Language, executive function and social cognition in the diagnosis of frontotemporal dementia syndromes
Open accessAbstract
Frontotemporal dementia (FTD) represents a spectrum of non-Alzheimer's degenerative conditions associated with focal atrophy of the frontal and/or temporal lobes. Frontal and temporal regions of the brain have been shown to be strongly involved in executive function, social cognition and language processing and, thus, deficits in these domains are frequently seen in patients with FTD or may even be hallmarks of a specific FTD subtype (i.e. relatively selective and progressive language impairment in primary progressive aphasia). In this review we have attempted to delineate how language, executive function, and social cognition may contribute to the diagnosis of FTD syndromes, namely the behavioural variant FTD as well as the language variants of FTD including the three subtypes of primary progressive aphasia (PPA): non-fluent/agrammatic, semantic and logopenic. This review also addresses the extent to which deficits in these cognitive areas contribute to the differential diagnosis of FTD versus Alzheimer's disease (AD). Finally, early clinical determinants of pathology are briefly discussed and contemporary challenges to the diagnosis of FTD are presented.
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Patients with bvFTD may show aberrant strategies and behaviours during the neuropsychological examination, such as stereotypies of speech, impulsivity, rigidity, obsessionality and clock watching.
“For example, although test results may be within normal range, patients with bvFTD may show aberrant strategies and behaviours during the neuropsychological examination, such as stereotypies of speech, impulsivity, rigidity, obsessionality and clock watching.”
From Recommendations to distinguish behavioural variant frontotemporal dementia from psychiatric disorders (2020) · cites this paper as Harciarek and Cosentino, 2013
The executive-function section (page unavailable) says some patients with FTD score in the normal range on certain tests despite impaired behavior, and that qualitative features of bvFTD test performance can be more informative than overall scores. It describes repetitions, perseveration and rule violations, but does not identify the claimed examination behaviors—stereotypies of speech, impulsivity, rigidity, obsessionality or clock watching—as examples. (LLM, conf=0.84)
Experimental — accuracy not yet measuredMajor deficits in attention and executive functions are often reported in patients with bvFTD.
“Major deficits in attention (Kipps et al. , 2008) and executive functions (Kipps et al. , 2008; Harciarek and Cosentino, 2013) are often reported; however, these are not specific to bvFTD (Jenner et al. , 2006).”
From Recommendations to distinguish behavioural variant frontotemporal dementia from psychiatric disorders (2020) · cites this paper as Harciarek and Cosentino, 2013
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- Authors
- Harciarek, M., & Cosentino, S.
- Affiliations
- University of Gdańsk (PL)
- Columbia University Irving Medical Center (US)
- Corresponding author
- Harciarek, Michał
- Venue
- International Review of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2013-04
- Volume
- 25
- Issue
- 2
- Pages
- 178-196
- ISSN
- 0954-0261 (ISSN-L)
- 1369-1627
- PMC
- PMC4481322
- OpenAlex
- W2112261117
- Cited by
- 77
- References
- 220
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 7 · 2023: 5 · 2022: 10 · 2021: 11 · 2020: 8 · 2019: 3 · 2018: 3 · 2017: 8 · 2016: 4 · 2015: 7 · 2014: 1 · 2012: 1
- FWCI
- 0.55
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Review of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (K23AG032899)
- National Institute of Neurological Disorders and Stroke (R01NS076837)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Keywords
- frontotemporal dementia, primary progressive aphasia, behavioral variant frontotemporal dementia, executive function, social cognition, language impairment, differential diagnosis from Alzheimer's disease, semantic variant, logopenic variant
- MeSH terms
- Aphasia, Diagnosis, Differential, Humans, Language, Language Tests, Neuropsychological Tests, Executive Function, Emotional Intelligence, Frontotemporal Dementia
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