Dementia e Neuropsychologia最新文献

{"title":"Changes in personality traits in patients with Alzheimer's Disease.","authors":"Kaoue Fonseca Lopes,&nbsp;Valéria Santoro Bahia,&nbsp;Jean Carlos Natividade,&nbsp;Rafael Valdece Sousa Bastos,&nbsp;Wanderley Akira Shiguti,&nbsp;Kátia Estevão Rodrigues da Silva,&nbsp;Wânia Cristina de Souza","doi":"10.1590/1980-5764-DN-2021-0029","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2021-0029","url":null,"abstract":"<p><p>Changes in personality traits in patients with Alzheimer's disease (AD) are extremely common throughout the course of the pathology, and these behavioral changes present themselves as challenges in clinical management and as a significant cause of caregivers' burden.</p><p><strong>Objective: </strong>Using a personality inventory based on the five-factor model of personality, this study aimed to assesses the change in these factors by comparing the premorbid and current personality of individuals recently diagnosed with AD.</p><p><strong>Methods: </strong>A total of 30 AD patients were recruited, and their respective family members responded to the personality inventory at home through a hosted site. The patients were also divided into two groups according to the Clinical Dementia Rating (CDR): mild dementia (CDR 1) and moderate dementia (CDR 2).</p><p><strong>Results: </strong>Among all patients, there was a significant increase in neuroticism factor levels and a significant decrease in the extraversion, conscientiousness, openness, and socialization factors. When comparing the groups, only the extraversion factor showed a difference, with CDR 1 group accusing a higher change in scores. Higher scores in the factor neuroticism in the premorbid personality correlated with the current severity of the disease.</p><p><strong>Conclusions: </strong>This research draws the attention of family members and health professionals to changes in personality traits or behavior of relatives or patients, because it can reflect an underlying neurodegenerative process.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":" ","pages":"187-193"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9173796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40025392","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":"Use of multisensory stimulation in institutionalized older adults with moderate or severe dementia.","authors":"Bento Miguel Machado,&nbsp;Carla da Silva Santana Castro","doi":"10.1590/1980-5764-DN-2021-0022","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2021-0022","url":null,"abstract":"<p><p>The Multisensory Stimulation Program can help manage behavioral and psychological symptoms of dementia.</p><p><strong>Objective: </strong>The objective of this study was to investigate the effects of the Multisensory Stimulation Program on behavioral, mood, and biomedical parameters of older adults with moderate and severe dementia compared to a control group not submitted to this program.</p><p><strong>Methods: </strong>This study is an interventional, parallel, open-label, quasi-experimental clinical trial, which is quantitative and qualitative in nature and is also an exploratory type. The sample was divided for convenience into intervention group (IG) and control group (GC) that did not participate in the Multisensory Stimulation Program. Data analysis included descriptive statistics, nonparametric tests (two-tailed alpha value of 0.1 was applied), and thematic content analysis.</p><p><strong>Results: </strong>The sample consisted of 20 older adults (IG=10 and GC=10), with a mean age of 83 years, an average of 3 years of education, and moderate or severe dementia. Reduction in intervention group behavioral changes (p=0.059) and numerical improvement in intervention group cognition were observed. A decrease in heart rate (p<0.05) and diastolic blood pressure (p<0.05) was observed before and immediately after the session in the intervention group. The caregivers described engaged behavior in intervention group, while they reported apathetic behavior in control group. Session records described verbal and nonverbal communication and sustained attention for more than 3 min regarding the sensory resource explored.</p><p><strong>Conclusions: </strong>The Multisensory Stimulation Program could be a new look at the health care practices performed in the nursing homes that consider the older adults' sensory preferences and may help with dementia behavior management.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":" ","pages":"202-212"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9173792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40024981","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":"Effects of concert music on cognitive, physiological, and psychological parameters in the elderly with dementia: a quasi-experimental study.","authors":"Luana Aparecida da Rocha,&nbsp;Bianca Franceschini Siqueira,&nbsp;Caroliny Eduarda Grella,&nbsp;Aline Cristina Martins Gratão","doi":"10.1590/1980-5764-DN-2021-0088","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2021-0088","url":null,"abstract":"<p><p>Non-pharmacological interventions, such as the use of music, have been shown to be important potential means of controlling adverse symptoms and signs resulting from chronic diseases already present in elderly patients with dementia.</p><p><strong>Objectives: </strong>The objective of this study was to analyze the effects of concert music on cognitive and physiological parameters, and behavioral and psychological symptoms in institutionalized elderly people with dementia.