Dementia top Neuropsychologia the official scientific journal of the Cognitive Neurology and Ageing Department of the Brazilian Academy of Neurology and of the Brazilian Association of Geriatric Neuropsychiatry, is published by the "Associação Neurologia Cognitiva e do Comportamento", a nonprofit Brazilian association. Regularly published on March, June, September, and December since 2007.

Dementia e Neuropsychologia is the official scientific journal of the Cognitive Neurology and Ageing Department of the Brazilian Academy of Neurology and the Brazilian Association of Geriatric Neuropsychiatry. It is published by the non-profit Brazilian association "Associação Neurologia Cognitiva e do Comportamento". The journal has been regularly published in March, June, September, and December since 2007.

《Dementia e Neuropsychologia》是巴西神经病学学会的认知神经学与老龄化部门和巴西老年神经精神病学协会的官方科学期刊，由巴西非营利性协会"Associação Neurologia Cognitiva e do Comportamento"出版。自2007年起，该期刊定期于每年的3月、6月、9月和12月出版。

Dementia e Neuropsychologia

ABSTRACT Traumatic brain injury (TBI) represents a significant public health problem in modern societies. It is primarily a consequence of traffic-related accidents and falls. Other recently recognized causes include sports injuries and indirect forces such as shock waves from battlefield explosions. TBI is an important cause of death and lifelong disability and represents the most well-established environmental risk factor for dementia. With the growing recognition that even mild head injury can lead to neurocognitive deficits, imaging of brain injury has assumed greater importance. However, there is no single imaging modality capable of characterizing TBI. Current advances, particularly in MR imaging, enable visualization and quantification of structural and functional brain changes not hitherto possible. In this review, we summarize data linking TBI with dementia, emphasizing the imaging techniques currently available in clinical practice along with some advances in medical knowledge.

Joana Ramalho

Mauricio Castillo

Dementia & Neuropsychologia

Dementia resulting from traumatic brain injury

创伤性脑损伤引起的痴呆

ABSTRACT Traumatic brain injury (TBI) is one of main causes of death and disability among many young and old populations in different countries. Objective: The aim of this study were to consider and predict the cognitive impairments according to different levels and causes of TBI, and education status. Methods: The study was performed using the Mini-Mental State Examination (MMSE) to estimate cognitive impairment in patients at a trauma center in Zahedan city. Individuals were considered eligible if 18 years of age or older. This investigation assessed a subset of patients from a 6-month pilot study. Results: The study participants comprised 66% males and 34% females. Patient mean age was 32.5 years and SD was 12.924 years. One-way analysis of variance between groups indicated cognitive impairment related to different levels and causes of TBI, and education status in patients. There was a significant difference in the dimensions of cognitive impairments for different levels and causes of TBI, and education status. A regression test showed that levels of traumatic brain injury (b=.615, p=.001) and education status (b=.426, p=.001) predicted cognitive impairment. Conclusion: Different levels of TBI and education status were useful for predicting cognitive impairment in patients. Severe TBI and no education were associated with worse cognitive performance and higher disability. These data are essential in terms of helping patients understand their needs. Therefore, the factors identified can help plan effective rehabilitation programs.

Minoo Sharbafshaaer

Impacts of cognitive impairment for different levels and causes of traumatic brain injury, and education status in TBI patients

不同程度和原因的创伤性脑损伤及教育状况对TBI患者认知功能的影响

Cognitive impairment has been well described in euthymic patients with bipolar disorder (BD), as well as in elderly patients. Language disturbances are less studied, and several inconsistencies are reported in the literature. Most language studies focus on verbal fluency and semantic alterations, with a lack of studies addressing discursive abilities in BD.The aim of this study was to evaluate discourse abilities in euthymic elderly individuals with BD.We studied 19 euthymic elderly patients with BD and a control group of non-BD, which performed a cognitive assessment of attention, memory, executive functions, and visual abilities. All participants produced a description from the Cookie Theft Picture in oral and written modalities that was analyzed according to micro- and macrolinguistic aspects. Generalized linear models were performed to compare intergroup linguistic performance and to determine whether any cognitive domain was associated with linguistic outcomes.The BD group produced more cohesion errors in the oral and written modalities (p=0.016 and p=0.011, respectively) and fewer thematic units in the oral modality (p=0.027) than the control group.BD patients presented minimal changes in the descriptive discourse task. The BD group produced more cohesion errors than the control group in the oral (p=0.016) and written discourse (p=0.011); also, the BD group produced fewer thematic units than controls in the oral discourse (p=0.027).Déficits cognitivos têm sido descritos em pacientes com transtorno bipolar (TB) em fase eutímica, bem como em idosos. Alterações linguísticas são menos estudadas, e os achados de literatura são inconsistentes. A maioria dos estudos em linguagem baseia-se em avaliações de fluência verbal e alterações semânticas, havendo escassez de trabalhos que abordem as habilidades discursivas no TB.Avaliar as habilidades discursivas em indivíduos idosos eutímicos com TB.Estudamos 19 pacientes idosos eutímicos com TB e um grupo de idosos sem TB e cognitivamente saudáveis, que realizaram avaliação cognitiva da atenção, memória, funções executivas e habilidades visuoespaciais. Todos os participantes produziram uma descrição da Prancha do Roubo dos Biscoitos nas modalidades oral e escrita, que foram analisadas de acordo com aspectos micro e macrolinguísticos. Análises por meio de modelos lineares generalizados foram realizados para comparar o desempenho linguístico entre os grupos e para determinar se algum domínio cognitivo estava associado a esse desempenho.O grupo TB produziu mais erros de coesão nas modalidades oral e escrita (p=0,016 e p=0,011, respectivamente) e menos unidades temáticas na modalidade oral (p=0,027) do que o grupo controle.Os pacientes com TB apresentaram alterações leves na tarefa discursiva. O grupo TB produziu maior número de erros de coesão do que o grupo controle no discurso oral (p=0,016) e escrito (p=0,011). Além disso, o grupo TB produziu menor número de unidades temáticas do que os controles na tarefa de discurso oral (p=0,027).

