PPMI Cognitive-Behavioral Working Group. Daniel Weintraub, MD
|
|
- Jocelin Nichols
- 6 years ago
- Views:
Transcription
1 PPMI Cognitive-Behavioral Working Group Daniel Weintraub, MD PPMI Annual Meeting - May 6-7, 2014
2 Membership Daniel Weintraub WG Chair Tanya Simuni Steering Committee Shirley Lasch IND Chris Coffey, Chelsea Caspell-Garcia Statistics Core Roy Alcalay Paolo Barone Melanie Braddabur David Burn Cindy Casacelli Lama Chahine William Cho Thomas Comery Autilia Cozzolino Johnna Devoto Chris Dodds Jamie Eberling Alberto Espay Stewart Factor Hubert Fernandez Regan Fong Douglas Galasko Sandeep Gupta Keith Hawkins David Hewitt Jim Leverenz Irene Litvan Anita McCoy Susanne Ostrowitzki Bernard Ravina Alistair Reith Irene Richard Liana Rosenthal Holly Shill Andrew Siderowf John Sims Gretchen Todd Eduardo Tolosa Matt Troyer Michael Ward Michele York
3 Overview Cognitive and psychiatric battery to remain the same Review of cognitive-behavioral assessments Cognitive categorization process Baseline results Preliminary longitudinal results Manuscripts
4 Study Assessments
5 Cognitive Assessments Global - Montreal Cognitive Assessment (MoCA) Memory - Hopkins Verbal Learning Test (HVLT) Visuospatial - Benton Judgment of Line Orientation (JOLO) Working memory - Letter-Number Sequencing (LNS) Executive - Semantic fluency (animals, fruits, vegetables) Attention - Symbol-Digit Modalities Test (SDMT)
6 PPMI Behavioral Assessments Geriatric Depression Scale (GDS-15) State-Trait Anxiety (STAI) State and trait subscales Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) Screening instrument for ICDs and related behaviors
7 Cognitive Categorization Process
8 Patient s Perspective
9 Addition of Cognitive Diagnosis Initially unable to diagnose mild cognitive impairment (MCI) or dementia in PPMI These diagnoses of clinical relevance in PD Categorization more clinically meaningful than change in cognitive test score Based on MDS-recommended criteria for dementia (2007) and MCI (2012)
10 MDS Criteria for MCI and Dementia MCI (Level 1) Report of cognitive decline from premorbid status Impaired cognitive performance At least 2 test scores 1-2 SD below the standardized mean Single or multiple domains No significant functional impairment resulting from cognitive decline Dementia Report of cognitive decline from premorbid status Impaired cognitive performance Impairment in at least 2 cognitive domains Significant functional impairment resulting from cognitive decline
11 Steps for Determining Annual Cognitive Diagnosis in PPMI 1. Investigator determines presence of cognitive decline from pre-pd state based on clinical interview and knowledge of patient 2. Investigator determines presence of significant functional impairment due to cognitive deficits interfering with routine instrumental activities of daily living (IADLs) 3. Subject has neuropsychological testing at study visit 4. Categorization of normal cognition, MCI, or dementia made centrally based on steps #1, #2 and #3
12 CRF for Recording Cognitive Decline
13 Impairment on Cognitive Testing 4 domains and 6 test scores: Memory (HVLT (# words and recognition discrimination)) Visuospatial (JOLO (correct responses)) Working Memory-Executive (LNS (correct responses) and semantic fluency (# words)) Attention-Processing Speed (SDMT (correct responses)) MCI At least 2 test scores >1.5 SD (7 th %ile) below the standardized mean, regardless domain(s)
14 Baseline Results
15 Mild cognitive impairment and neuropsychiatric symptoms in early, untreated Parkinson disease: results from the PPMI Study Enrolled Subjects Variable PD Healthy p-value Subjects Controls (N = 423) (N = 196) Age 0.33 Mean (Min, Max) (33, 85) (31, 84) Gender 0.77 Male 277 (65%) 126 (64%) Female 146 (35%) 70 (36%) Education 0.30 <13 Years 77 (18%) 29 (15%) 13 Years or more 346 (82%) 167 (85%) Ethnicity 0.62 Hispanic/Latino 9 (2%) 3 (2%) Not Hispanic/Latino 414 (98%) 193 (98%) Race 0.85 White 391 (92%) 182 (93%) Non-white 32 (8%) 14 (7%) Family history <.001 Positive PD 102 (24%) 10 (5%) a MDS-UPDRS Part III score <.001 Mean (Min, Max) (4, 51) (0, 13) TD/Non-TD classification NA TD 299 (71%) NA Non-TD 123 (29%) NA Side most affected NA Left 180 (43%) NA Right 233 (55%) NA Symmetric 10 (2%) NA PD duration NA Mean (SD) moths 6.65 (6.50) NA
