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  1. Article ; Online: Openness and age influence cognitive progression: a longitudinal study.

    Merlin, Silvia Stahl / Brucki, Sonia Maria Dozzi

    Arquivos de neuro-psiquiatria

    2023  Volume 81, Issue 10, Page(s) 868–875

    Abstract: Background: Some psychological and personality characteristics of individuals seem to determine behavioral patterns that are associated with better health throughout life and, consequently, prevent the progression of early cognitive changes to dementia.! ...

    Title translation Abertura e idade influenciam a progressão de cognição: um estudo longitudinal.
    Abstract Background: Some psychological and personality characteristics of individuals seem to determine behavioral patterns that are associated with better health throughout life and, consequently, prevent the progression of early cognitive changes to dementia.
    Objective: To identify which individuals have modified cognitive ratings after 24 months of follow-up and correlating with personality traits.
    Methods: One hundred and two volunteers were evaluated clinically and for personality characteristics and neuropsychological testing. Of these, 25 subjects were classified as cognitively normal (CN), 25 as subjective cognitive decline (SCD), 28 as nonamnestic mild cognitive impairment (naMCI), and 24 as amnestic mild cognitive impairment (amMCI) at baseline. Follow-up occurred over 2 years from the initial assessment, and the cognitive categories of the participants were re-analyzed every 6 months to observe differences in their classification.
    Results: Out of the 102 subjects, 65 remained at follow-up. The sample followed-up longitudinally was composed predominantly of women (65%), white (74%), with a mean age of 78 (±7.5) years old and 12 (±4.8) years of schooling. Throughout the process, 23% of CN, 15% of SDC, and 27% of naMCI individuals worsened cognitively. Amnestic with mild cognitive impairment volunteers remained stable or improved. Individuals with older age show more significant cognitive deterioration, and those with very low or high rates of the openness personality trait are associated with cognitive decline utilizing the Fisher exact test, probably because the open extremes influence choices, stress management, and behavioral maintenance.
    Conclusion: The factors most associated with cognitive change in this group of older adults were age and the intensity of the openness aspects of personality.
    MeSH term(s) Humans ; Female ; Aged ; Longitudinal Studies ; Cognitive Dysfunction/psychology ; Cognition Disorders/psychology ; Neuropsychological Tests ; Cognition
    Language English
    Publishing date 2023-10-29
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1055/s-0043-1775884
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Addenbrooke's cognitive examination III: diagnostic utility for detecting mild cognitive impairment and dementia in Parkinson's disease.

    Sousa, Nariana Mattos Figueiredo / Brucki, Sonia Maria Dozzi

    Arquivos de neuro-psiquiatria

    2023  Volume 81, Issue 2, Page(s) 155–163

    Abstract: Background: Cognitive deficit in Parkinson disease (PD) is an important cause of functional disability in these patients and early detection, with sensitive instruments, can contribute to longitudinal monitoring.: Objective: To investigate the ... ...

    Title translation Exame cognitivo de Addenbrooke III: utilidade diagnóstica para detectar comprometimento cognitivo leve e demência na doença de Parkinson.
    Abstract Background: Cognitive deficit in Parkinson disease (PD) is an important cause of functional disability in these patients and early detection, with sensitive instruments, can contribute to longitudinal monitoring.
    Objective: To investigate the diagnostic accuracy, sensitivity, and specificity of the Addenbrooke's Cognitive Examination-III in patients with PD, using the comprehensive neuropsychological battery as reference method.
    Methods: Cross-sectional, observational, case-control study.
    Setting: rehabilitation service. A total of 150 patients and 60 healthy controls matched for age, sex, and education. For level I assessment, Addenbrooke Cognitive Examination (ACE-III) was used. Level II assessment used a comprehensive neuropsychological battery of standardized tests for this population. All patients remained in on-state during the study. The diagnostic accuracy of the battery was investigated through the receiver operating characteristic (ROC) analysis.
    Results: The clinical group was divided into 3 subgroups: normal cognition in Parkinson's disease (NC-PD-16%), mild cognitive impairment due to Parkinson's disease (MCI-PD-69.33%), and dementia due to Parkinson's disease (D-PD-14.66%). ACE-III optimal cutoff scores for detecting MCI-PD and D-PD were 85/100 (sensitivity 58.65%, specificity 60%) and 81/100 points (sensitivity 77.27%, specificity 78.33%), respectively. Age was inversely associated with the performance of the scores (totals and domains of the ACE-III), while the level of education had a significantly positive correlation in the performance of these scores.
    Conclusions: ACE-III is a useful battery for assessing the cognitive domains and to differentiate individuals with MCI-PD and D-PD from healthy controls. Future research, in a community setting, is necessary to provide discriminatory capacity of ACE-III in the different severities of dementia.
    MeSH term(s) Aged ; Female ; Humans ; Male ; Middle Aged ; Brazil ; Cognitive Dysfunction/diagnosis ; Cognitive Dysfunction/etiology ; Cross-Sectional Studies ; Dementia/diagnosis ; Dementia/etiology ; Disability Evaluation ; Neuropsychological Tests ; Parkinson Disease/complications ; Parkinson Disease/psychology ; Severity of Illness Index ; Case-Control Studies
    Language English
    Publishing date 2023-03-02
    Publishing country Germany
    Document type Journal Article ; Observational Study
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1055/s-0042-1758448
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Addenbrooke's cognitive examination III: diagnostic utility for detecting mild cognitive impairment and dementia in Parkinson's disease