Maria Gabriela Valeriano

Renné Alegria

Orestes Vicente Forlenza

Marcia Radanovic

Discourse abilities in euthymic elderly patients with bipolar disorder: a preliminary study

双相障碍缓解期老年患者的言语能力：一项初步研究

ABSTRACT To date, little is known about psychological and personality variables related to protective factors against the development of dementia. The Five-Factor Model of personality is worldwide recognized and consolidated for understanding the structure and operation of personality, organized into five main factors that delineate and elucidate personality traits/characteristics. Objective: We aimed to analyze the association of the Five-Factor Model with the epidemiological classification of dementia. Methods: Cross-sectional design with data collected from the first wave of the Brazilian Longitudinal Study of Ageing (ELSI-Brazil) cohort study, the largest longitudinal study on aging in Brazil. Data gathered from the ELSI-Brazil provided the foundation for demographic and health-related variables (gender, age, education, lifestyle, etc.), mental health indicators, and items associated with personality traits. Logistic regression models were conducted with personality traits as predictors of dementia. Results: The psychoindicator optimism was the only protective factor associated with dementia (p=0.006). The other variables were not significant predictors in this sample. Conclusion: Optimism, as a dispositional variable related to personality factors (conscientiousness and neuroticism), emerges as a target variable possible to be developed in preventive longitudinal psychosocial interventions, based on theoretical and empirical evidence of learned optimism, to improve health promotion and self-care throughout life. The data from this study contribute to the advancement of research and to efforts of strengthening services and professional qualification for health and care practices, focused on protective factors, crucial to the global agenda for dementia care and research.

Laura Beatriz Dias Estrada

Wyllians Vendramini Borelli

Helen Bedinoto Durgante

Personality traits as protective factors of dementia development

人格特质作为痴呆发展的保护因素

ABSTRACT Human history has been linked to numerous risks to survival, with pandemics being a constant in human life. People suffering from dementia experienced greater difficulties accessing healthcare and treatment during the COVID-19 pandemic. Objective: To identify how the COVID-19 pandemic influenced care for people with dementia or cognitive impairment. Methods: This research work is a systematic review conducted with a literature search in four databases such as Web of Science, Scopus, EBSCOHost, Cochrane Library, and ProQuest, following the methodological proposals of the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guide. Results: The bibliographic research in the different databases offered a total of 561 records, of which 23 were chosen to elaborate the results. The main results were the increasing cognitive impairment and psychosocial consequences of social distancing during the pandemic, including sadness, helplessness, and abandonment in patients or feelings of burnout and overload in caregivers and health professionals. Conclusion: The COVID-19 placed patients with dementia in the background. During the pandemic, attention was focused primarily on emergencies and not so much on the monitoring of chronic diseases, which also caused psycho-emotional and social worsening.

Juan Jesús Robles-García

José Ángel Martínez-López

Caring for people with dementia during the COVID-19 pandemic:a systematic review

COVID-19疫情期间痴呆患者的护理：一项系统综述

ABSTRACT The global increase in the aging population has raised concerns over various age-related conditions like dementia and mild cognitive impairment (MCI) and their consequences on the affected persons. People with MCI exhibit cognitive deficits more significantly than expected for their age and literacy level. Though the nature of this condition is considered "mild", studies have reported that even more subtle deficits can influence the quality of life (QOL). Objective: The present work aimed at exploring and comparing QOL in older adults with and without MCI through a systematic review and meta-analysis. Methods: After a detailed search of articles till May 2021 in the relevant electronic databases (PubMed Central, PubMed, Scopus, CINAHL Plus, Web of Science, ProQuest, and Cochrane) using the keywords "mild cognitive impairment", "quality of life", "old", "old aged", "aged", "older adult", "geriatrics", "healthy controls", "healthy participants", and "normal controls", we included 23 articles in the systematic review and 12 in the meta-analysis. Results: The quality of all the included articles were assessed using the Modified Downs and Black tool. Most of the studies in the systematic review demonstrated differences in QOL scores in older adults with MCI compared to healthy older adults. However, meta-analysis findings suggest that older adults with MCI had statistically non-significant yet lower differences in QOL compared to their healthy counterparts. Conclusion: Future research should focus on developing QOL assessment tools specifically for older adults with MCI and follow-up studies that could provide better knowledge of their changing cognitive profile and life quality.

