Background <p>Socio-cognitive assessment in neurocognitive disorders (NCDs) is rare in clinical practice and no consensus exists as to a uniform operationalization of socio-cognitive measures for NCDs in memory clinics. The <i>SIGNATURE</i> initiative aims to optimize the use of socio-cognitive measures in memory clinics, defining expert recommendations. We report consortium guidelines for the use of socio-cognitive measures in NCDs based on available evidence from the literature and the current state of practices in memory clinics.</p> Methods <p>Using a Delphi consensus method supported by a literature review and the results of an international survey, 22 specialists defined recommendations for the context of use, relevance in NCD diagnosis, priorities for future research and facilitators/obstacles of socio-cognitive assessment in major and mild NCDs.</p> Results <p>Overall, panelists recommended social cognition testing in routine diagnostic assessment to evaluate both socio-cognitive and socio-behavioral alterations. A set of clinical, methodological, implementation and external factors facilitating or hampering the use of socio-cognitive tasks was identified.</p> Conclusions <p>This is the first focused endeavor to favor the implementation of socio-cognitive assessment, which is required by DSM-5 but seldom performed despite clear evidence of its clinical relevance for diagnosis and care. Our results provide an initial set of recommendations, refinable through the future actions of the <i>SIGNATURE</i> initiative. Future collaborative clinical research projects should overcome current limitations and foster the use of ecological and cross-culturally validated measures in clinics.</p>

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International consensus for the assessment of social cognition in neurocognitive disorders: framework definition and clinical recommendations of the SIGNATURE initiative

  • Alessandra Dodich,
  • Andrea Panzavolta,
  • Giulia Funghi,
  • Claudia Meli,
  • Cristina Festari,
  • Thanos Chatzikostopoulos,
  • Christian Chicherio,
  • Florencia Clarens,
  • Fabricio Ferreira de Oliveira,
  • Marco Filardi,
  • Agustin Ibanez,
  • Laura Invernizzi,
  • Thibaud Lebouvier,
  • Giancarlo Logroscino,
  • Sarah E. MacPherson,
  • Riccardo Manca,
  • Camillo Marra,
  • Jordi A. Matias-Guiu,
  • Maxime Montembeault,
  • Costanza Papagno,
  • Simone Pomati,
  • Mario Possenti,
  • Olivier Piguet,
  • Leonardo Sacco,
  • Ann-Katrin Schild,
  • Marc Sollberger,
  • Miguel Tábuas-Pereira,
  • Marianna Tsatali,
  • Magda Tsolaki,
  • Esther van den Berg,
  • Stefano F. Cappa,
  • Maxime Bertoux,
  • Fiona Kumfor,
  • Jan Van den Stock,
  • Marina Boccardi,
  • Kathleen Anne Welsh-Bohmer,
  • Chiara Cerami,
  • Federica Agosta,
  • Elisa Canu,
  • Ove Almkvist,
  • Goran Hagman,
  • Bengt Winblad,
  • Daniele Altomare,
  • Davide Angioni,
  • Jean-Marie Annoni,
  • Luca Beretta,
  • Manfred Berres,
  • Valentina Bessi,
  • Ingo Fimm,
  • Ingo Kilimann,
  • Emre Bora,
  • Andrea Brioschi-Guevara,
  • Andreas Buchmann,
  • Anton Gietl,
  • Cinzia Bussè,
  • Annachiara Cagnin,
  • Russell Chander,
  • Matthias Kliegel,
  • Nathalie Mella,
  • Alfredo Costa,
  • Camille Coulangers,
  • Pierre-Jean Ousset,
  • Chiara Cupidi,
  • Jean-François Démonet,
  • Mira Didic,
  • Francesco Di Lorenzo,
  • Bruno Dubois,
  • Alan Cronemberger Andrade,
  • Bruno Fimm,
  • Douglas Galasko,
  • Nicola Girtler,
  • Flavio Nobili,
  • Matteo Pardini,
  • Julie Henry,
  • Renelle Bourdage,
  • Lize Jiskoot,
  • Jackie Poos,
  • Haaro Seelaar,
  • Stefan Klöppel,
  • Christine Krebs,
  • Walter A. Kukull,
  • Richard Levy,
  • Marisa Lima,
  • Antonella Luca,
  • Simona Luzzi,
  • Marta Fernández Matarrubia,
  • Patrizia Mecocci,
  • Martina Pigliautile,
  • Alina Menichelli,
  • Micaela Mitolo,
  • Andreas U. Monsch,
  • Despoina Moraitou,
  • Petr Novak,
  • Miriam E. Ortiz,
  • Sokratis Papageorgiou,
  • Nikolaos Scarmeas,
  • John Papatriantafyllou,
  • Andrea Plutino,
  • Davide Quaranta,
  • Inez Ramakers,
  • Stefania Rossi,
  • Mirella Russo,
  • Stefano Sensi,
  • Perminder Sachdev,
  • David P. Salmon,
  • Pilar Sanchez,
  • Florian Schöberl,
  • Steven D. Shirk,
  • Alessio Toraldo,
  • Annalena Venneri,
  • Dix Meiberth,
  • Maurizio Gallucci,
  • Fotini Kounti,
  • Silvia Rodrigo Herrero,
  • Pietro Marano,
  • Tommaso Piccoli,
  • Samrah Ahmed,
  • Fabiola Böhm,
  • Matthias Schroeter,
  • Susanna Vestberg,
  • Marie Söntgerath,
  • Jennifer Thompson,
  • Tamlyn Watermeyer,
  • Hendrick-Jan van der Waal,
  • Lucy Chrisman-Russell,
  • Silvana Morson,
  • Lucas Wolski,
  • Renzo Dori,
  • Andrea Fabbo,
  • Chiara Galli,
  • Claudia Bartels,
  • Gert Geurtsen,
  • Francesca Baglio,
  • Sara Isernia,
  • Cem Dogdu,
  • Elisa Ruiu,
  • Fijanne Strijkert,
  • Nikki Zimmermann,
  • Wendy Weidner,
  • Helena Briales,
  • Rita Pezzati,
  • Anne Rita Oksengard,
  • Angela Bradshaw

摘要

Background

Socio-cognitive assessment in neurocognitive disorders (NCDs) is rare in clinical practice and no consensus exists as to a uniform operationalization of socio-cognitive measures for NCDs in memory clinics. The SIGNATURE initiative aims to optimize the use of socio-cognitive measures in memory clinics, defining expert recommendations. We report consortium guidelines for the use of socio-cognitive measures in NCDs based on available evidence from the literature and the current state of practices in memory clinics.

Methods

Using a Delphi consensus method supported by a literature review and the results of an international survey, 22 specialists defined recommendations for the context of use, relevance in NCD diagnosis, priorities for future research and facilitators/obstacles of socio-cognitive assessment in major and mild NCDs.

Results

Overall, panelists recommended social cognition testing in routine diagnostic assessment to evaluate both socio-cognitive and socio-behavioral alterations. A set of clinical, methodological, implementation and external factors facilitating or hampering the use of socio-cognitive tasks was identified.

Conclusions

This is the first focused endeavor to favor the implementation of socio-cognitive assessment, which is required by DSM-5 but seldom performed despite clear evidence of its clinical relevance for diagnosis and care. Our results provide an initial set of recommendations, refinable through the future actions of the SIGNATURE initiative. Future collaborative clinical research projects should overcome current limitations and foster the use of ecological and cross-culturally validated measures in clinics.