</p><p><strong>Methods: </strong>A descriptive-exploratory, quantitative, quasi-experimental study was conducted with 14 elderly people. They were allocated in intervention group (IG) (n=7) with eight sessions of music listening, once a week, for 2 months, and control group (CG) (n=7) with the same procedure but without listening to the music. All participants were assessed by Neuropsychiatric Inventory Questionnaire (NPI-Q) and Addenbrooke's Cognitive Examination - Revised (ACE-R) before and after the intervention. Blood pressure (BP) data were obtained; heart rate (HR) and coherence were obtained through Cardioemotion during sessions. The data were analyzed using Fisher's exact test and Student's <i>t</i>-test.</p><p><strong>Results: </strong>There was a predominance of female participants, who were widowed and diagnosed with Alzheimer's disease (AD) in both groups. A statistically significant reduction was found in the mean of apathy reduction (p=0.038) and the total mean of NPI-Q severity (p=0.033) (paired Student's <i>t</i>-test) in IG. No significant differences were found in mean level of the pre- and post-analysis variables in CG.</p><p><strong>Conclusions: </strong>Concert music had a positive effect on the behavior of institutionalized elderly. Stimuli and possibilities of improving the current behavioral conditions are observed.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":" ","pages":"194-201"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9173790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40024980","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":"Applicability of an immersive virtual reality system for assessing route learning in older adults.","authors":"Michelle Didone Dos Santos,&nbsp;Juliana Magalhães da Silva,&nbsp;Raquel Quimas Molina da Costa,&nbsp;Larissa Alamino Pereira de Viveiro,&nbsp;Emerson Galves Moretto,&nbsp;Roseli de Deus Lopes,&nbsp;Sonia Maria Dozzi Brucki,&nbsp;José Eduardo Pompeu","doi":"10.1590/1980-5764-DN-2021-0006","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2021-0006","url":null,"abstract":"<p><p>Spatial orientation is defined as the ability to find one's way around an environment, follow familiar routes, recognize places, and learn new routes. Spatial disorientation is one of the early symptoms of Alzheimer's disease (AD), and traditional cognitive evaluation lacks ecological validity. Therefore, new assessment methods are needed for the early identification of this cognitive impairment.</p><p><strong>Objective: </strong>This study aimed to compare the applicability and stability of an immersive virtual reality (VR) system developed to assess route learning between older adults with and without mild cognitive impairment (MCI).</p><p><strong>Methods: </strong>The study sample included 43 older adults: 22 without MCI and 23 with MCI. Applicability was assessed based on the recording of adverse events and the sense of presence reported through questionnaires. The Mann-Whitney U test was applied to compare the applicability of the Spatial Orientation in Immersive Virtual Environment Test (SOIVET)-Route task between older adults with and without MCI. Both short- and long-term stabilities of the task were evaluated using the intraclass correlation coefficient (ICC).</p><p><strong>Results: </strong>The mean age of participants was 71.4 years (SD=5.5). A minimum number of adverse events (mean=1.46; SD=2.11) and high levels of presence (mean=138.04; SD=14.80) were reported, and there was no difference between groups with and without MCI. A good to excellent correlation was found for short-term stability (CCI 0.78) and a reasonable correlation was found for long-term stability (CCI 0.58).</p><p><strong>Conclusions: </strong>The VR system was applicable for older adults and showed a good to excellent correlation for short-term stability.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":" ","pages":"220-227"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9173791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40025513","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":"Non-motor symptoms fluctuations in patients with Parkinson's disease at the Clinical Hospital of Salvador, Bahia.","authors":"Karollyne Santos Barreto,&nbsp;Jamary Oliveira,&nbsp;Luana Dias Reis,&nbsp;Tayane Guimarães Ribeiro,&nbsp;Roberta Borges Gomes Kauark","doi":"10.1590/1980-5764-DN-2021-0056","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2021-0056","url":null,"abstract":"<p><p>Motor fluctuations in Parkinson's disease (PD) are a frequent long-term complication. Knowledge is limited on the prevalence and incidence of non-motor symptoms (NMS) fluctuations, especially in Brazil.</p><p><strong>Objective: </strong>The objective of this study was to verify the frequency of NMS fluctuations and its relationship with other aspects of PD in patients followed at an outpatient movement disorders clinic.</p><p><strong>Methods: </strong>This is a cross-sectional study in which patients were evaluated for the presence of both types of fluctuations using the Wearing Off Questionnaire (WOQ-19).</p><p><strong>Results: </strong>A total of 37 patients (11 women and 26 men) were participated in this study, and the frequency of NMS fluctuations was 54.1% (90.9% in women and 38.5% in men). Anxiety was the most frequent non-motor fluctuation (35.1%). The highest percentage of NMS fluctuations (70%) was found in the group in which disease duration was more than 6 years. Most patients with motor fluctuations also had NMS fluctuations (66.7%). No patient presented with isolated NMS fluctuations.