16 Cognitive Performance in PD Cognitive Domain Variable Mean (SD) or N (%) Global MOCA score (N=423) 27.1 (2.3) Visuospatial (78%) (21%) <21 4 (1%) Benton Judgment of Line Orientation Score (N=422) 12.8 (2.1) Mild Impairment a 30 (7%) Moderate Impairment b 14 (3%) Severe Impairment c 2 (0%) Memory HVLT Immediate Recall (N=422) 24.4 (5.0) Mild Impairment 131 (31%) Moderate Impairment 73 (17%) Severe Impairment 29 (7%) HVLT Delayed Recall (N=422) 8.4 (2.5) Mild Impairment 139 (33%) Moderate Impairment 70 (17%) Severe Impairment 26 (6%) HVLT Retention (N=422) 0.9 (0.2) Mild Impairment 89 (21%) Moderate Impairment 47 (11%) Severe Impairment 21 (5%) HVLT Discrimination Recognition (N=421) 9.6 (2.6) Executive abilities-working memory Mild Impairment 102 (24%) Moderate Impairment 38 (9%) Severe Impairment 13 (3%) Letter Number Sequencing Raw Score (N=422) 10.6 (2.7) Mild Impairment 28 (7%) Moderate Impairment 19 (4%) Severe Impairment 4 (1%) Semantic Fluency Total Score (N=422) 48.7 (11.6) Mild Impairment 61 (14%) Moderate Impairment 22 (5%) Severe Impairment 9 (2%) Processing speed-attention Symbol Digit Modalities Score (N=422) 41.2 (9.7) Mild Impairment 110 (26%) Moderate Impairment 60 (14%) Severe Impairment 27 (6%) a <1.0 SD below standardized mean score b <1.5 SD below standardized mean score c <2.0 SD below standardized mean score
17 Predictors of MoCA Score in PD Univariate Analysis a Multivariate Analysis b Variable (affected group) Regression p-value Regression p-value Coefficient Coefficient Age (older age) < <.001 Gender (male) Education (>12 years) Ethnicity (Hispanic/Latino) N.S. Race (non-white) Family history of PD (no) MDS-UPDRS Part III (greater motor impairment) Hoehn & Yahr stage (stage or above) Duration of disease (longer N.S. duration) TD/Non-TD classification (TD) Side most affected (left)
18 Cognitive Categorization - I Using MoCA cut-off score of <26, 22.0% of the subjects met criteria for cognitive impairment Based on the detailed cognitive tests, 8.9% met criteria for MCI 51.4% were impaired on 2 tests, 37.8% on 3 tests, and 10.8% on 4 tests Nearly all (89.2%) MCI patients had impairment on at least one memory test Given only four cognitive domains covered, and two only had single test, not possible to calculate frequency of amnestic versus non-amnestic or single- versus multiple-domain MCI
19 Cognitive Categorization - II Investigators recorded cognitive decline in only 5 participants! Using this variable and applying MDS Task Force recommended criteria yielded MCI rate of only 0.4% (1/240) Then substituting non-zero score on the MDS- UPDRS Part I cognitive impairment item for cognitive decline, frequency of MCI increased slightly to 4.1% (17/415)
20 MoCA Test Categorization Agreement Agreement between MoCA and cognitive test categorization of impairment is low (kappa =0.092) Of 89 subjects with MoCA score <26, only 14.6% had MCI based on cognitive tests Of 37 subjects who met cognitive test criteria for MCI, only 35.1% scored <26 on the MoCA
21 Psychiatric Symptoms in PD Patients and Controls Enrolled Subjects Variable PD Healthy p-value Subjects Controls (N = 423) (N = 196) GDS-15 score <.001 Mean (Min, Max) (0.0, 14.0) (0.0, 15.0) GDS-15 cut-off Not Depressed (<5) 364 (86%) 183 (93%) Depressed ( 5) 59 (14%) 13 (7%) STAI - State score <.001 Mean (Min, Max) (20.0, 76.0) (20.0, 58.0) STAI - Trait score <.001 Mean (Min, Max) (20.0, 63.0) (20.0, 53.0) QUIP disorders Any 1 or more disorders 87 (21%) 36 (18%) 0.51 Gambling 4 (1%) 1 (1%) 0.57 Sex 12 (3%) 5 (3%) 0.84 Buying 11 (3%) 4 (2%) 0.67 Eating 36 (9%) 18 (9%) 0.78 Hobbyism 31 (7%) 19 (10%) 0.31 Punding 21 (5%) 4 (2%) 0.09 MDS-UPDRS Part I Apathy item <.001 Negative 352 (83%) 186 (95%) Any positive score 71 (17%) 9 (5%) MDS-UPDRS Part I Psychosis item Negative 410 (97%) 194 (99%) Any positive score 13 (3%) 1 (1%)
22 Predictors of GDS Score in PD Univariate Analysis a Multivariate Analysis b Coefficient p-value Coefficient p-value Age Gender Education Ethnicity Race Family history of PD MoCA score MDS-UPDRS Part III score Hoehn & Yahr stage Duration of disease TD/non-TD classification < <0.001 Side most affected N.S.
