Judgment in Mild Cognitive Impairment and Alzheimer's disease

Capucho, Patricia; Brucki, Sônia Maria Dozzi

doi:10.1590/s1980-57642011dn05040007

Cited by 20 publications

(12 citation statements)

References 47 publications

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“…Impairments in judgment and decision-making ability are associated with the progressive cognitive decline that occurs in neurodegenerative diseases such as Alzheimer’s disease (AD) and other types of dementia (The Alzheimer’s Association, 2015). Judgment may be defined as the ability to carefully evaluate a situation and make an appropriate decision based on relevant information, context, potential solutions and outcomes (Capucho & Brucki, 2011; Rabin et al, 2007). Judgment is a complex cognitive skill that is often conceptualized within the domain of executive functioning (Strauss, Sherman, & Spreen, 2006).…”

Section: Introductionmentioning

confidence: 99%

“…Despite the importance of assessing judgment ability in older adults, there are a relatively limited number of neuropsychological tests designed explicitly for this purpose (Capucho & Brucki, 2011). Some judgment measures are individual subtests of larger batteries designed to measure multiple domains of cognitive functioning; such as, the Judgment Questionnaire subtest of the Neurobehavioral Cognitive Status Exam (NCSE JQ; Northern California Neurobehavioral Group, Inc., 1988), the Problem Solving, and Health and Safety Subscales of the Independent Living Scales (ILS; Loeb, 2006), and the Judgment subtest of the Neuropsychological Assessment Battery (NAB-JDG; Stern & White, 2003).…”

Section: Introductionmentioning

confidence: 99%

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Comparing the test of practical judgment with the neuropsychological assessment battery judgment subtest in a neurodegenerative disease clinic population

Durant

Berg

Banks

et al. 2017

Applied Neuropsychology: Adult

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The Test of Practical Judgment (TOP-J) and the Judgment subtest from the Neuropsychological Assessment Battery (NAB-JDG) are both brief interview-based measures that assess judgment. This study compared estimates of judgment obtained from these measures in a neurodegenerative disease population. Records from 61 referrals seen for neuropsychological evaluation in a neurodegenerative disorders clinic were reviewed. Measures of interest included the TOP-J and NAB-JDG. Concordance correlation coefficients (CCC) and root mean square differences (RMSD) were calculated between judgment T-scores. Discrepancy scores were calculated by subtracting NAB-JDG scores from TOP-J scores. CCC showed poor agreement between the judgment measures, with evidence of fixed bias, such that the NAB-JDG systematically generates higher scores than the TOP-J. This fixed bias was present whether NAB-JDG scores are demographically adjusted or unadjusted. There was no evidence of proportional bias. In a neurodegenerative disease clinic population, the TOP-J and NAB-JDG provide estimates of judgment ability that are systematically different. These two measures may be assessing different aspects within the larger construct of judgment and the inconsistency between measures would contraindicate using them interchangeably. Clinicians will need to carefully consider patient characteristics, clinical needs, and review specific item content when selecting between these measures.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparing the test of practical judgment with the neuropsychological assessment battery judgment subtest in a neurodegenerative disease clinic population

Durant

Berg

Banks

et al. 2017

Applied Neuropsychology: Adult

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“…We searched the quantitative literature by identifying 11 reviews (published by December, 2019; five of which were published between 2015 and 2019) that included information on studies of persons with dementia that used a decision-making task ( Christidi et al, 2018 ; De Siqueira et al, 2017 ; Elamin et al, 2012 ; Gleichgerrcht et al, 2010 ; Perry & Kramer, 2015 ), an emotion regulation task ( Fischer et al, 2019 ), and decision-making measures ( Capucho & Brucki, 2011 ; Davis et al, 2017 ; Karlawish, 2008 ; Lai & Karlawish, 2007 ; Law et al, 2011 ). Next, we manually examined their references.…”

Section: Methodsmentioning

confidence: 99%

Emotion regulation and decision-making in persons with dementia: A scoping review

et al. 2020

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Background and Objectives Emotion is integral to decision-making, and emotion regulation is associated with improved well-being in older age. Persons with dementia are likely to experience impairments in emotion regulation processes that can potentially contribute to differential decision-making and well-being outcomes. To promote the development of theoretical models of well-being in dementia, we review the quantitative evidence concerning the associations between emotion regulation and decision-making in dementia. Methods Scoping review. Results Seven studies of persons with dementia met our criteria. In persons with frontotemporal lobar degeneration, emotion regulation processes that precede the emotional experience were associated with decision-making in a moral (but not uncertainty) context. Independent of type of dementia, evidence concerning the associations between emotion regulation processes that occur after emotion is experienced and decision-making was mixed and drew on different methodologies. No studies relating to the associations between decision-making in dementia and several emotion regulation processes and strategies were found. Conclusions In this review, we sought to clarify the concept of everyday decision-making in dementia and map the current state of evidence concerning its associations with emotion regulation. Our findings show that emotion regulation processes are associated with decision-making in dementia, depending on type of decision-making assessment and emotional experience. We outline the gaps in the literature to set a research agenda for promoting our understanding of how emotion regulation processes can shape the various decisions that are made by persons with dementia on a daily basis.

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“… 2 In addition, only the Everyday Problems Test and Everyday Problems Test for Cognitively Challenged Elderly have been studied in older adults with cognitive impairment. 11 …”

Section: Introductionmentioning

confidence: 99%

Assessment of judgment ability in a Brazilian sample of patients with mild cognitive impairment and dementia

Vale-Britto

Spíndola

Nitrini

et al. 2021

Dement. neuropsychol.

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ABSTRACT. Judgment is the ability to make sound decisions after consideration of relevant information, possible solutions, likely outcomes, and contextual factors. Loss of judgment is common in patients with mild cognitive impairment (MCI) and dementia. The Test of Practical Judgment (TOP-J) evaluates practical judgment in adults and the elderly, with 15- and 9-item versions that require individuals to listen to scenarios about everyday problems and report their solutions. Objective: Adaptation of TOP-J for a Brazilian sample, preparation of a reduced version and verification of the accuracy of both. Methods: Eighty-five older adults, including 26 with MCI, 20 with Alzheimer’s disease (AD), 15 with frontotemporal dementia behavioral variant (FTDbv) and 24 controls, underwent neuropsychological assessment including the Brazilian adaptation of the TOP-J (TOP-J-Br). Results: On both TOP-J-Br versions, controls outperformed MCI, AD and FTDbv patients (p<0.001) and MCI outperformed AD and FTDbv (p<0.001). For the TOP-J/15-Br, the best cutoff for distinguishing controls and patients had a sensitivity of 91.7%, specificity of 59.0% and area under the curve of 0.8. For the TOP-J/9-Br, the best cutoff for distinguishing controls and patients had a sensitivity of 79.9%, specificity of 72.1% and area under the curve of 0.82. Conclusion: The TOP-J/15-Br, and particularly the TOP-J/9-Br, showed robust psychometric properties and the potential for clinical utility in Brazilian older adults at various stages of neurodegenerative cognitive decline.

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Judgment in Mild Cognitive Impairment and Alzheimer's disease

Cited by 20 publications

References 47 publications

Comparing the test of practical judgment with the neuropsychological assessment battery judgment subtest in a neurodegenerative disease clinic population

Comparing the test of practical judgment with the neuropsychological assessment battery judgment subtest in a neurodegenerative disease clinic population

Emotion regulation and decision-making in persons with dementia: A scoping review

Assessment of judgment ability in a Brazilian sample of patients with mild cognitive impairment and dementia

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