bomfim, Natalia Mario Aggio","doi":"10.1590/1980-5764-DN-2022-0050","DOIUrl":"10.1590/1980-5764-DN-2022-0050","url":null,"abstract":"<p><p>With the technological advancement and democratization of electronic devices, computerized cognitive tests have been increasingly used in the clinical context to evaluate cognitive performance in individuals.</p><p><strong>Objective: </strong>This study aimed to propose a brief digital cognitive test based on the paradigm of stimulus equivalence and assess its convergent validity by comparing it with traditionally applied tests.</p><p><strong>Methods: </strong>The study was carried out with a non-probabilistic sample of 50 older adults selected from a public call through the communication media, health units, and day centers of a city in the countryside of São Paulo. Participants were assessed by the brief digital cognitive test, Mini-Mental State Examination, Brief Cognitive Screening Battery, and the Five Digit Test.</p><p><strong>Results: </strong>Participants had a mean age of 71.23 years (standard deviation [SD]: ±9.36) and a mean of 7.15 years of schooling (SD: ±5.34). The mean time to answer the test was 5.33 minutes (SD: ±1.92). There were statistically significant correlations between traditional and digital tests in most domains evaluated. In addition, considering the total score of the digital test, the test could discriminate participants with and without cognitive impairment: area under the ROC curve=0.765; 95%CI 0.630-0.901.</p><p><strong>Conclusion: </strong>The brief digital cognitive test, using the stimulus equivalence paradigm, is an easy-to-apply and valid instrument for the investigation of cognitive impairment in older adults.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"17 ","pages":"e20220050"},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488645","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}
引用次数: 0
Use of transcranial magnetic stimulation in the treatment of nonfluent primary progressive aphasia: a case report. 使用经颅磁刺激治疗非流利性原发性进行性失语症:病例报告。
Dementia e Neuropsychologia Pub Date : 2023-12-04 eCollection Date: 2023-01-01 DOI: 10.1590/1980-5764-DN-2023-0021
Natália Maria Lins Martins, Tathiana Baczynski, Larissa Sena, Romário de Macedo Espíndola, Natia Horato, Antonio Egidio Nardi, Valeska Marinho
{"title":"Use of transcranial magnetic stimulation in the treatment of nonfluent primary progressive aphasia: a case report.","authors":"Natália Maria Lins Martins, Tathiana Baczynski, Larissa Sena, Romário de Macedo Espíndola, Natia Horato, Antonio Egidio Nardi, Valeska Marinho","doi":"10.1590/1980-5764-DN-2023-0021","DOIUrl":"10.1590/1980-5764-DN-2023-0021","url":null,"abstract":"<p><p>Primary progressive aphasia comprises a group of neurodegenerative diseases characterized by progressive speech and language dysfunction. Neuroimaging (structural and functional), biomarkers, and neuropsychological assessments allow for early diagnosis. However, there is no pharmacological treatment for the disease. Speech and language therapy is the main rehabilitation strategy. In this case report, we describe a female patient diagnosed with nonfluent primary progressive aphasia who underwent sessions of high-frequency transcranial magnetic stimulation in the left dorsolateral prefrontal cortex and showed improvement in depression scores, naming tasks in oral and written speech, and comprehension tasks in oral and written discourse.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"17 ","pages":"e20230021"},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488650","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}
引用次数: 0
Efficacy of iSupport-Brasil for unpaid caregivers of people living with dementia: protocol for a randomized and controlled clinical trial. iSupport-Brasil 对痴呆症患者无偿照顾者的疗效:随机对照临床试验方案。
Dementia e Neuropsychologia Pub Date : 2023-11-24 eCollection Date: 2023-01-01 DOI: 10.1590/1980-5764-DN-2023-0040
Aline Cristina Martins Gratão, Anabel Machado Cardoso, Ana Carolina Ottaviani, Camila Rafael Ferreira Campos, Déborah Cristina de Oliveira, Diana Quirino Monteiro, Elizabeth Joan Barham, Fabiana de Souza Orlandi, Gustavo Carrijo Barbosa, Keila Cristianne Trindade da Cruz, Larissa Corrêa, Luana Aparecida da Rocha, Ludmyla Caroline de Souza Alves, Luiza Barros Maciel, Lucélia Silva Nico, Maria Cristina Corrêa Lopes Hoffmann, Sofia Cristina Iost Pavarini