23 Conclusions About De Novo PD 20% of PD patients screening positive for MCI and close to 10% meet cognitive test-based criteria Multiple NPS (e.g., depression, anxiety and apathy) more common in untreated PD patients compared with general population Rates of NPS associated with DRT (e.g., psychosis and ICDs) either low or similar to controls Statistically significant findings despite potential self-exclusion of patients with significant cognitive impairment or NPS given rigors of PPMI, relatively young age, and highly educated population
24 Preliminary Longitudinal Results
25 Predictors of MoCA Decline Over 2 Years in PD Patients Change in MoCA score over time Baseline values Month 12 Month 24 Entire time period Gender (0.287), p= (0.431), p=0.059 F (2, 627)=1926 p=0.15 Education (years) (0.046), p= (0.082), p=0.83 F (2, 643)=0.028, p=0.97 Age (years) (0.014), p< (0.019), p=0.003 F (2, 614)=18.65, p<0.001 GDS score (0.056), p= (0.078), p=0.50 F (2, 621)=0.30, p=0.74 UPDRS motor score (0.159), p= (0.024),p=0.68 F (2, 634)=3.88, p=0.02 UPSIT score (0.016), p< (0.233), p=0.35 F (2, 617)=6.26, p=0.002 PIGD phenotype (0.351), p= (0.478), p=0.86 F (2, 612)=0.38, p=0.69 RBD (% positive) (0.277), p= (0.396), p=0.001 F (2, 621)=6.05, p=0.002
26 Impact of Initiating PD Therapy on Non-Motor Symptoms N Treated (n=42) Untreated (n=54) Chi-square (df), or Mann- Whitney U test; p value NPS expected to worsen with therapy New QUIP positive 74 c 17.1% 0.0% a ESS New ESS d 31.0% 10.6% 0.03 a Change in ESS score (-3-3.2) 0.0 (-2-1.5) -0.63, 0.53 b New positive psychosis 94 e 14.6% 5.6% 0.17 a NPS expected to improve with therapy GDS GDS remission f 16 g 37.5% 50% 0.10 a Change in GDS score (-1-1) 0.0 (-1-1) -1.13, 0.26 b Change in STAI total score (-5.5-9) -1 ( ) -1.09, 0.27 b Apathy (improvement h ) % (2/42) 3.7% (2/54) 0.65 a Fatigue (improvement i ) % (14/42) 11.1% (6/54) 6.83 (1), Unknown expected effect of therapy
27 Analysis and Publication Plan
28 Cognitive-Behavioral Papers Complete cognitive categorization process Baseline clinical manuscript Ready for submission Baseline biomarker manuscript Awaiting complete biomarker dataset Future manuscripts to be at initiative of individual investigators
CSF Aβ1-42 predicts cognitive impairment in de novo PD patients
CSF Aβ1-42 predicts cognitive impairment in de novo PD patients Mark Terrelonge MPH *1, Karen Marder MD MPH 1, Daniel Weintraub MD 2, Roy Alcalay MD MS 1 1 Columbia University Department of Neurology 2
More informationNon-motor subtypes of Early Parkinson Disease in the Parkinson s Progression Markers Initiative
Non-motor subtypes of Early Parkinson Disease in the Parkinson s Progression Markers Initiative Samay Jain, MD MSc Seo Young Park, PhD University of Pittsburgh Department of Neurology and Center for Research
More informationPARKINSON S PROGRESSION MARKERS INITIATIVE. PPMI 2018 Annual Investigators Meeting PPMI Data Blitz
PARKINSON S PROGRESSION MARKERS INITIATIVE PPMI 2018 Annual Investigators Meeting PPMI Data Blitz OVERVIEW Longitudinal Change of Clinical and Biological Measures in Early PD Presented by Andrew Siderowf
More informationThe Parkinson Progression Marker Initiative (PPMI) WW-ADNI July
The Parkinson Progression Marker Initiative (PPMI) WW-ADNI July 15 2011 Rationale for PPMI: Challenges of disease-modifying trials Disease modifying PD therapeutics remain a major unmet need A major obstacle
More informationPPMI Data Overview. Christopher S. Coffey The University of Iowa. PPMI Investigators Meeting May 13-14, 2015 New York, NY
PPMI Data Overview Christopher S. Coffey The University of Iowa PPMI Investigators Meeting May 13-14, 2015 New York, NY Source of data for this presentation: Information comes from: Tables produced for
More informationCHAPTER 5 NEUROPSYCHOLOGICAL PROFILE OF ALZHEIMER S DISEASE
CHAPTER 5 NEUROPSYCHOLOGICAL PROFILE OF ALZHEIMER S DISEASE 5.1 GENERAL BACKGROUND Neuropsychological assessment plays a crucial role in the assessment of cognitive decline in older age. In India, there
More informationCan aspirin slow cognitive decline and the onset of dementia? The ASPREE study. Mark Nelson on behalf of ASPREE Investigators
Can aspirin slow cognitive decline and the onset of dementia? The ASPREE study. Mark Nelson on behalf of ASPREE Investigators ASPREE Randomized, double-blind, placebo-controlled trial for extending healthy
More informationParkinson s Progression Markers Initiative (PPMI) John Q. Trojanowski, M.D., Ph.D.
Parkinson s Progression Markers Initiative (PPMI) John Q. Trojanowski, M.D., Ph.D. Parkinson s Progression Marker Initiative NINDS Udall Center of Excellence For Parkinson s Disease Research, NIA Alzheimer
More informationThe role of memory on patients with mild cognitive impairment. Sophia Vardaki, PhD National Technical University of Athens
The role of memory on patients with mild cognitive impairment Sophia Vardaki, PhD National Technical University of Athens Athens, 26 June 2015 Objective-Presentation Structure Objective To explore the
More informationKorean-VCI Harmonization Standardization- Neuropsychology Protocol (K-VCIHS-NP)
Korean-VCI Harmonization Standardization- Neuropsychology Protocol (K-VCIHS-NP) Yeonwook Kang, Ph.D. Department of Psychology, Hallym University Department of Neurology, Hallym University Sacred Heart
More informationNEUROPSYCHOMETRIC TESTS
NEUROPSYCHOMETRIC TESTS CAMCOG It is the Cognitive section of Cambridge Examination for Mental Disorders of the Elderly (CAMDEX) The measure assesses orientation, language, memory, praxis, attention, abstract
More informationPPMI Status Update. Ken Marek. WW-ADNI July 11, 2013
PPMI Status Update Ken Marek WW-ADNI July 11, 2013 Disclosure Co-founder on Molecular Neuroimaging LLC PET and SPECT imaging services Consultant BMS, GEHC, Lilly, Merck, Navidea, Piramal Pfizer, Sanofi,
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) Godefroy, O., Fickl, A., Roussel, M., Auribault, C., Bugnicourt, J. M., Lamy, C., Petitnicolas, G. (2011). Is the Montreal cognitive assessment superior to the mini-mental
More informationUDS version 3 Summary of major changes to UDS form packets
UDS version 3 Summary of major changes to UDS form packets from version 2 to VERSION 3 february 18 final Form A1: Subject demographics Updated question on principal referral source to add additional options
More informationOverview. Case #1 4/20/2012. Neuropsychological assessment of older adults: what, when and why?