Priya Gopalakrishnan

Shivani Tiwari

Ravishankar Nagaraja

Gopee Krishnan

Quality of life in persons with mild cognitive impairment: a systematic review and meta-analysis

轻度认知障碍人群的生活质量：系统综述与荟萃分析

ABSTRACT It is estimated that 45% of individuals with cognitive impairment experience sleep disturbances prior to the onset of cognitive symptoms. Assessing sleeping problems and enhancing sleep quality are critical first steps to reduce the risk of cognitive impairment. Objective: To review existing literature based on predefined eligibility criteria to understand the connection between sleep disturbance and Alzheimer's disease. Methods: A thorough and systematic evaluation of numerous studies was carried out to assess one or more of the following epidemiological factors: (1) sleep disorders, (2) cognitive impairment, and (3) risk estimates for cognitive impairment due to sleep. Results: Studies suggest that individuals who experience memory loss may encounter sleep disturbances before noticing other symptoms. Numerous sleep disorders, such as excessive and inadequate sleep duration, poor sleep quality, circadian rhythm abnormalities, insomnia, and obstructive sleep apnea were found to increase the risk of cognitive dysfunction and dementia. Additionally, lower sleep quality and shorter sleep duration have been linked to higher cerebral-β-amyloid levels. Objective evidence for the development of cognitive impairment is provided by the architecture of sleep stages. Patients experiencing sleep problems may benefit from specific types of sleep medicine as a preventative measure against cognitive decline. Conclusion: Sleep disorders can have adverse effects on cognitive health. The duration and quality of sleep are fundamental factors for maintaining a healthy brain as we age. Proper sleep can aid prevent cognitive impairment, particularly Alzheimer's disease and dementia.

Paul Nichol Galan Gonzales

Steven Gayoles Villaraza

Joseree-Ann Catindig Dela Rosa

The association between sleep and Alzheimer's disease: a systematic review

睡眠与阿尔茨海默病之间的关联：一项系统综述

ABSTRACT The World Health Organization developed the "iSupport for Dementia" program for family caregivers of people with dementia. Objective: To explore studies on adaptation, randomized clinical trial protocols, and preliminary results of iSupport by unpaid caregivers of people living with dementia in different countries. Methods: Systematic review. Results: Ten cultural adaptation studies, eight randomized clinical trial protocols, and two preliminary results were included. Adaptation studies showed adjustments in terminology, design, and additional resources. Clinical trial protocols included burden as the primary outcome, and baseline, three months of intervention, and follow-up after six months. Studies with preliminary results found positive effects on the mental health and well-being of caregivers after using the program. Conclusion: iSupport is an online program of the World Health Organization in response to dementia in implementation in different countries.

Larissa Corrêa

Aline Cristina Martins Gratão

Déborah Oliveira

Elizabeth Joan Barham

Fabiana de Souza Orlandi

Keila Cristianne Trindade da Cruz

Ana Carolina Ottaviani

Diana Quirino Monteiro

Gustavo Carrijo Barbosa

Anabel Machado Cardoso Alvarenga Pilegis

Luana Aparecida da Rocha

Ludmyla Caroline de Souza Alves

Luiza Barros Maciel

Camila Rafael Ferreira Campos

Sofia Cristina Iost Pavarini

Adaptation, testing, and use of the "iSupport for Dementia" program in different countries: a systematic review

不同国家“iSupport for痴呆”计划的适应、测试与应用：一项系统综述

ISSN	1980-5764, 2764-4863
h-index	35

涉及主题	心理学医学生物精神科神经科学内科学病理疾病认知痴呆临床心理学哲学数学老年学认知障碍神经心理学听力学
出版信息	出版商: Academia Brasileira de Neurologia，出版周期: ，期刊类型: journal，开源期刊: 是
基本数据	创刊年份: 2009，原创研究文献占比: 0.00%，自引率:N.A.， Gold OA占比: 0.00%
平均审稿周期	网友分享经验：8 Weeks

Dementia e Neuropsychologia

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Dementia resulting from traumatic brain injury

Impacts of cognitive impairment for different levels and causes of traumatic brain injury, and education status in TBI patients

Discourse abilities in euthymic elderly patients with bipolar disorder: a preliminary study

Personality traits as protective factors of dementia development

Caring for people with dementia during the COVID-19 pandemic:a systematic review

Personality traits as protective factors of dementia development

Caring for people with dementia during the COVID-19 pandemic:a systematic review

Quality of life in persons with mild cognitive impairment: a systematic review and meta-analysis

The association between sleep and Alzheimer's disease: a systematic review

Adaptation, testing, and use of the "iSupport for Dementia" program in different countries: a systematic review