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Longitudinal Neuropsychological Assessment in Two Elderly Adults With Attention-Deficit/Hyperactivity Disorder: Case Report.
Klein, Margarete; Silva, Maria Aparecida; Belizario, Gabriel Okawa; Rocca, Cristiana Castanho de Almeida; Padua Serafim, Antonio De; Louzã, Mario R.
Afiliação
  • Klein M; Department of Psychiatry, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
  • Silva MA; Institute of Psychiatry, Clinical Hospital, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
  • Belizario GO; Department of Psychiatry, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
  • Rocca CCA; Department of Psychiatry, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
  • Padua Serafim A; Clinical Hospital, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
  • Louzã MR; Department of Psychology, Methodist University of São Paulo, São Bernardo do Campo, Brazil.
Front Psychol ; 10: 1119, 2019.
Article em En | MEDLINE | ID: mdl-31191384
ABSTRACT
The neuropsychological deficits in attention-deficit/hyperactivity disorder (ADHD) may present clinical features similar to mild and/or major neurocognitive disorder and may act as a confounding factor, making it difficult to detect cognitive decline. In this paper, we present the results of longitudinal neuropsychological evaluations in two elderly women with ADHD. Three neuropsychological assessments were performed in two women with ADHD (60 and 77 years old) between 2010 and 2013 at intervals varying from 12 to 15 months. We used structural magnetic resonance imaging to rule out significant abnormalities that could account for cognitive impairment. The results showed two different cognitive profiles with fluctuations in performance over these 2 years, sometimes with improvement and sometimes with decline of some functions such as attention, memory, inhibitory control, and reaction time. To minimize confounding aspects of these fluctuations in clinical practice, we used a longer follow-up with the application of a reliable change index and a minimum of three spaced assessments to provide a more consistent baseline cognitive profile. Our findings did not indicate a consistent cognitive decline, suggesting a less pessimistic perspective about cognitive impairments that could be a prodrome of ADHD-related dementia.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Front Psychol Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Front Psychol Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil