Understanding barriers and optimizing socio-cognitive assessment in the diagnosis of neurocognitive disorders. Cerami, C., Boccardi, M., Meli, C., Panzavolta, A., Funghi, G., Festari, C., Cappa, S. F, Chatzikostopoulos, T., Chicherio, C., Clarens, F., de Oliveira, F. F., Di Lorenzo, F., Filardi, M., Ibanez, A., Girtler, N., Lebouvier, T., Logroscino, G., Luca, A., MacPherson, S. E, Matias-Guiu, J. A, Piccoli, T., Piguet, O., Pomati, S., Russo, M., Sacco, L., Schild, A., Sensi, S. L, Shirk, S. D, Sollberger, M., Tábuas-Pereira, M., Tsolaki, M., van den Berg, E., Bertoux, M., Kumfor, F., Van den Stock, J., Welsh-Bohmer, K. A, & Dodich, A. Journal of neuropsychology, 19(3):603–618, sep, 2025. doi abstract bibtex Harmonized neuropsychological assessment for neurocognitive disorders (NCDs) is an urgent priority in clinics. Neuropsychology assessments in NCDs seldom include tests exploring social cognitive skills. In 2022, we launched the SIGNATURE initiative to optimize socio-cognitive assessment in NCDs. Here, we report findings from the first initiative phase, including consortium creation and evaluation of the state of the art in socio-cognitive assessment in memory clinics. We developed an ad hoc online survey to explore practices and measures, relevance, and obstacles preventing the use of socio-cognitive testing in clinics. The survey was distributed within the SIGNATURE network. National coordinators were identified to disseminate the survey to local collaborators and scientific societies active in the field of dementia and/or neuropsychology. Data were analysed in aggregate form and stratified by geographical area and variables of interest. Four hundred and thirteen (413) responses from 10 European and Latin American geographical regions were recorded. Responders were balanced between physicians and psychologists. Seventy-eight (78) % of respondents reported no/limited experience with socio-cognitive measures; more than 85% agreed on their relevance in clinics. Ekman-60 faces was the most well-known and/or used task, followed by the Faux-Pas and Reading-the-Mind-in-the-Eyes tests. Lack of clinical measures, assessment time, guidelines, and education/training were reported as main obstacles. Real-life barriers prevent the adoption of socio-cognitive testing in clinics. Bidirectional collaboration between clinicians and researchers is required to address clinical needs and constraints and facilitate consistent socio-cognitive assessment.
@article{Cerami2025,
abstract = {Harmonized neuropsychological assessment for neurocognitive disorders (NCDs) is an urgent priority in clinics. Neuropsychology assessments in NCDs seldom include tests exploring social cognitive skills. In 2022, we launched the SIGNATURE initiative to optimize socio-cognitive assessment in NCDs. Here, we report findings from the first initiative phase, including consortium creation and evaluation of the state of the art in socio-cognitive assessment in memory clinics. We developed an ad hoc online survey to explore practices and measures, relevance, and obstacles preventing the use of socio-cognitive testing in clinics. The survey was distributed within the SIGNATURE network. National coordinators were identified to disseminate the survey to local collaborators and scientific societies active in the field of dementia and/or neuropsychology. Data were analysed in aggregate form and stratified by geographical area and variables of interest. Four hundred and thirteen (413) responses from 10 European and Latin American geographical regions were recorded. Responders were balanced between physicians and psychologists. Seventy-eight (78) % of respondents reported no/limited experience with socio-cognitive measures; more than 85% agreed on their relevance in clinics. Ekman-60 faces was the most well-known and/or used task, followed by the Faux-Pas and Reading-the-Mind-in-the-Eyes tests. Lack of clinical measures, assessment time, guidelines, and education/training were reported as main obstacles. Real-life barriers prevent the adoption of socio-cognitive testing in clinics. Bidirectional collaboration between clinicians and researchers is required to address clinical needs and constraints and facilitate consistent socio-cognitive assessment.},
author = {Cerami, Chiara and Boccardi, Marina and Meli, Claudia and Panzavolta, Andrea and Funghi, Giulia and Festari, Cristina and Cappa, Stefano F and Chatzikostopoulos, Thanos and Chicherio, Christian and Clarens, Florencia and de Oliveira, Fabricio Ferreira and {Di Lorenzo}, Francesco and Filardi, Marco and Ibanez, Agustin and Girtler, Nicola and Lebouvier, Thibaud and Logroscino, Giancarlo and Luca, Antonella and MacPherson, Sarah E and Matias-Guiu, Jordi A and Piccoli, Tommaso and Piguet, Olivier and Pomati, Simone and Russo, Mirella and Sacco, Leonardo and Schild, Ann-Katrin and Sensi, Stefano L and Shirk, Steven D and Sollberger, Marc and T{\'{a}}buas-Pereira, Miguel and Tsolaki, Magda and van den Berg, Esther and Bertoux, Maxime and Kumfor, Fiona and {Van den Stock}, Jan and Welsh-Bohmer, Kathleen A and Dodich, Alessandra},
doi = {10.1111/jnp.12431},
institution = {SIGNATURE initiative},
issn = {1748-6653 (Electronic)},
journal = {Journal of neuropsychology},
keywords = {Europe,Female,Humans,Male,Neurocognitive Disorders,Neuropsychological Tests,Social Cognition,Surveys and Questionnaires,diagnosis,psychology,standards},
language = {eng},
month = {sep},
number = {3},
pages = {603--618},
pmid = {40365933},
title = {{Understanding barriers and optimizing socio-cognitive assessment in the diagnosis of neurocognitive disorders.}},
volume = {19},
year = {2025}
}
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Neuropsychology assessments in NCDs seldom include tests exploring social cognitive skills. In 2022, we launched the SIGNATURE initiative to optimize socio-cognitive assessment in NCDs. Here, we report findings from the first initiative phase, including consortium creation and evaluation of the state of the art in socio-cognitive assessment in memory clinics. We developed an ad hoc online survey to explore practices and measures, relevance, and obstacles preventing the use of socio-cognitive testing in clinics. The survey was distributed within the SIGNATURE network. National coordinators were identified to disseminate the survey to local collaborators and scientific societies active in the field of dementia and/or neuropsychology. Data were analysed in aggregate form and stratified by geographical area and variables of interest. Four hundred and thirteen (413) responses from 10 European and Latin American geographical regions were recorded. Responders were balanced between physicians and psychologists. Seventy-eight (78) % of respondents reported no/limited experience with socio-cognitive measures; more than 85% agreed on their relevance in clinics. Ekman-60 faces was the most well-known and/or used task, followed by the Faux-Pas and Reading-the-Mind-in-the-Eyes tests. Lack of clinical measures, assessment time, guidelines, and education/training were reported as main obstacles. Real-life barriers prevent the adoption of socio-cognitive testing in clinics. 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