</p><p><strong>Conclusions: </strong>This study showed that, in the study population, approximately half of the patients had NMS fluctuations, with a higher frequency among women. A higher frequency was present in patients with earlier age of diagnosis, longer duration, and greater severity of disease. These findings point to the importance of recognizing the fluctuations of NMS in the study population, since these may not be spontaneously mentioned by the patient, who is remaining unnoticed, undiagnosed, and not treated by the neurologist, representing a significant aggravating factor in the patient's quality of life.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":" ","pages":"213-219"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9173797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40024976","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":"Fatigue in Brazilian patients with Parkinson's disease.","authors":"Daniel Venturino Nassif,&nbsp;João Santos Pereira","doi":"10.1590/1980-5764-DN-2021-0083","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2021-0083","url":null,"abstract":"<p><p>Fatigue is a non-motor symptom of high prevalence in Parkinson's disease (PD); however, it is still unknown and neglected by health professionals.</p><p><strong>Objective: </strong>This study aimed to demonstrate the prevalence of fatigue in patients with PD after excluding confounding factors, as well as its correlation with clinical and demographic data, and to find its negative impact on the quality of life of these patients.</p><p><strong>Methods: </strong>A cross-sectional study was carried out with 237 randomly selected patients. According to inclusion and exclusion criteria, we selected 53 patients, who were then submitted to the Fatigue Severity Scale. Clinical and demographic data were also analyzed, comparing them between patients with and without fatigue.</p><p><strong>Results: </strong>We identified fatigue in 21 (39.62%) patients. Patients with and without fatigue had similar mean scores on the UPDRS-III (p=0.36), equivalent daily dose of levodopa (p=0.94), mean disease duration (p=0.43), and mean age (p<0.99). Fatigued patients had worse quality of life scores (PDQ-39) (p=0.00). We did not observe a correlation between fatigue, duration of illness (r=0.11; p=0.43), age (r=0.00; p=0.99), and UPDRS-III (r=0.20; p=0.16).</p><p><strong>Conclusions: </strong>Fatigue is a highly prevalent and independent symptom of PD. There is no correlation between age, mean duration of disease, motor impairment, and its presence. It has a negative impact on quality of life.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":" ","pages":"237-242"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9173788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40024977","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":"Falls in Parkinson's disease: the impact of disease progression, treatment, and motor complications.","authors":"Danielle Pessoa Lima,&nbsp;Samuel Brito de-Almeida,&nbsp;Janine de Carvalho Bonfadini,&nbsp;Alexandre Henrique Silva Carneiro,&nbsp;João Rafael Gomes de Luna,&nbsp;Madeleine Sales de Alencar,&nbsp;Antonio Brazil Viana-Júnior,&nbsp;Pedro Gustavo Barros Rodrigues,&nbsp;Isabelle de Sousa Pereira,&nbsp;Jarbas de Sá Roriz-Filho,&nbsp;Manoel Alves Sobreira-Neto,&nbsp;Pedro Braga-Neto","doi":"10.1590/1980-5764-DN-2021-0019","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2021-0019","url":null,"abstract":"<p><p>The prevalence of Parkinson's disease (PD) tends to increase worldwide in the coming decades. Thus, the incidence of falls is likely to increase, with a relevant burden on the health care system.</p><p><strong>Objective: </strong>The objective of this study was to evaluate clinical factors and drug use associated with falls in PD patients.</p><p><strong>Methods: </strong>We conducted a cross-sectional study at the Movement Disorders outpatient clinic of a tertiary hospital in Northeast Brazil. We performed structured interviews to collect sociodemographic and clinical data. Functional capacity was assessed using the Schwab and England Activities of Daily Living Scale and the modified Hoehn and Yahr Staging Scale. We divided the study sample into non-fallers (no falls) and fallers (≥1 fall), and non-recurrent (≤1 fall) and recurrent fallers (>1 fall).</p><p><strong>Results: </strong>The study population comprised 327 PD patients (48% women), with a mean age of 70 years. The mean disease duration was 9.9±6.9 years. The most prevalent comorbidities were depression (47.2%), hypertension (44.0%), and type 2 <i>diabetes mellitus</i> (21.5%). The logistic regression analysis revealed that hallucinations, amantadine, and catechol-<i>O</i>-methyltransferase inhibitors (entacapone) were independently associated with falls in PD patients. Also, hallucinations, dyskinesia, and the use of amantadine were independently associated with recurrent falls.</p><p><strong>Conclusions: </strong>Health care providers play an essential role in fall prevention in PD patients, particularly by identifying older adults experiencing dyskinesia and visual hallucinations. Prospective studies should investigate the use of amantadine as a risk factor for falls in PD patients.