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Judgment in Mild Cognitive Impairment and Alzheimer's disease

Julgamento em Comprometimento Cognitivo Leve e doença de Alzheimer

Abstract

Judgment is the capacity to make decisions after considering available information, contextual factors, possible solutions and probable outcomes. Our aim was to investigate previous research studies regarding assessment of judgment in older adults with different degrees of cognitive impairment. To this end, a search of Pubmed and Lilacs electronic databases for studies published from January 1990 until August 2011 in English, Spanish and Portuguese was carried out. The terms used were "judgment" combined with the terms "dementia" or "Mild Cognitive Impairment" (MCI) or "Alzheimer's disease" (AD). Some studies showed that MCI and AD patients had impaired judgment. There is a lack of specific methods to measure judgment capacity, and data on judgment abilities in older adults with MCI and dementia are scarce. No studies with specific measures of judgment capacity in other dementias were found.

Key words:
judgment; dementia; Alzheimer's disease; Mild Cognitive Impairment.

Resumo

Julgamento é a capacidade de tomar decisões após consideração sobre informações disponíveis, fatores contextuais, soluções possíveis e resultados prováveis. Nosso objetivo foi investigar estudos de pesquisas prévias sobre avaliação de julgamento em adultos mais velhos com diferentes graus de prejuízo cognitivo. Nós realizamos uma pesquisa nas bases eletrônicas de dados Pubmed e Lilacs, de estudos publicados de Janeiro de 1990 até Agosto de 2011, em Inglês, Espanhol e Português. Os termos usados foram "julgamento" combinado com os termos "demência" ou "Comprometimento Cognitivo Leve" (CCL) ou "doença de Alzheimer" (DA). Alguns estudos mostraram que pacientes com CCL e DA tem comprometimento na capacidade de julgamento. Há uma carência de métodos específicos para avaliar julgamento, e dados sobre habilidades de julgamento em adultos mais velhos com CCL e demência são escassos. Não foram encontrados estudos com medidas específicas da capacidade de julgamento em outras demências.

Palavras-chave:
julgamento; demência; doença de Alzheimer; Comprometimento Cognitivo Leve.

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Publication Dates

  • Publication in this collection
    Oct-Dec 2011

History

  • Received
    15 Aug 2011
  • Accepted
    20 Oct 2011
Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento R. Vergueiro, 1353 sl.1404 - Ed. Top Towers Offices, Torre Norte, São Paulo, SP, Brazil, CEP 04101-000, Tel.: +55 11 5084-9463 | +55 11 5083-3876 - São Paulo - SP - Brazil
E-mail: revistadementia@abneuro.org.br | demneuropsy@uol.com.br