Neuropsychological assessment of older adults: what, when and why? Benjamin Mast, Ph.D. Associate Professor & Vice Chair, Psychological & Brain Sciences Associate Clinical Professor, Family & Geriatric
More informationInternational Forum on HIV and Rehabilitation Research
Neurocognitive screening and behavioural interventions for HIV-Associated Neurocognitive Disorders (HAND) International Forum on HIV and Rehabilitation Research Translating Research Evidence from the Canada-UK
More informationPD ExpertBriefing: Impulsive and Compulsive Behaviors in Parkinson s Disease
PD ExpertBriefing: Impulsive and Compulsive Behaviors in Parkinson s Disease Presented By: Daniel Weintraub, M.D. Associate Professor of Psychiatry, University of Pennsylvania; Parkinson s Disease and
More informationExploration of a weighed cognitive composite score for measuring decline in amnestic MCI
Exploration of a weighed cognitive composite score for measuring decline in amnestic MCI Sarah Monsell NACC biostatistician smonsell@uw.edu October 6, 2012 Background Neuropsychological batteries used
More informationCognitive-Motor Interference in Persons with Parkinson Disease
Cognitive-Motor Interference in Persons with Parkinson Disease Tara L. McIsaac, PhD, PT Associate Professor of Physical Therapy A.T. Still University Arizona School of Health Sciences October 11, 2014
More informationTrail making test A 2,3. Memory Logical memory Story A delayed recall 4,5. Rey auditory verbal learning test (RAVLT) 2,6
NEUROLOGY/2016/790584 Table e-1: Neuropsychological test battery Cognitive domain Test Attention/processing speed Digit symbol-coding 1 Trail making test A 2,3 Memory Logical memory Story A delayed recall
More information2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process
Quality ID #290: Parkinson s Disease: Psychiatric Symptoms Assessment for Patients with Parkinson s Disease National Quality Strategy Domain: Effective Clinical Care 2018 OPTIONS FOR INDIVIDUAL MEASURES:
More informationWHI Memory Study (WHIMS) Investigator Data Release Data Preparation Guide April 2014
WHI Memory Study (WHIMS) Investigator Data Release Data Preparation Guide April 2014 1. Introduction This release consists of a single data set from the WHIMS Epidemiology of Cognitive Health Outcomes
More informationDEMENTIA, THE BRAIN AND HOW IT WORKS AND WHY YOU MATTER
OVERCOMING THE CHALLENGES OF MANAGING CHRONIC DISEASES IN PERSONS WITH DEMENTIA DEMENTIA, THE BRAIN AND HOW IT WORKS AND WHY YOU MATTER LEARNING OBJECTIVES Be familiar with the diagnostic criteria for
More informationCognitive and Psychiatric Characteristics of Huntington Disease. Rosa Ip, PhD, C. Psych, Jean Byers. MD., FRCPC, DABPN, Carol Harren, RN, CNC
Cognitive and Psychiatric Characteristics of Huntington Disease Rosa Ip, PhD, C. Psych, Jean Byers. MD., FRCPC, DABPN, Carol Harren, RN, CNC Cognitive and Psychiatric Characteristics of Huntington Disease
More informationPARKINSON S PROGRESSION MARKERS INITIATIVE. PPMI 2016 ANNUUAL INVESTIGATORS MEETING May 4-5
PARKINSON S PROGRESSION MARKERS INITIATIVE PPMI 2016 ANNUUAL INVESTIGATORS MEETING May 4-5 PPMI Update Ken Marek PPMI Annual Meeting May 4, 2016 New York, NY PD patient MAY 2011 67 yo right handed WF in
More informationNUMERATOR: All patients with a diagnosis of Parkinson s Disease who were assessed for cognitive impairment or dysfunction in the past 12 months
Quality ID #291: Parkinson s Disease: Cognitive Impairment or Dysfunction Assessment for Patients with Parkinson s Disease National Quality Strategy Domain: Effective Clinical Care Meaningful Measure Area:
More informationUpdate on the DLB Module. ADC Directors Meeting Baltimore, MD October 14-15, 2016
Update on the DLB Module ADC Directors Meeting Baltimore, MD October 14-15, 2016 Committee Members James Galvin, Florida Atlantic University Chair James Leverenz Cleveland Clinic Brad Boeve Mayo Clinic
More informationQuality ID #291: Parkinson s Disease: Cognitive Impairment or Dysfunction Assessment National Quality Strategy Domain: Effective Clinical Care
Quality ID #291: Parkinson s Disease: Cognitive Impairment or Dysfunction Assessment National Quality Strategy Domain: Effective Clinical Care 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE
More informationCognitive Function in Early and Advanced Parkinson s disease
Cognitive Function in Early and Advanced Parkinson s disease Lei Chen 1,2,, Xin Wang 1,2, Abstract Objective: To investigate the occurrence of mild cognitive impairment (MCI) in early and advanced Parkinson
More informationWorld Journal of Pharmaceutical and Life Sciences WJPLS
wjpls, 2016, Vol. 2, Issue 6, 376-388. Research Article ISSN 2454-2229 Salma et al. WJPLS www.wjpls.org SJIF Impact Factor: 3.347 ROLE STRAIN AND BURDEN AMONG CAREGIVERS OF PARKINSON S DISEASE 1 Salma
More informationCognitive Screening in Risk Assessment. Geoffrey Tremont, Ph.D. Rhode Island Hospital & Alpert Medical School of Brown University.