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":" ","pages":"153-161"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9173793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40025515","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":"Long-term studies in cognitive training for older adults: a systematic review.","authors":"Thais Bento Lima da Silva,&nbsp;Jéssica Souza Bratkauskas,&nbsp;Maurício Einstoss de Castro Barbosa,&nbsp;Guilherme Alves da Silva,&nbsp;Mariana Garcia Zumkeller,&nbsp;Luiz Carlos de Moraes,&nbsp;Patrícia Prata Lessa,&nbsp;Neide Pereira Cardoso,&nbsp;Tiago Nascimento Ordonez,&nbsp;Sonia Maria Dozzi Brucki","doi":"10.1590/1980-5764-DN-2021-0064","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2021-0064","url":null,"abstract":"<p><p>Studies show that aging is accompanied by losses in cognitive functions and that interventions can increase performance and/or support the maintenance of cognitive skills in the elderly.</p><p><strong>Objective: </strong>The objective of this study was to carry out a systematic review of long-term studies involving cognitive training (CT) in older adults without dementia and/or with mild cognitive impairment (MCI).</p><p><strong>Methods: </strong>A systematic review of controlled studies was published in scientific journals from 2000 onward, with duration ≥6 months, CT intervention, cognitively normal (CN) or MCI participants aged ≥60 years, and assessments using cognitive and/or neuropsychological tests.</p><p><strong>Results: </strong>A total of 32 studies were reviewed, comprising 10 on study protocols, 14 in CN older adults (no MCI and/or dementia), and 8 in older adults with MCI or at risk for dementia.</p><p><strong>Conclusions: </strong>The studies reported improvements in cognitive performance for some motor abilities, among older participants of CT with or without booster sessions, including multimodal interventions or otherwise.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":" ","pages":"135-152"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9173785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40025516","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":"Retest effects in a diverse sample: sociodemographic predictors and possible correction approaches.","authors":"Laiss Bertola,&nbsp;Isabela Judith Martins Benseñor,&nbsp;Andre Russowsky Brunoni,&nbsp;Paulo Caramelli,&nbsp;Sandhi Maria Barreto,&nbsp;Arlinda Barbosa Moreno,&nbsp;Rosane Harter Griep,&nbsp;Maria Carmen Viana,&nbsp;Paulo Andrade Lotufo,&nbsp;Claudia Kimie Suemoto","doi":"10.1590/1980-5764-DN-2021-0027","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2021-0027","url":null,"abstract":"<p><p>Repeated cognitive assessment in longitudinal studies favors the occurrence of retest effects, usually increasing the scores obtained at the follow-up assessments when compared to baseline. Therefore, retest effects can compromise the evaluation of cognitive decline in older adults.</p><p><strong>Objectives: </strong>We aimed to verify the occurrence of the retest effect and the impact of sociodemographic characteristics on the follow-up scores in a sample of 5,592 participants with a diverse sociodemographic profile, who were assessed twice during 4 years of follow-up.</p><p><strong>Methods: </strong>We tested two possible approaches to correct the retest effect and calculated the Reliable Change Index.</p><p><strong>Results: </strong>We observed increased scores at the follow-up assessment after 4 years, but the results indicate a modest occurrence of retest effects. The regression difference correction successfully generated follow-up corrected scores, while the mean difference did not provide effective corrections. Sociodemographic characteristics had a minor impact on the retest.</p><p><strong>Conclusions: </strong>We recommend the regression difference correction for retest effects. The absence of this methodological approach might lead to biased results using longitudinal cognitive scores.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":" ","pages":"171-180"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9173799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40025514","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":"Individual integrity and public morality in scientific publishing.","authors":"Sergio Della-Sala","doi":"10.1590/1980-5764-DN-2022-V001","DOIUrl":"https://doi.org/10.1590/1980-5764-DN-2022-V001","url":null,"abstract":"<p><p>Science and science reporting are under threat. Knowingly or not, researchers and clinicians are part of this debacle. This is not due so much to the notorious replication crisis, as to our acceptance of lowering common morality for personal gains, including the widespread, deprecable phenomenon of predatory publishing. Rather than fiercefully countering this loathsome practice, academics are accepting, often supporting a masquerade solution: paying several thousand dollars to publish for all their own papers. This new policy will create a disparity across richer and poorer disciplines; will result in concentrating even more in the hands of large, rich, Western institutions, also penalising younger researchers; will kill observational studies and exploratory research; and will make disseminating science depending more on finances than on quality. This article calls for the full awareness of the academic community on the risks of the current situation in scientific publishing.</p>","PeriodicalId":39167,"journal":{"name":"Dementia e Neuropsychologia","volume":" ","pages":"129-134"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9173789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40024975","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}