Publications by authors named "Nicole A. Kochan"

Situational factors can influence cognitive performance and should be considered for conducting cognitive assessments. The objective of this project was to develop a checklist for Cognitive Assessment Requirements (CARE) to identify these situational factors before conducting cognitive assessments and account for them. This study employed a four-round Delphi approach involving 22 experts to identify situational factors that can impact cognitive assessment results.

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  • The SKT is a cognitive test that evaluates memory and mental processing speed, and recent updates in 2019 established new standards for its use in English.
  • This study aimed to set valid cut-off scores to differentiate between no cognitive impairment, mild cognitive impairment (MCI), and dementia, and to validate these norms against a sample of older adults with clinical diagnoses.
  • Results showed the SKT has an 80.6% sensitivity for identifying cognitive impairment, indicating it is an effective tool for detecting early stages of cognitive issues among older adults.
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  • Poststroke cognitive impairment is common, but the exact changes in cognitive function following a first stroke compared to pre-stroke levels are not fully understood.
  • The study aimed to track cognitive performance over time in stroke survivors versus individuals without strokes, using data from 14 international cohorts of older adults.
  • Results showed that incident stroke led to a significant immediate drop in overall cognitive skills and accelerated decline in cognitive abilities over time.
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  • The study investigated how individuals with mild cognitive impairment (MCI) and dementia perform on social cognition tests, comparing these results to those without cognitive impairment.
  • It involved a cross-sectional analysis of 321 older adults aged 80 and above, utilizing various social cognitive assessment tools and screening for levels of apathy and neurocognitive function.
  • Findings indicated that participants with dementia showed notably worse social cognitive abilities compared to those with MCI and no cognitive impairment, particularly in emotional recognition and perspective-taking tasks.
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Structural neuroimaging data have been used to compute an estimate of the biological age of the brain (brain-age) which has been associated with other biologically and behaviorally meaningful measures of brain development and aging. The ongoing research interest in brain-age has highlighted the need for robust and publicly available brain-age models pre-trained on data from large samples of healthy individuals. To address this need we have previously released a developmental brain-age model.

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Introduction: Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) is a rare genetic condition with a broad phenotypic presentation. This study aims to establish the first Australian cohort of individuals affected by CADASIL (AusCADASIL) and examine its clinical features and longitudinal course, and to investigate neuroimaging and blood biomarkers to assist in early diagnosis and identify disease progression.

Methods: Participants will be recruited from six study centres across Australia for an observational study of CADASIL.

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  • Research on verbal declarative memory (VDM) aims to understand the genetic factors that influence memory decline and dementia in older adults to develop potential interventions.
  • The study analyzed data from over 29,000 older, non-demented Europeans to explore relationships between genetic variants, gene expression, and brain tissues, finding significant associations across various pathways.
  • Results indicated that genetic variations linked to VDM are regulated by genes, transcription factors, and immune-related pathways, highlighting their importance in cognitive performance among older individuals.
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  • The Mini-Mental State Examination (MMSE) is commonly used to screen cognitive impairments, but its effectiveness in capturing various cognitive abilities compared to standard neuropsychological tests is questioned.
  • A study with 1,037 older adults over 6 years revealed that only the total MMSE score and the language and recall domains were linked to memory performance, while other domains showed no unique associations.
  • The study supports the MMSE's validity for general screening of cognitive change but emphasizes that it shouldn't replace comprehensive neuropsychological evaluations for diagnosing specific cognitive deficits.
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We present an empirically benchmarked framework for sex-specific normative modeling of brain morphometry that can inform about the biological and behavioral significance of deviations from typical age-related neuroanatomical changes and support future study designs. This framework was developed using regional morphometric data from 37,407 healthy individuals (53% female; aged 3-90 years) following a comparative evaluation of eight algorithms and multiple covariate combinations pertaining to image acquisition and quality, parcellation software versions, global neuroimaging measures, and longitudinal stability. The Multivariate Factorial Polynomial Regression (MFPR) emerged as the preferred algorithm optimized using nonlinear polynomials for age and linear effects of global measures as covariates.

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The Telephone Interview for Cognitive Status-modified (TICS-M) is a well-established and widely used screening instrument for dementia and assessment of global cognitive function in older people. This study aimed to evaluate the psychometric properties of the TICS-M and to enhance the accuracy of the instrument using Rasch methodology. Partial Credit Rasch model was applied to the TICS-M scores.

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Background: The modified Telephone Interview for Cognitive Status (TICS-M) is a widely used tool for assessing global cognitive functions and screening for cognitive impairments. The tool was conceptualised to capture various cognitive domains, but the validity of such domains has not been investigated against comprehensive neuropsychological assessments tools. Therefore, this study aimed to explore the associations between the TICS-M domains and neuropsychological domains to evaluate the validity of the TICS-M domains using network analysis.

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Background: Evidence suggests that lifestyle activities impact cognitive and mental health in older populations. However, how lifestyle factors are associated with one another, and which factors are most important for cognitive function and mental health has received comparatively little attention.

Design: Bayesian-Gaussian network analysis was used to investigate unique associations between mental activities (MA; i.

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Background: Few studies have compared gait speed and its correlates among different ethnogeographic regions. The goals of this study were to describe usual and rapid gait speed, and identify their correlates across Australian, Asian, and African countries.