    Sousa, Nariana Mattos Figueiredo / Brucki, Sonia Maria Dozzi

    Arquivos de Neuro-Psiquiatria

    2023  Volume 81, Issue 02, Page(s) 155–163

    Abstract: Background: Cognitive deficit in Parkinson disease (PD) is an important cause of functional disability in these patients and early detection, with sensitive instruments, can contribute to longitudinal monitoring.: Objective: To investigate the ... ...

    Abstract Background: Cognitive deficit in Parkinson disease (PD) is an important cause of functional disability in these patients and early detection, with sensitive instruments, can contribute to longitudinal monitoring.
    Objective: To investigate the diagnostic accuracy, sensitivity, and specificity of the Addenbrooke's Cognitive Examination-III in patients with PD, using the comprehensive neuropsychological battery as reference method.
    Methods: Cross-sectional, observational, case-control study. Setting: rehabilitation service. A total of 150 patients and 60 healthy controls matched for age, sex, and education. For level I assessment, Addenbrooke Cognitive Examination (ACE-III) was used. Level II assessment used a comprehensive neuropsychological battery of standardized tests for this population. All patients remained in on-state during the study. The diagnostic accuracy of the battery was investigated through the receiver operating characteristic (ROC) analysis.
    Results: The clinical group was divided into 3 subgroups: normal cognition in Parkinson's disease (NC-PD-16%), mild cognitive impairment due to Parkinson's disease (MCI-PD-69.33%), and dementia due to Parkinson's disease (D-PD-14.66%). ACE-III optimal cutoff scores for detecting MCI-PD and D-PD were 85/100 (sensitivity 58.65%, specificity 60%) and 81/100 points (sensitivity 77.27%, specificity 78.33%), respectively. Age was inversely associated with the performance of the scores (totals and domains of the ACE-III), while the level of education had a significantly positive correlation in the performance of these scores.
    Conclusions: ACE-III is a useful battery for assessing the cognitive domains and to differentiate individuals with MCI-PD and D-PD from healthy controls. Future research, in a community setting, is necessary to provide discriminatory capacity of ACE-III in the different severities of dementia.
    Keywords Parkinson Disease ; Cognitive Dysfunction ; Dementia ; Neuropsychological Tests ; Doença de Parkinson ; Disfunção Cognitiva ; Demência ; Testes Neuropsicológicos
    Language English
    Publishing date 2023-02-01
    Publisher Thieme Revinter Publicações Ltda.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1055/s-0042-1758448
    Database Thieme publisher's database

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  4. Article: Openness and age influence cognitive progression: a longitudinal study

    Merlin, Silvia Stahl / Brucki, Sonia Maria Dozzi

    Arquivos de Neuro-Psiquiatria

    2023  Volume 81, Issue 10, Page(s) 868–875

    Abstract: Background: Some psychological and personality characteristics of individuals seem to determine behavioral patterns that are associated with better health throughout life and, consequently, prevent the progression of early cognitive changes to dementia.! ...

    Abstract Background: Some psychological and personality characteristics of individuals seem to determine behavioral patterns that are associated with better health throughout life and, consequently, prevent the progression of early cognitive changes to dementia.
    Objective: To identify which individuals have modified cognitive ratings after 24 months of follow-up and correlating with personality traits.
    Methods: One hundred and two volunteers were evaluated clinically and for personality characteristics and neuropsychological testing. Of these, 25 subjects were classified as cognitively normal (CN), 25 as subjective cognitive decline (SCD), 28 as nonamnestic mild cognitive impairment (naMCI), and 24 as amnestic mild cognitive impairment (amMCI) at baseline. Follow-up occurred over 2 years from the initial assessment, and the cognitive categories of the participants were re-analyzed every 6 months to observe differences in their classification.
    Results: Out of the 102 subjects, 65 remained at follow-up. The sample followed-up longitudinally was composed predominantly of women (65%), white (74%), with a mean age of 78 (±7.5) years old and 12 (±4.8) years of schooling. Throughout the process, 23% of CN, 15% of SDC, and 27% of naMCI individuals worsened cognitively. Amnestic with mild cognitive impairment volunteers remained stable or improved. Individuals with older age show more significant cognitive deterioration, and those with very low or high rates of the openness personality trait are associated with cognitive decline utilizing the Fisher exact test, probably because the open extremes influence choices, stress management, and behavioral maintenance.
    Conclusion: The factors most associated with cognitive change in this group of older adults were age and the intensity of the openness aspects of personality.
    Keywords Cognitive Dysfunction ; Dementia ; Personality ; Lifestyle ; Disfunção Cognitiva ; Demência ; Personalidade ; Estilo De Vida
    Language English
    Publishing date 2023-10-01
    Publisher Thieme Revinter Publicações Ltda.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1055/s-0043-1775884
    Database Thieme publisher's database

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  5. Article ; Online: Feasibility, safety, and adherence of a remote physical and cognitive exercise protocol for older women.