Cognitive Screening in Risk Assessment Geoffrey Tremont, Ph.D. Rhode Island Hospital & Alpert Medical School of Brown University Outline of Talk Definition of Dementia and MCI Incidence and Prevalence
More informationNature, prevalence and clinical significance. Barcelona, Spain
Nature, prevalence and clinical significance Jaime Kulisevsky Barcelona, Spain 1 Non motor (neuropsychiatric) symptoms are an integral part of Parkinson s s disease (PD) Affective disorders And are associated
More informationUse of the Pill Questionnaire to detect cognitive deficits and assess their impact on daily life in patients with Parkinson s disease
Neurology Asia 2013; 18(4) : 369 375 Use of the Pill Questionnaire to detect cognitive deficits and assess their impact on daily life in patients with Parkinson s disease 1 Ji Seon Kim MD, 2 Jong-Min Kim
More informationCorrelation between motor and cognitive functions in the progressive course of Parkinson s disease
doi:10.1111/ncn3.53 ORIGINAL ARTICLE Correlation between motor and cognitive functions in the progressive course of Parkinson s disease Hidetomo Murakami,* Yoshiyuki Owan,* Yukiko Mori,* Kazuhisa Fujita,*
More informationThe Association Between Comorbidities and Neurocognitive Impairment in Aging Veterans with HIV
The Association Between Comorbidities and Neurocognitive Impairment in Aging Veterans with HIV Arianna Perra, P syd, Moira Dux, PhD Terry Lee- Wilk, PhD HIV and HCV in the VA VA is the largest provider
More informationNeuropsychology and Parkinson s Disease. Erin Holker, Ph.D., ABPP Neuropsychology Laboratory
Neuropsychology and Parkinson s Disease Erin Holker, Ph.D., ABPP Neuropsychology Laboratory Parkinson s disease and cognition Parkinson s disease is not just a disorder of movement The same circuits associated
More informationClinical Study Depressive Symptom Clusters and Neuropsychological Performance in Mild Alzheimer s and Cognitively Normal Elderly
Hindawi Publishing Corporation Depression Research and Treatment Volume 2011, Article ID 396958, 6 pages doi:10.1155/2011/396958 Clinical Study Depressive Symptom Clusters and Neuropsychological Performance
More informationWhy Cognition Matters: Impact of Cognitive Impairment on Safety and Independent Living Skills
Why Cognition Matters: Impact of Cognitive Impairment on Safety and Independent Living Skills Presented by: Dr. William Mansbach CEO & Founder Mansbach Health Tools, LLC www.thebcat.com Highlights on Prevalence
More informationNeuropsychological Correlates of Performance Based Functional Status in Elder Adult Protective Services Referrals for Capacity Assessments
Neuropsychological Correlates of Performance Based Functional Status in Elder Adult Protective Services Referrals for Capacity Assessments Jason E. Schillerstrom, MD schillerstr@uthscsa.edu Schillerstrom
More informationNeuropsychological Evaluation of
Neuropsychological Evaluation of Alzheimer s Disease Joanne M. Hamilton, Ph.D. Shiley-Marcos Alzheimer s Disease Research Center Department of Neurosciences University of California, San Diego Establish
More informationCaregiver burden is increased in Parkinson s disease with mild cognitive impairment (PD-MCI)
Jones et al. Translational Neurodegeneration (2017) 6:17 DOI 10.1186/s40035-017-0085-5 RESEARCH Caregiver burden is increased in Parkinson s disease with mild cognitive impairment (PD-MCI) Open Access
More informationPlenary Session 2 Psychometric Assessment. Ralph H B Benedict, PhD, ABPP-CN Professor of Neurology and Psychiatry SUNY Buffalo
Plenary Session 2 Psychometric Assessment Ralph H B Benedict, PhD, ABPP-CN Professor of Neurology and Psychiatry SUNY Buffalo Reliability Validity Group Discrimination, Sensitivity Validity Association
More informationS. Isais-Millán, et al.: Prevalence of neuropsychiatric disorders. Contents available at PubMed Gac Med Mex. 2016;152:
S. Isais-Millán, et al.: Prevalence of neuropsychiatric disorders Contents available at PubMed www.anmm.org.mx PERMANYER Gac Med Mex. 2016;152:321-6 www.permanyer.com GACETA MÉDICA DE MÉXICO ORIGINAL ARTICLE
More informationUpdate on the DLB Module. ADC Directors Meeting Baltimore, MD October 14-15, 2016
Update on the DLB Module ADC Directors Meeting Baltimore, MD October 14-15, 2016 Committee Members James Galvin, Florida Atlantic University (Chair) James Leverenz Cleveland Clinic Brad Boeve Mayo Clinic,
More informationUniversity of Alberta
University of Alberta Longitudinal performance of Neuropsychological Assessments in Parkinson s Disease. by Taim Abdullah Muayqil A thesis submitted to the Faculty of Graduate Studies and Research in partial
More informationElderly Norms for the Hopkins Verbal Learning Test-Revised*
The Clinical Neuropsychologist -//-$., Vol., No., pp. - Swets & Zeitlinger Elderly Norms for the Hopkins Verbal Learning Test-Revised* Rodney D. Vanderploeg, John A. Schinka, Tatyana Jones, Brent J. Small,
More information2016 Physician Quality Reporting System Data Collection Form: Parkinson s Disease (for patients aged 18 and older)
2016 Physician Quality Reporting System Data Collection Form: Parkinson s Disease (for patients aged 18 and older) IMPORTANT: Any measure with a 0% performance rate (100% for inverse measures) is not considered
