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Risk factors for dementia and cognitive decline in adults with Down Syndrome and the CAMDEX-DS validation

Grant number: 13/11571-9
Support Opportunities:Scholarships in Brazil - Doctorate (Direct)
Effective date (Start): July 01, 2014
Effective date (End): January 31, 2018
Field of knowledge:Health Sciences - Medicine - Psychiatry
Principal Investigator:Marcelo Queiroz Hoexter
Grantee:Luciana Mascarenhas Fonseca
Host Institution: Instituto de Psiquiatria Doutor Antonio Carlos Pacheco e Silva (IPq). Hospital das Clínicas da Faculdade de Medicina da USP (HCFMUSP). Secretaria da Saúde (São Paulo - Estado). São Paulo , SP, Brazil
Associated scholarship(s):16/22123-5 - Proposal of research internship on dementia, Down syndrome and neuroimage at Department of Psychiatry of University of Cambridge, BE.EP.DD

Abstract

People with Down syndrome have a high rate of Alzheimer's Dementia. However, tools for detection of dementia and cognitive decline in Brazil are not adapted for people with intellectual disabilities. Recently some diagnostic tools for dementia specific for this population have been validated in the United States and Europe. The CAMDEX-DS (The Cambridge Examination for Mental Disorders of Older People with Down's Syndrome and Others with Intellectual Disability) stands out due to its levels of validity and reliability, and the use of established diagnostic criteria (DSM-IV and ICD-10). The aim of this study is to investigate risk factors for cognitive decline and dementia in persons with Down Syndrome and evaluate the validity and reliability of the scale CAMDEX-DS for the Brazilian population with DS. It is a cross-sectional study of double-blind validation with translation, back-to-back translation and validation of the instrument, well as research on risk factors. Will be examined concurrent validity of the clinical diagnosis and CAMDEX DS and inter-rater reliability using the Kappa coefficient (p d .05). The validation CAMDEX-DS for the Brazilian population with Down Syndrome will allow early and effective diagnosis of dementia in this population, increasing the possibilities of pharmacological treatment and other geriatric interventions focused on improving its prognosis. (AU)

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Scientific publications (6)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
FONSECA, LUCIANA MASCARENHAS; YOKOMIZO, JULIANA EMY; BOTTINO, CASSIO MACHADO; FUENTES, DANIEL. Frontal Lobe Degeneration in Adults with Down Syndrome and Alzheimer's Disease: A Review. DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, v. 41, n. 3-4, p. 123-136, . (13/11571-9)
FONSECA, LUCIANA MASCARENHAS; MATTAR, GUILHERME PRADO; HADDAD, GLENDA GUERRA; GONCALVES, ALINE SOUZA; CONSTANTINO MIGUEL, ANDRE DE QUEIROZ; GUILHOTO, LAURA MARIA; ZAMAN, SHAHID; HOLLAND, ANTHONY J.; DE CAMPOS BOTTINO, CASSIO MACHADO; HOEXTER, MARCELO QUEIROZ. Frontal-subcortical behaviors during Alzheimer's disease in individuals with Down syndrome. NEUROBIOLOGY OF AGING, v. 78, p. 186-194, . (13/11571-9, 16/22123-5)
FONSECA, LUCIANA MASCARENHAS; DE OLIVEIRA, MELAINE CRISTINA; DE FIGUEIREDO FERREIRA GUILHOTO, AURA MARIA; CAVALHEIRO, ESPER ABRAO; BOTTINO, CASSIO M. C.. Bereavement and behavioral changes as risk factors for cognitive decline in adults with Down syndrome. NEUROPSYCHIATRIC DISEASE AND TREATMENT, v. 10, p. 2209-2219, . (13/11571-9)
FONSECA, LUCIANA M.; HADDAD, GLENDA G.; MATTAR, GUILHERME P.; DE OLIVEIRA, MELAINE C.; SIMON, SHARON S.; GUILHOTO, LAURA M.; BUSATTO, GERALDO F.; ZAMAN, SHAHID; HOLLAND, ANTHONY J.; HOEXTER, MARCELO Q.; et al. The validity and reliability of the CAMDEX-DS for assessing dementia in adults with Down syndrome in Brazil. Revista Brasileira de Psiquiatria, v. 41, n. 3, p. 225-233, . (16/22123-5, 13/11571-9)
FONSECA, LUCIANA M.; PADILLA, CONCEPCION; JONES, ELIZABETH; NEALE, NATALIE; HADDAD, GLENDA G.; MATTAR, GUILHERME P.; BARROS, ERITON; CLARE, ISABEL C. H.; BUSATTO, GERALDO F.; BOTTINO, CASSIO M. C.; et al. Amnestic and non-amnestic symptoms of dementia: An international study of Alzheimer's disease in people with Down's syndrome. INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, v. 35, n. 6, p. 650-661, . (13/11571-9, 16/22123-5)
FONSECA, LUCIANA M.; HADDAD, GLENDA G.; MATTAR, GUILHERME P.; DE OLIVEIRA, MELAINE C.; SIMON, SHARON S.; GUILHOTO, LAURA M.; BUSATTO, GERALDO F.; ZAMAN, SHAHID; HOLLAND, ANTHONY J.; HOEXTER, MARCELO Q.; et al. The validity and reliability of the CAMDEX-DS for assessing dementia in adults with Down syndrome in Brazil. Revista Brasileira de Psiquiatria, v. 41, n. 3, p. 9-pg., . (16/22123-5, 13/11571-9)
Academic Publications
(References retrieved automatically from State of São Paulo Research Institutions)
FONSECA, Luciana Mascarenhas. Evidence of executive dysfunction, disinhibition and apathy in cognitive decline and Alzheimer\'s dementia in people with Down syndrome. 2018. Doctoral Thesis - Universidade de São Paulo (USP). Faculdade de Medicina (FM/SBD) São Paulo.

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