{"title":"Efficacy of <i>iSupport-Brasil</i> for unpaid caregivers of people living with dementia: protocol for a randomized and controlled clinical trial.","authors":"Aline Cristina Martins Gratão, Anabel Machado Cardoso, Ana Carolina Ottaviani, Camila Rafael Ferreira Campos, Déborah Cristina de Oliveira, Diana Quirino Monteiro, Elizabeth Joan Barham, Fabiana de Souza Orlandi, Gustavo Carrijo Barbosa, Keila Cristianne Trindade da Cruz, Larissa Corrêa, Luana Aparecida da Rocha, Ludmyla Caroline de Souza Alves, Luiza Barros Maciel, Lucélia Silva Nico, Maria Cristina Corrêa Lopes Hoffmann, Sofia Cristina Iost Pavarini","doi":"10.1590/1980-5764-DN-2023-0040","DOIUrl":"10.1590/1980-5764-DN-2023-0040","url":null,"abstract":"<p><p>Unpaid caregivers of people living with dementia tend to suffer mental health problems as a result of the negative effects associated with the care tasks. Thus, psychosocial interventions for this population group are necessary. iSupport is an online support program for caregivers that was created by the World Health Organization.</p><p><strong>Objective: </strong>To describe the design of a randomized clinical trial to measure the efficacy of the <i>iSupport</i>-<i>Brasil</i> version on caregivers' mental health and well-being.</p><p><strong>Methods: </strong>The participants will be randomized into Intervention Group (IG) (n=195) and Control Group (CG) (n=195). For three months, the IG will access the <i>iSupport-Brasil</i> platform, the CG will enter the electronic page of the Brazilian Alzheimer's Association, and both groups will be emailed the preliminary version of the \"<i>Guia de cuidados para a pessoa idosa</i>\" e-book (a guide to providing care to the elderly) from the Ministry of Health. The data will be collected at three moments: baseline, and three and six months after the beginning of the intervention.</p><p><strong>Results: </strong>It is expected that it will be possible to provide diverse validity evidence about <i>iSupport-Brasil</i> as an online and free intervention alternative, as a preventive means and as a way to promote mental health among caregivers of people living with dementia.</p><p><strong>Conclusion: </strong>Through the evaluation protocol of this randomized clinical trial on the effects of the <i>iSupport-Brasil</i> program, it may become a reference for countries that plan to adapt and improve the iSupport program using digital health solutions.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"17 ","pages":"e20230040"},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488646","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}
引用次数: 0
Educational disparities in Brazil may interfere with the cognitive performance of Parkinson's disease patients. 巴西的教育差异可能会干扰帕金森病患者的认知表现。
Dementia e Neuropsychologia Pub Date : 2023-11-20 eCollection Date: 2023-01-01 DOI: 10.1590/1980-5764-DN-2022-0084
Danielle Pessoa Lima, Janine de Carvalho Bonfadini, Alexandre Henrique Silva Carneiro, Samuel Brito de Almeida, Antonio Brazil Viana, Ana Cecília Nogueira E Silva, Jarbas de Sá Roriz, Pedro Braga
{"title":"Educational disparities in Brazil may interfere with the cognitive performance of Parkinson's disease patients.","authors":"Danielle Pessoa Lima, Janine de Carvalho Bonfadini, Alexandre Henrique Silva Carneiro, Samuel Brito de Almeida, Antonio Brazil Viana, Ana Cecília Nogueira E Silva, Jarbas de Sá Roriz, Pedro Braga","doi":"10.1590/1980-5764-DN-2022-0084","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2022-0084","url":null,"abstract":"<p><p>The prevalence of cognitive impairment in Parkinson's disease (PD) is about 20% to 60%. The Mini-Mental Status Examination (MMSE) is the most used cognitive screening test.</p><p><strong>Objective: </strong>To evaluate the influence of clinical and demographic characteristics, specifically the education level, on the MMSE score in PD patients of a northeast Brazilian sample.</p><p><strong>Methods: </strong>We performed a cross-sectional study of 198 PD patients at a Movement Disorders outpatient clinic in Fortaleza, CE, Brazil. Participants were assessed by detailed clinical history, modified Hoehn and Yahr staging (HY), geriatric depression scale (GDS) and MMSE.</p><p><strong>Results: </strong>We found that 68% of patients had MMSE scores below the Brazilian thresholds, which were based in Brucki et al. study (2003). There was a statistically significant difference in the bivariate analysis between educational level and cut-off classification for MMSE. More years of formal schooling were associated with more patients scoring below threshold. We found that 75%, 68.8%, and 79.7% of individuals with more than 11, 9 to 11, and 4 to 8 years of formal schooling, respectively, were below the suggested Brazilian Brucki's threshold. GDS and age were negatively correlated with total MMSE and all its domains. There was no correlation between disease duration and MMSE. Subjects with hallucinations had lower scores.</p><p><strong>Conclusion: </strong>Most of the sample had lower performance according to Brazilian thresholds, but there was no control group and no neuropsychological test in this study. Further studies in northeast Brazil are needed to review MMSE cut-off values.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"17 ","pages":"e20220084"},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10666553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463208","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}