More informationParkinson s Disease: The Quintessential Neuropsychiatric Illness
Parkinson s Disease: The Quintessential Neuropsychiatric Illness 03/13 Daniel Weintraub, M.D. Associate Professor of Psychiatry and Neurology, University of Pennsylvania; Parkinson s Disease and Mental
More informationNon-motor symptoms as a marker of. Michael Samuel
Non-motor symptoms as a marker of progression in Parkinson s s disease Michael Samuel London, UK 1 Definitions and their problems Non-motor symptoms as a marker of progression Non-motor symptoms (NMS)
More informationSUPPLEMENTAL MATERIAL
SUPPLEMENTAL MATERIAL Cognitive impairment evaluated with Vascular Cognitive Impairment Harmonization Standards in a multicenter prospective stroke cohort in Korea Supplemental Methods Participants From
More informationORIGINAL ARTICLE Neuroscience INTRODUCTION MATERIALS AND METHODS
ORIGINAL ARTICLE Neuroscience DOI: 10.46/jkms.2010.25.7.1071 J Korean Med Sci 2010; 25: 1071-1076 Seoul Neuropsychological Screening Battery-Dementia Version (SNSB-D): A Useful Tool for Assessing and Monitoring
More informationService Related Project. Kimberley Keegan
AN EVALUATION OF ADDENBROOKE S COGNITIVE EXAMINATION III (ACE-III) SCORES, NEUROPSYCHOLOGICAL ASSESSMENT SCORES, AND DIAGNOSIS OUTCOME WITHIN A MEMORY SERVICE. Service Related Project Kimberley Keegan
More informationA multimodal model for the prediction of driving behavior
A multimodal model for the prediction of driving behavior Ion Beratis, MSc, PhD Psychologist-Neuropsychologist 2 nd Department of Neurology Attikon University Hospital, National University of Athens, Greece
More information02/04/2015. The structure of the talk. Dementia as a motor disorder. Movement, cognition & behaviour. Example 1. Example 2
The th Annual Memory Clinic Conference Dublin, Trinity College, 27 March 1 The structure of the talk Dementia as a motor disorder Thomas H. Bak Human Cognitive Neuroscience & Centre for Clinical Brain
More informationAssessment Toolkits for Lewy Body Dementia
Study : Assessment Toolkits for Lewy Body Dementia There are two toolkits, depending on whether the patient is presenting with a primary cognitive problem or with cognitive decline in the context of established
More informationAlzheimer's Disease - Activities of Daily Living Inventory AD-ADL
This is a Sample version of the Alzheimer's Disease - Activities of Daily Living Inventory AD-ADL The full version of the Alzheimer's Disease - Activities of Daily Living Inventory AD-ADL comes without
More informationWHI Memory Study (WHIMS) Investigator Data Release Data Preparation Guide December 2012
WHI Memory Study (WHIMS) Investigator Data Release Data Preparation Guide December 2012 1. Introduction Changes in the current update (December 2012): New data sets Post Trial - Form A, Phase 2: Administration
More informationResearch Article Independent Validation of the SEND-PD and Correlation with the MDS-UPDRS Part IA
Hindawi Publishing Corporation Parkinson s Disease Volume 2014, Article ID 260485, 5 pages http://dx.doi.org/10.1155/2014/260485 Research Article Independent Validation of the SEND-PD and Correlation with
More information2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process
Quality ID #283: Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management National Quality Strategy Domain: Effective Clinical Care 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY
More informationDementia in Parkinson s disease:
Dementia in Parkinson s disease: A 20 year Prospective Neuropsychological Study Sydney Multicentre Study Associate Professor Wayne GJ Reid PhD FAPS 149 newly diagnosed community living Parkinson s Disease
More informationIan McKeith MD, F Med Sci, Professor of Old Age Psychiatry, Newcastle University
Ian McKeith MD, F Med Sci, Professor of Old Age Psychiatry, Newcastle University Design of trials in DLB and PDD What has been learnt from previous trials in these indications and other dementias? Overview
More informationOriginal Investigation
Research Original Investigation Association of Cerebrospinal Fluid β-amyloid 1-42, T-tau,, and α-synuclein Levels With Clinical Features of Drug-Naive Patients With Early Parkinson Disease Ju-Hee Kang,
More informationJanuary 18 th, 2018 Brixen, Italy
From Subjective Cognitive Decline to Alzheimer s Disease: the predictive role of neuropsychological, personality and cognitive reserve features. A 7-years Follow-Up study. S. Mazzeo *, V. Bessi *, S. Padiglioni
More informationPsychological factors that influence fall risk: implications for prevention
Psychological factors that influence fall risk: implications for prevention Kaarin J. Anstey Professor & Director, Ageing Research Unit, Centre for Mental Health Research Psychological perspective on Injury
More informationOriginal Articles. Calne, resting tremor. Mortimer, Pirozzolo, Hansch, & Webster, postural disturbance III
2004 97-106 Original Articles 1 2 3 1 1 2 3 47 22 III I II muscular rigidity postural disturbance resting tremor bradykinesia Calne, 2001 Mortimer, Pirozzolo, Hansch, & Webster, 1982 Tel: 02-23627076 E-mail:
More informationDetecting neurocognitive impairment in HIV-infected youth: Are we focusing on the wrong factors?