Methods: We used data from 6 population-based cohorts of adults aged 65+ from 6 countries and 3 continents (N = 6 472), with samples ranging from 231 to 1 913.

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  • * A study with 873 older adults and their informants found that 70% of participants reported SCCs, which increased over time, while only 22% of informants reported SCCs at baseline, with a more significant increase annually.
  • * Informant-reported SCCs (both initial impressions and changes over time) were strong predictors of future dementia risk, while participant-reported SCCs mainly reflected initial reporting and did not change the risk significantly.
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  • * A study of 546 older Australians found that cognitive activity during young adulthood was significantly related to better cognitive performance later in life, while social activity in young adulthood and cognitive activity in later life helped reduce cognitive decline.
  • * The analysis revealed that formal education during young adulthood is a crucial factor contributing to improved cognitive performance in late life, contrasting with a lack of association between physical activity and cognitive outcomes.
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Objectives: This study aimed to test whether prospective memory (PM) was an early cognitive marker of future cognitive decline and incident dementia using longitudinal data spanning 8 years from the Sydney Memory and Ageing Study.

Methods: At baseline, 121 participants aged 72-91 years were tested in PM using a validated PM task, Virtual Week, which included time- and event-based tasks presented with varying regularity. Responses were scored "Correct" if completed accurately and "Missed" if the target was not remembered at any time.

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Background: The 16-item Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE-16) is a well-validated and widely-used measure of cognitive changes (CCs) among older adults. This study aimed to use Rasch methodology to establish psychometric properties of the IQCODE-16 and validate the existing ordinal-to-interval transformation algorithms across multiple large samples.

Methods: A Partial Credit Rasch model was employed to examine psychometric properties of the IQCODE-16 using data (n = 918) from two longitudinal studies of participants aged 57-99 years: the Older Australian Twins Study (n = 450) and the Canberra Longitudinal Study (n = 468), and reusing the Sydney Memory and Ageing Study (MAS) sample (n = 400).

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Introduction: There are limited data on prevalence of dementia in centenarians and near-centenarians (C/NC), its determinants, and whether the risk of dementia continues to rise beyond 100.

Methods: Participant-level data were obtained from 18 community-based studies (N = 4427) in 11 countries that included individuals ≥95 years. A harmonization protocol was applied to cognitive and functional impairments, and a meta-analysis was performed.

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Background: Self-administered computerized neuropsychological assessments (CNAs) provide lower cost, more accessible alternatives to traditional in-person assessments but lack critical information on psychometrics and subjective experience of older adults in remote testing environments.

Objective: We used an online brief battery of computerized tasks selected from the Cogstate Brief Battery (CBB) and Cambridge Brain Sciences (CBS) to 1) determine test-retest reliability in an unsupervised setting; 2) examine convergent validity with a comprehensive 'gold standard' paper-and-pencil neuropsychological test battery administered in-person; and 3) explore user-experience of remote computerized testing and individual tests.

Methods: Fifty-two participants (mean age 65.

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  • This study compares three methods of assessing cognitive and affective empathy (behavioral, informant-report, and self-report) in a large adult sample (n=371) and finds that cognitive empathy measures show less agreement than affective ones.
  • While self-reports on affective empathy align with behavioral and informant-reports, cognitive empathy measures do not correlate with each other, highlighting issues with the validity of these assessments.
  • Informant-report measures are linked to better social functioning, and importantly, the effectiveness of these empathy assessments does not change with age, suggesting stable outcomes across different life stages.
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Objectives: Normal adult aging is associated with changes in social cognition. Although 4 social cognitive domains have been identified (social perception, theory of mind [ToM], affective empathy, and social behavior), no study has tested all 4 domains concurrently in a life-span sample, limiting understanding of the relative magnitude of age-related changes across domains. This study addresses this gap by providing the first assessment of all 4 social cognitive domains in an adult life-span sample.

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  • Understanding the genetic basis of memory could help address neurodegenerative disorders, and a study examined this in a large group of adults without dementia or stroke (N=53,637).
  • Researchers identified new genetic locations associated with verbal short-term memory and learning, particularly in the genes CDH18 and APOE/APOC1/TOMM40, with results verified in a separate sample.
  • Analysis showed that a genetic score for verbal learning correlated with brain activity during memory tasks and linked memory traits to various cognitive and health outcomes.
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Background: Prioritizing the maintenance of healthy cognitive aging and personalizing preventive interventions to enhance their effectiveness is crucial as the global population ages. Systemic inflammation and depression in older people have been associated with decreased levels of cognition but results have been inconsistent.

Aims: To explore the interactive network of inflammation, depression and cognition by sex in older people.

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  • Polygenic risk scores (PRSs) enhance the prediction of late-onset Alzheimer's disease (LOAD) risk beyond what is provided by the apolipoprotein E (APOE) gene, but they haven't been used much to find genetic factors that offer resilience against the disease.
  • The study aimed to identify genetic variants that confer resilience in two groups: unaffected individuals with high PRSs for LOAD and unaffected carriers of the APOE-ε4 variant also with high PRSs.
  • The researchers employed genome-wide association studies (GWAS) to create polygenic resilience scores, successfully replicating two of them across eight studies, suggesting that certain common genetic variants can help mitigate the risk of developing LOAD despite high genetic predisposition.
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