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Evaluation of Discriminative Detection Abilities of Social Cognition Measures for the Diagnosis of the Behavioral Variant of Frontotemporal Dementia: a Systematic Review
Neuropsychology Review ( IF 5.8 ) Pub Date : 2020-10-10 , DOI: 10.1007/s11065-020-09457-1
Alessandra Dodich 1 , Chiara Crespi 2, 3 , Gaia C Santi 4 , Stefano F Cappa 4, 5 , Chiara Cerami 3, 4
Affiliation  

The use of social tasks in the neuropsychological assessment of the behavioral variant of frontotemporal dementia (bvFTD) is at present not required by diagnostic guidelines, despite extensive literature shows relevant social cognitive dysfunctions in such patients. In this systematic review, we explored the clinical maturity of social cognition measures in the diagnosis of bvFTD. Papers were selected according to the PRISMA guidelines by searching the PubMed and Medline databases. Only papers reporting indices of diagnostic accuracy and/or sensitivity/specificity in classifying bvFTD from controls or from other relevant diseases were considered. Quality of evidence was assessed through QUADAS-2. Among the 663 articles entered in the paper selection only 14 papers were eligible for the scope of the present review and showed an overall moderate-to-low quality. The major risk of bias was the lack of pathological confirmation. The evaluation of the accuracy of social cognition tasks in bvFTD detection compared to normal controls, as well as in the discrimination with Alzheimer’s disease and psychiatric patients, is mainly focused on emotion recognition and theory of mind. However, the use of different cognitive measures, variable task formats and the limited normative data hamper study comparability. Although literature seems to suggest that emotion recognition and ToM tasks could be the best choice to ensure a high diagnostic accuracy in clinical settings, further comparative studies are required and no recommendation concerning the use of a specific social task in bvFTD diagnosis can be currently provided.



中文翻译:

用于诊断额颞叶痴呆行为变异的社会认知措施的判别检测能力评估:系统评价

尽管大量文献显示此类患者存在相关的社会认知功能障碍,但目前诊断指南并不要求在额颞叶痴呆 (bvFTD) 的行为变异的神经心理学评估中使用社交任务。在这篇系统评价中,我们探讨了社会认知测量在 bvFTD 诊断中的临床成熟度。通过搜索 PubMed 和 Medline 数据库,根据 PRISMA 指南选择论文。仅考虑报告在将 bvFTD 与对照或其他相关疾病分类时诊断准确性和/或敏感性/特异性指数的论文。通过 QUADAS-2 评估证据质量。在进入论文选择的 663 篇文章中,只有 14 篇论文符合本次审查的范围,总体质量为中到低。偏倚的主要风险是缺乏病理证实。与正常对照相比,bvFTD 检测中社会认知任务的准确性评估,以及与阿尔茨海默病和精神病患者的区分,主要集中在情绪识别和心理理论方面。然而,使用不同的认知测量、可变的任务格式和有限的规范数据阻碍了研究的可比性。尽管文献似乎表明情绪识别和 ToM 任务可能是确保临床环境中高诊断准确性的最佳选择,

更新日期:2020-10-11
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