引用次数: 0
Cognitive profile of patients with and without speech impairment in Parkinson's disease. 帕金森病患者有和无语言障碍的认知特征。
Dementia e Neuropsychologia Pub Date : 2023-11-20 eCollection Date: 2023-01-01 DOI: 10.1590/1980-5764-DN-2022-0093
Nariana Mattos Figueiredo Sousa, Juliana de Fátima Garcia Diniz, Ana Paula Galvão, Sonia Maria Dozzi Brucki
{"title":"Cognitive profile of patients with and without speech impairment in Parkinson's disease.","authors":"Nariana Mattos Figueiredo Sousa, Juliana de Fátima Garcia Diniz, Ana Paula Galvão, Sonia Maria Dozzi Brucki","doi":"10.1590/1980-5764-DN-2022-0093","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2022-0093","url":null,"abstract":"<p><p>Cognitive functions have been the subject of studies evaluating the pathophysiological mechanism of speech control.</p><p><strong>Objective: </strong>To compare the groups of patients with and without speech disorders with cognitive assessment, demographic, and clinical data (disease duration, functionality, and motor symptoms).</p><p><strong>Methods: </strong>Retrospective, cross-sectional study. Patients were evaluated using the Addenbrooke's Cognitive Examination III and neuropsychological tests. The following speech subsystems were analyzed: articulation, phonation, resonance, and prosody, through auditory-perceptual evaluation (based on the Protocol for the Evaluation of Acquired Speech Disorders in Individuals with Parkinson's Disease - PADAF Protocol tests), observing aspects of speech programming and execution. The patients were distributed into three subgroups (normal cognition, mild cognitive impairment, and dementia). After speech evaluation, they were divided into two subgroups (with and without speech disorders).</p><p><strong>Results: </strong>A total of 150 patients participated in this study, 104 men and 46 women, 63.58 (8.81) years of age, 11.03 (4.00) years of schooling, 6.61 (4.69) years of disease progression, and with the highest proportion of individuals in stage I-II of the Hoehn & Yarh (H&Y) scale (86, or 57.33%). Statistically significant differences were observed between subgroups with and without speech alteration. Worse performance was verified in the Trail Making Test (TMT) TMT-Δ and a tendency of difference in the TMT-B of the subgroup with speech disorders, in addition to worse severity of motor symptoms (H&Y) and cognitive complaints.</p><p><strong>Conclusion: </strong>Individuals with speech disorders brought more frequent cognitive complaints and impairment below expected in tests assessing executive functions. Future studies, with stratification by type of speech disorder, are necessary to contribute to and validate these results.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"17 ","pages":"e20220093"},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10666554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463207","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}
引用次数: 0
Home care for the elderly with dementia: a systematic review. 老年痴呆症患者的家庭护理:系统综述。
Dementia e Neuropsychologia Pub Date : 2023-11-10 eCollection Date: 2023-01-01 DOI: 10.1590/1980-5764-DN-2022-0052
Luísa Pelucio, Marcia Cristina Nascimento Dourado, Laiana Azevedo Quagliato, Antonio Egidio Nardi
{"title":"Home care for the elderly with dementia: a systematic review.","authors":"Luísa Pelucio, Marcia Cristina Nascimento Dourado, Laiana Azevedo Quagliato, Antonio Egidio Nardi","doi":"10.1590/1980-5764-DN-2022-0052","DOIUrl":"10.1590/1980-5764-DN-2022-0052","url":null,"abstract":"<p><strong>Objetive: </strong>With the global population aging, there is a growing need for home-based care to meet the health needs of the elderly. However, the quality of care provided to the aged population is now arguably a significant challenge for most healthcare systems worldwide.</p><p><strong>Methods: </strong>The present review included 13 original studies on home care and its effects on dementia patients, describing how patient care and adequate treatment can be collaborative for their improvement, for case management, and optimizing pain control and specificities.</p><p><strong>Results: </strong>Among the findings, it was evidenced that the environment impacts the form of care, once being at home can improve communication and global monitoring of dementia patients.</p><p><strong>Conclusion: </strong>In addition to the results analyzed in this review, there is a need for future, well-designed studies on the different aspects of home care, highlighting the importance of evaluating the type of care for each patient in the quest to optimize the care.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"17 ","pages":"e20220052"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10642071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592449","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}