    Peixoto, Cristiane / Matioli, Maria Niures Pimentel Dos Santos / Takano, Satiko Andrezza Ferreira / Teixeira, Maurício Silva / Passos Neto, Carlos Eduardo Borges / Brucki, Sonia Maria Dozzi

    Arquivos de neuro-psiquiatria

    2024  Volume 82, Issue 4, Page(s) 1–9

    Abstract: Background:  Population aging and the consequences of social distancing after the COVID-19 pandemic make it relevant to investigate the feasibility of remote interventions and their potential effects on averting functional decline.: Objective:  (1) ... ...

    Title translation Viabilidade, segurança e aderência de um protocolo remoto de exercícios físicos e cognitivos para mulheres idosas.
    Abstract Background:  Population aging and the consequences of social distancing after the COVID-19 pandemic make it relevant to investigate the feasibility of remote interventions and their potential effects on averting functional decline.
    Objective:  (1) To investigate the feasibility, safety, and adherence of a remote protocol involving physical and cognitive exercises for older women with normal cognition; (2) to examine its effects on cognitive and well-being variables.
    Methods:  Twenty-nine women (age ≥ 60 years old) were randomized into experimental group (EG;
    Results:  Overall adherence was 82.25% in EG and 74.29% in CG. The occurrence of adverse events (mild muscle pain) was 33.3% in EG and 21.4% in CG. The EG improved verbal fluency and attention (
    Conclusion:  The present study met the pre-established criteria for feasibility, safety, and adherence to the remote exercise protocol among older women. The results suggest that a combined protocol has more significant potential to improve cognitive function. Both interventions were beneficial in improving the subjective perception of well-being.
    MeSH term(s) Humans ; Female ; Aged ; Feasibility Studies ; COVID-19/prevention & control ; Middle Aged ; Exercise Therapy/methods ; Patient Compliance ; Cognition/physiology ; SARS-CoV-2
    Language English
    Publishing date 2024-04-23
    Publishing country Germany
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1055/s-0044-1785690
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Cognitive profile of patients with and without speech impairment in Parkinson's disease.

    Sousa, Nariana Mattos Figueiredo / Diniz, Juliana de Fátima Garcia / Galvão, Ana Paula / Brucki, Sonia Maria Dozzi

    Dementia & neuropsychologia

    2023  Volume 17, Page(s) e20220093

    Abstract: Cognitive functions have been the subject of studies evaluating the pathophysiological mechanism of speech control.: Objective: To compare the groups of patients with and without speech disorders with cognitive assessment, demographic, and clinical ... ...

    Abstract Cognitive functions have been the subject of studies evaluating the pathophysiological mechanism of speech control.
    Objective: To compare the groups of patients with and without speech disorders with cognitive assessment, demographic, and clinical data (disease duration, functionality, and motor symptoms).
    Methods: 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).
    Results: 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.
    Conclusion: 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.
    Language English
    Publishing date 2023-11-20
    Publishing country Brazil
    Document type Journal Article
    ISSN 1980-5764
    ISSN 1980-5764
    DOI 10.1590/1980-5764-DN-2022-0093
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Brief reviews.

    Brucki, Sonia Maria Dozzi

    Dementia & neuropsychologia

    2017  Volume 5, Issue 3, Page(s) 238–239

    Language English
    Publishing date 2017-08-22
    Publishing country Brazil
    Document type Journal Article
    ISSN 1980-5764
    ISSN 1980-5764
    DOI 10.1590/S1980-57642011DN05030012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Brief reviews.

    Brucki, Sonia Maria Dozzi

    Dementia & neuropsychologia

    2017  Volume 5, Issue 4, Page(s) 346–348

    Language English
    Publishing date 2017-08-22
    Publishing country Brazil
    Document type Journal Article
    ISSN 1980-5764
    ISSN 1980-5764
    DOI 10.1590/S1980-57642011DN05040014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Brief reviews.

    Brucki, Sonia Maria Dozzi

    Dementia & neuropsychologia

    2017  Volume 6, Issue 2, Page(s) 104–106

    Language English
    Publishing date 2017-08-22
    Publishing country Brazil
    Document type Journal Article
    ISSN 1980-5764
    ISSN 1980-5764
    DOI 10.1590/S1980-57642012DN06020007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Brief reviews.

    Brucki, Sonia Maria Dozzi

    Dementia & neuropsychologia

    2017  Volume 5, Issue 2, Page(s) 142–144

    Language English
    Publishing date 2017-08-22
    Publishing country Brazil
    Document type Journal Article
    ISSN 1980-5764
    ISSN 1980-5764
    DOI 10.1590/S1980-57642011DN05020014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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