Detecting neurocognitive impairment in HIV-infected youth: Are we focusing on the wrong factors? Jennifer Lewis, PsyD; Mathew Hirsch, PsyD & Susan Abramowitz, PhD NYU School of Medicine, New York, NY Friday,
More informationThe Neuropsychology of
The Neuropsychology of Stroke Tammy Kordes, Ph.D. Northshore Neurosciences Outline What is the Role of Neuropsychology Purpose of Neuropsychological Assessments Common Neuropsychological Disorders Assessment
More informationAMNESTIC MINIMAL COGNITIVE IMPAIRMENT: BEYOND MEMORY
AMNESTIC MINIMAL COGNITIVE IMPAIRMENT: BEYOND MEMORY R. Balachandar 1,, R. Tripati 2, S. Bharath 1, S. Sadanand 1, P. T. Sivakumar 1, K. Kumar 2, S. Loganathan 1, S. R. Chandra 3, M. Vargese 1 1 Dept.
More informationErin Cullnan Research Assistant, University of Illinois at Chicago
Dr. Moises Gaviria Distinguished Professor of Psychiatry, University of Illinois at Chicago Director of Consultation Liaison Service, Advocate Christ Medical Center Director of the Older Adult Program,
More informationThe current state of healthcare for Normal Aging, Mild Cognitive Impairment, & Alzheimer s Disease
The current state of healthcare for Normal Aging, g, Mild Cognitive Impairment, & Alzheimer s Disease William Rodman Shankle, MS MD FACP Director, Alzheimer s Program, Hoag Neurosciences Institute Neurologist,
More informationDESCRIPTION: Percentage of patients with dementia for whom an assessment of functional status was performed at least once in the last 12 months
Quality ID #282: Dementia: Functional Status Assessment National Quality Strategy Domain: Effective Clinical Care Meaningful Measure Area: Prevention, Treatment, and Management of Mental Health 2019 COLLECTION
More informationAlison Charleston 1 st September 2016
Alison Charleston 1 st September 2016 Clinical features of Parkinson s disease Differential diagnosis Management of the motor features Non-motor and neuropsychiatric aspects 100-200 per 100,000 prevalence
More informationMeasurement and Classification of Neurocognitive Disability in HIV/AIDS Robert K. Heaton Ph.D University of California San Diego Ancient History
Measurement and Classification of Neurocognitive Disability in HIV/AIDS Robert K. Heaton Ph.D University of California San Diego Ancient History Group Means for NP and MMPI Variables N=381 Consecutive
More informationTable 7.2B: Summary of Select Screening Tools for Assessment of Vascular Cognitive Impairment in Stroke Patients
Table 7.2B: Summary of Select Screening Tools for Assessment of Vascular Cognitive Impairment in Stroke Patients Recommended First Line Screening and s Montreal Cognitive (MoCA) The MoCA is available for
More information21/05/2018. Today s webinar will answer. Presented by: Valorie O Keefe Consultant Psychologist
Today s webinar will answer. 1. What is the RBANS, and how is the updated version different than the original version? 2. What are the neurocognitive areas assessed by the RBANS and what scores are available?
More informationMild Cognitive Impairment (MCI)
October 19, 2018 Mild Cognitive Impairment (MCI) Yonas E. Geda, MD, MSc Professor of Neurology and Psychiatry Consultant, Departments of Psychiatry & Psychology, and Neurology Mayo Clinic College of Medicine
More informationNO LOWER COGNITIVE FUNCTIONING IN OLDER ADULTS WITH ATTENTION-DEFICIT/HYPERACTIVITY DISORDER
CHAPTER 6 NO LOWER COGNITIVE FUNCTIONING IN OLDER ADULTS WITH ATTENTION-DEFICIT/HYPERACTIVITY DISORDER INT PSYCHOGERIATR, 2015, 27(9): 1467 1476 DOI: 10.1017/S1041610215000010 73 NO LOWER COGNITIVE FUNCTIONING
More informationIntra-Individual Reaction Time Variability in Mild Cognitive Impairment and Alzheimer s Disease: Gender, Processing Load and Speed Factors
Intra-Individual Reaction Time Variability in Mild Cognitive Impairment and Alzheimer s Disease: Gender, Processing Load and Speed Factors Michelle Phillips 1, Peter Rogers 2, Judy Haworth 3, Antony Bayer
More informationNumber of Items. Response Categories. Part V: Specific Behavior Scales-Sleep Scales. Based on past month
Part V: Specific Behavior Scales-Sleep Scales Based on past month First 4 items ask for time or amount of sleep 41. Pittsburgh Sleep Quality Index (PSQI) Sleep quality Sleep latency Sleep duration Habitual
More informationAssessing cognition in ELDERLY drivers
Assessing cognition in ELDERLY s Alexandra Economou Assistant Professor Department of Psychology University of Athens 18 October 2013 Athens Overview ability in the older ability in the older The older
More informationMOS SF-36 health survey (Ware &
Biomedical and Physical Functioning General Health Height Weight Waist Circumfernece % Body Fat Tanita scale BMI Self-rated Health - overall clinical protocol Self-rated Health - rel. to age clinical protocol
More informationAssessing cognitive function after stroke. Glyn Humphreys
Assessing cognitive function after stroke Glyn Humphreys (glyn.humphreys@psy.ox.ac.uk) Write down 3 important cognitive problems after stroke What things are important to detect? OCS Impairment incidences
More informationComparing MCI Patients to Healthy Controls using Three ERP Paradigms
Comparing MCI Patients to Healthy Controls using Three ERP Paradigms Electrophysiology PIA AAIC 2015 Washington, DC Frank Knoefel, Rocío López Zunini, Vanessa Taler, Michael Breau, Lisa Sweet, Courtney
More informationFebruary 8, Prepared By: Glen M. Doniger, PhD Director of Scientific Development NeuroTrax Corporation
1 February 8, 2007 Prepared By: Glen M. Doniger, PhD Director of Scientific Development 2...3...3...3...5...6...6...7!" #"...7 ""...8...9 $#%&#$%'#...11!...12 "# $...14!...15 %...18 3 In the following
More informationTreatment of AD with Stabilized Oral NADH: Preliminary Findings
MS # 200 000 128 Treatment of AD with Stabilized Oral NADH: Preliminary Findings G.G. Kay, PhD, V. N. Starbuck, PhD and S. L. Cohan, MD, PhD Department of Neurology, Georgetown University School of Medicine
More informationDamian, Anne Mariam. The University of Arizona.