引用次数: 0
Communication board in locked-in syndrome: a practical interaction method with the patient. 闭锁综合征交流板:一种与患者互动的实用方法。
Dementia e Neuropsychologia Pub Date : 2023-11-10 eCollection Date: 2023-01-01 DOI: 10.1590/1980-5764-DN-2023-0041
Gabriel de Deus Vieira, Zenóbio Cosme Gonçalves Ferreira, Lucas Nóbrega, Francisco Saulo Sampaio Cardoso, Eduardo Martins Leal, Rachel Schlindwein
{"title":"Communication board in locked-in syndrome: a practical interaction method with the patient.","authors":"Gabriel de Deus Vieira, Zenóbio Cosme Gonçalves Ferreira, Lucas Nóbrega, Francisco Saulo Sampaio Cardoso, Eduardo Martins Leal, Rachel Schlindwein","doi":"10.1590/1980-5764-DN-2023-0041","DOIUrl":"10.1590/1980-5764-DN-2023-0041","url":null,"abstract":"<p><p>Locked-in syndrome is a neurological condition characterized by tetraplegia, mutism, preservation of vertical eye movement, superior eyelid movement, and intact consciousness, making it impossible for the patient to communicate properly. We herein describe a case to analyze the practice of developing a method of communication for a patient with locked-in syndrome. Two communication boards were created, adapted to the Portuguese language, as well as a shortcut to inquire about the physical and emotional patient's well-being. We had difficulty with the initial communication board, due to the patient's low education level, so we adapted a new one to the patient's social context, including a shortcut to inquire about physical and emotional well-being. The communication board had a positive impact on treatment development and the patient's life.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"17 ","pages":"e20230041"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10642070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592448","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}
引用次数: 0
Cross-cultural adaptation of the everyday cognition scale (M-ECog) in older Mexican adults with cognitive impairment. 墨西哥老年人认知障碍日常认知量表(M-ECog)的跨文化适应。
Dementia e Neuropsychologia Pub Date : 2023-10-23 eCollection Date: 2023-01-01 DOI: 10.1590/1980-5764-DN-2023-0011
Sara Gloria Aguilar-Navarro, Brenda Lorena Pillajo Sánchez, Lidia Antonia Gutiérrez Gutiérrez, Natalia Arias-Trejo, Yakeel T Quiroz, Alberto José Mimenza Alvarado
{"title":"Cross-cultural adaptation of the everyday cognition scale (M-ECog) in older Mexican adults with cognitive impairment.","authors":"Sara Gloria Aguilar-Navarro,&nbsp;Brenda Lorena Pillajo Sánchez,&nbsp;Lidia Antonia Gutiérrez Gutiérrez,&nbsp;Natalia Arias-Trejo,&nbsp;Yakeel T Quiroz,&nbsp;Alberto José Mimenza Alvarado","doi":"10.1590/1980-5764-DN-2023-0011","DOIUrl":"10.1590/1980-5764-DN-2023-0011","url":null,"abstract":"<p><p>The Everyday Cognition (ECog) scale was created to evaluate the functional abilities of older adults across a wide range of abilities between normal aging and dementia. ECog screens cognitive alterations such as subjective cognitive decline (SCD) and mild cognitive impairment (MCI). This early recognition is done by the measurement of the ability to perform the activities of daily living (ADLs).</p><p><strong>Objective: </strong>To establish the cross-cultural adaptation, validity, and reliability of the ECog Mexican version (M-ECog) in participants with: SCD, MCI, and dementia coming from a memory clinic.</p><p><strong>Methods: </strong>There were 200 patients and their respective informants in a memory clinic of a third level hospital in Mexico City. Four groups were studied: 50 cognitively healthy (CH), 50 SCD, 50 MCI, and 50 dementia. The clinical evaluation included: sociodemographic and health characteristics, cognitive status by the Mini-Mental State Evaluation (MMSE) and Montreal Cognitive Evaluation Spanish version (MoCA-E), and caregiver information (informants) about the difficulty in ADLs as well as the ECog Spanish version (M-ECog).</p><p><strong>Results: </strong>The M-ECog was significantly correlated with MMSE, MoCA-E, and ADLs. It showed the ability to discriminate the different cognitive declines (Cronbach's alpha 0.881). The intra-class correlation coefficient was 0.877 (95% confidence interval - CI, 0.850-0.902; p<0.001). The patient's group area under curve (AUC) of M-ECog for SCD was 0.70 (95%CI 0.58-0.82, p<0.005), for MCI it was 0.94 (95%CI 0.89-0.99, p<0.001) and for dementia 0.86 (95%CI 0.79-0.92, p<0.001).</p><p><strong>Conclusion: </strong>The M-ECog scale proves to be valid and reliable for measuring everyday abilities mediated by cognition. It is self-applicable without requiring extensive prior formation. It is useful to screen for SCD and MCI in older Mexican adults.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":"17 ","pages":"e20230011"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231489","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}
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