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Ecological validity of performance-based cognitive screeners in amyotrophic lateral sclerosis: preliminary evidence.

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Title: Ecological validity of performance-based cognitive screeners in amyotrophic lateral sclerosis: preliminary evidence.
Authors: Aiello, Edoardo Nicolò (AUTHOR), Torre, Silvia (AUTHOR), Solca, Federica (AUTHOR), Curti, Beatrice (AUTHOR), De Luca, Giulia (AUTHOR), Gendarini, Claudia (AUTHOR), Cocuzza, Alessandro (AUTHOR), Colombo, Eleonora (AUTHOR), Maranzano, Alessio (AUTHOR), Verde, Federico (AUTHOR), Morelli, Claudia (AUTHOR), Messina, Stefano (AUTHOR), Doretti, Alberto (AUTHOR), Silani, Vincenzo (AUTHOR), Ticozzi, Nicola (AUTHOR), Poletti, Barbara (AUTHOR)
Source: Neurological Sciences. Nov2024, Vol. 45 Issue 11, p5319-5325. 7p.
Subjects: Amyotrophic lateral sclerosis, Caregivers, Medical screening, Cognitive ability, Linguistic change
Abstract: Background: This study aimed at preliminarily assessing, in a cohort of non-demented amyotrophic lateral sclerosis (ALS) patients, the ecological validity, and more specifically the veridicality, of the Edinburgh Cognitive and Behavioural ALS Screen (ECAS) and the ALS Cognitive Behavioral Screen (ALS-CBS™), by relating their scores to caregiver-report ratings of cognitive changes. Methods: N = 147 patient-caregiver dyads were recruited. Patients were administered the ECAS and ALS-CBS™, whilst caregiver the Caregiver Behavioral Questionnaire (CBQ) and Beaumont Behavioural Inventory (BBI). An Ecological Cognitive Functioning Index (ECFI) was derived from those items of the CBQ and BBI that tap on executive and language changes. Ecological validity was assessed via both correlational and predictive analyses net of caregiver-rated behavioural changes (as assessed by the ECAS-Carer Interview). Results: The ECFI was associated with the total scores on both the ECAS (p =.014) and ALS-CBS™ (p =.017). When looking at ECAS and ALS-CBS™ subscales, those assessing verbal fluency were selectively associated with the ECFI. The ECFI was higher in patients performing defectively on the ECAS (p =.004) and on the ALS-CBS™ (p =.027). Discussion: This study suggests that both the ECAS and the ALS-CBS™ represent a valid estimate of non-demented ALS patients' cognitive status in the real world, also highlighting the clinical relevance of cognitive changes reported by caregivers. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Ecological validity of performance-based cognitive screeners in amyotrophic lateral sclerosis: preliminary evidence.
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  Data: <searchLink fieldCode="AR" term="%22Aiello%2C+Edoardo+Nicolò%22">Aiello, Edoardo Nicolò</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Torre%2C+Silvia%22">Torre, Silvia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Solca%2C+Federica%22">Solca, Federica</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Curti%2C+Beatrice%22">Curti, Beatrice</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22De+Luca%2C+Giulia%22">De Luca, Giulia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gendarini%2C+Claudia%22">Gendarini, Claudia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cocuzza%2C+Alessandro%22">Cocuzza, Alessandro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Colombo%2C+Eleonora%22">Colombo, Eleonora</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Maranzano%2C+Alessio%22">Maranzano, Alessio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Verde%2C+Federico%22">Verde, Federico</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morelli%2C+Claudia%22">Morelli, Claudia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Messina%2C+Stefano%22">Messina, Stefano</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Doretti%2C+Alberto%22">Doretti, Alberto</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Silani%2C+Vincenzo%22">Silani, Vincenzo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ticozzi%2C+Nicola%22">Ticozzi, Nicola</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Poletti%2C+Barbara%22">Poletti, Barbara</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Nov2024, Vol. 45 Issue 11, p5319-5325. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Amyotrophic+lateral+sclerosis%22">Amyotrophic lateral sclerosis</searchLink><br /><searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+ability%22">Cognitive ability</searchLink><br /><searchLink fieldCode="DE" term="%22Linguistic+change%22">Linguistic change</searchLink>
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  Data: Background: This study aimed at preliminarily assessing, in a cohort of non-demented amyotrophic lateral sclerosis (ALS) patients, the ecological validity, and more specifically the veridicality, of the Edinburgh Cognitive and Behavioural ALS Screen (ECAS) and the ALS Cognitive Behavioral Screen (ALS-CBS™), by relating their scores to caregiver-report ratings of cognitive changes. Methods: N = 147 patient-caregiver dyads were recruited. Patients were administered the ECAS and ALS-CBS™, whilst caregiver the Caregiver Behavioral Questionnaire (CBQ) and Beaumont Behavioural Inventory (BBI). An Ecological Cognitive Functioning Index (ECFI) was derived from those items of the CBQ and BBI that tap on executive and language changes. Ecological validity was assessed via both correlational and predictive analyses net of caregiver-rated behavioural changes (as assessed by the ECAS-Carer Interview). Results: The ECFI was associated with the total scores on both the ECAS (p =.014) and ALS-CBS™ (p =.017). When looking at ECAS and ALS-CBS™ subscales, those assessing verbal fluency were selectively associated with the ECFI. The ECFI was higher in patients performing defectively on the ECAS (p =.004) and on the ALS-CBS™ (p =.027). Discussion: This study suggests that both the ECAS and the ALS-CBS™ represent a valid estimate of non-demented ALS patients' cognitive status in the real world, also highlighting the clinical relevance of cognitive changes reported by caregivers. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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