Current Issues in Cognitive Testing of Older Adults

A special issue of Geriatrics (ISSN 2308-3417).

Deadline for manuscript submissions: 15 July 2025 | Viewed by 750

Special Issue Editors


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Guest Editor
College of Nursing, Florida Atlantic University, Boca Raton, FL, USA
Interests: cognition and physical functioning; driving; sensors; care transitions and diversity issues

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Guest Editor
Department of Psychology, College of Science, Florida Atlantic University, Boca Raton, FL 33431, USA
Interests: cross-cultural neuropsychology; bilingualism and cognitive reserve; cognition and driving

Special Issue Information

Dear Colleagues,

Current advances in the detection of subtle changes in cognition, increased use of biomarkers indicating impending cognitive decline, and movement of cognitive tests from paper and pencil to electronic versions have altered the landscape of neuropsychological testing of older adults. The fairness of using tests developed in populations other than the ones being tested continues to be a concern. Norms for those of very advanced age (90+) or for diverse populations are not available. The advantages of being computer literate, self-testing as a screening tool, use of tests by untrained auxiliary staff, participant rehearsal of tests in longitudinal studies, and even the effect of a poor score on the revocation of driving and other privileges need further examination and subsequent dissemination of the results not just to a research audience but also to clinicians who are using them.

Prof. Dr. Ruth Marchand Tappen
Prof. Dr. Mónica Rosselli
Guest Editors

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Keywords

  • neuropsychological testing
  • culture bias in cognitive testing
  • computer-based cognitive testing
  • computer literacy in older adults
  • rehearsal effect in longitudinal studies
  • bilingualism
  • need for additional norms
  • fairness in testing
  • detection and interpretation of subtle cognitive changes
  • new approaches for early detection

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Published Papers (1 paper)

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14 pages, 924 KiB  
Systematic Review
A Systematic Review on Subjective Cognitive Complaints: Main Neurocognitive Domains, Myriad Assessment Tools, and New Approaches for Early Detection
by Felipe Webster-Cordero and Lydia Giménez-Llort
Geriatrics 2025, 10(3), 65; https://doi.org/10.3390/geriatrics10030065 - 9 May 2025
Viewed by 315
Abstract
Background/Objectives: Neuropsychological testing is key in defining cognitive profiles at early stages of dementia. More importantly, the detection of subtle cognitive changes, such as subjective cognitive complaints (SCCs), an understudied phenomenon, is critical for early detection and preventive interventions. Methods: This systematic review [...] Read more.
Background/Objectives: Neuropsychological testing is key in defining cognitive profiles at early stages of dementia. More importantly, the detection of subtle cognitive changes, such as subjective cognitive complaints (SCCs), an understudied phenomenon, is critical for early detection and preventive interventions. Methods: This systematic review analyzes the empirical data on the cognitive domains and neuropsychological tests used in studies addressing SCC in the last 15 years (2009–2024). Results: A selection of 15 papers with exploratory, cross-sectional, and prospective scope in this field was obtained from PubMed and Embase databases. They used screening tests (17%) and a broad spectrum of neurocognitive domains. Yet, we identified three main targeted cognitive domains: executive functions (28%), language (17%), and memory (17%). Myriad assessment tools were also applied, but the most commonly used was a set of eight tests: Mini-mental Scale Examination (MMSE), Trail Making Test (A-B), Stroop test, Digit span test (DST), Semantic and Phonological fluency test, Rey Auditory Verbal Learning Test (RAVLT), Weschler Memory Scale (WMS), and Boston Naming Test (BNT). New approaches involved including the Geriatric Depression Scale (GDS) and self/informant reports. Conclusions: Despite scarce agreement in the assessment protocols, the identification of early neurocognitive symptoms to objectivate the SCC phenomenon envisions a broad field of research. Full article
(This article belongs to the Special Issue Current Issues in Cognitive Testing of Older Adults)
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