The Montreal Cognitive Assessment and the Mini- Mental State Examination as Screening Instruments for Cognitive Impairment: Item Analyses and Threshold Scores Item Type Thesis Authors Damian, Anne Mariam
More informationClinical Study A New Approach for the Quantitative Evaluation of the Clock Drawing Test: Preliminary Results on Subjects with Parkinson s Disease
Neurology Research International Volume 2010, Article ID 283890, 6 pages doi:10.1155/2010/283890 Clinical Study A New Approach for the Quantitative Evaluation of the Clock Drawing Test: Preliminary Results
More informationalternate-form reliability The degree to which two or more versions of the same test correlate with one another. In clinical studies in which a given function is going to be tested more than once over
More informationC-MP4 in amci, AD and LBD
WP.2: Identification of novel neuroimaging targets in neurodegenerative disease P 36 UniHSR ilano Responsible: D. Perani WP.2: Identification of novel neuroimaging targets in neurodegenerative disease
More informationDisclosure statement
Early verbal working memory as a predictor of later language outcomes in late talkers Jayne Newbury, Thomas Klee, Stephanie Stokes and Catherine Moran University of Canterbury, New Zealand Disclosure statement
More informationThe Symbol-Digit Modalities Test in Mild Cognitive Impairment: Evidence from Parkinson s Disease Patients
Original Paper Received: September 14, 2017 Accepted: November 21, 2017 Published online: March 29, 2018 The Symbol-Digit Modalities Test in Mild Cognitive Impairment: Evidence from Parkinson s Disease
More informationDigital Biomarker Development at Roche: How Mobile Technology Can Innovate Clinical Endpoints
Digital Biomarker Development at Roche: How Mobile Technology Can Innovate Clinical Endpoints Luís Matos, Deployment Lead Digital Biomarkers Washington, June 5, 2018 Mobile sensors are already heavily
More informationLearning objectives 6/20/2018
Cognitive impairment of patients with chronic migraine, in a neuropsychological assessment, does not depend on the use of topiramate or comorbidities Ferreira KS, MD, PhD Professor, Neurology Clinic, Medicine
More informationObjectives. RAIN Difficult Diagnosis 2014: A 75 year old woman with falls. Case History: First visit. Case History: First Visit
Objectives RAIN Difficult Diagnosis 2014: A 75 year old woman with falls Alexandra Nelson MD, PhD UCSF Memory and Aging Center/Gladstone Institute of Neurological Disease Recognize important clinical features
More informationNon-motor symptoms in Thai Parkinson s disease patients: Prevalence and associated factors
Neurology Asia 2018; 23(4) : 327 331 Non-motor symptoms in Thai Parkinson s disease patients: Prevalence and associated factors Kusuma Samart MD Department of Medicine, Surin Hospital, Surin Province,
More informationProcess of a neuropsychological assessment
Test selection Process of a neuropsychological assessment Gather information Review of information provided by referrer and if possible review of medical records Interview with client and his/her relative
More informationEric Foster UCC Iowa City, IA (607)
Eric Foster 2400 UCC eric-foster@uiowa.edu Iowa City, IA 52242 (607)738-4689 Education University of Iowa, Iowa City, IA July 2012 Ph.D., Biostatistics Dissertation Title: State-Space Time Series Clustering
More informationRelationship of Behavioral Compensation and Cognitive Reserve in Survivors of Primary Brain Tumors
Relationship of Behavioral Compensation and Cognitive Reserve in Survivors of Primary Brain Tumors Deborah hutch Allen, PhD, RN, CNS, FNP-BC, AOCNP Sophia Smith, PhD, MSW Virginia J. Neelon, PhD, RN Background
More informationThe Influence of Sleep on Cognition in Breast Cancer
The Influence of Sleep on Cognition in Breast Cancer Sonia Ancoli-Israel, PhD Professor of Psychiatry and Medicine University it of California i San Diego Fatigue by Rodin Supported by NIC CA112035, UL1RR031980
More information