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Cognitive Symptoms Preceding a Diagnosis of Early-Onset Frontotemporal Dementia

A Scoping Review

Bibliographic Data

ID22415739
AuthorsTracy Milner (0009-0000-3329-5296, University of Alberta), Fatema M Akbar (University of Alberta), Fatema Akbar (0000-0001-5638-6836, University of Alberta), Liz Dennett (0000-0003-0758-5411, University of Alberta), Chelsea Jones (0000-0001-7713-4099, University of Alberta), Ada W Leung (University of Alberta), Ada W S Leung (University of Alberta), Matthew R G Brown (University of Alberta), Suzette Bremault-Phillips (University of Alberta)
Year2026
Volume45
Issue2
Pages299-311
Publication date2026-06-01
Open AccessYes
TypeARTICLE
VenueCanadian Journal on Aging / La Revue canadienne du vieillissement (JOURNAL)
Journal identifiersISSN: 0714-9808 • E-ISSN: 1710-1107
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s0714980826100634
PMID41958413
OpenAlexW7152963787
LanguageEN
References cited30

Background Early-onset frontotemporal dementia (EO-FTD) presents before age 65 and is frequently misdiagnosed as psychiatric or behavioural disorders, delaying care. Objective This scoping review synthesizes research on EO-FTD’s earliest cognitive symptoms from patients, companions (family and friends), healthcare professionals, and cognitive tests to promote early detection. Methods A systematic search of six databases (Medline, Embase, CINAHL, PsycInfo, Scopus, and Proquest Dissertations and Theses) identified 2197 studies of which 16 met inclusion criteria, encompassing 663 EO-FTD participants. Findings A total of 35 unique cognitive symptoms were identified. Memory, attention, and executive dysfunction were most frequently reported. Symptom terminology varied widely, often mirroring cognitive test phrasing, limiting clinical applicability. Many studies relied on cognitive test scores rather than detailed symptom descriptions, with patient and companion reports underrepresented. Discussion The findings underscore the need for standardized nomenclature, improved assessment tools, and greater inclusion of patient and companion perspectives to enhance EO-FTD early diagnosis and intervention strategies.

Cognition · Cognitive Intervention · Frontotemporal dementia · Medical diagnosis · MEDLINE · Amyotrophic Lateral Sclerosis Research · Dementia and Cognitive Impairment Research · Older Adults Driving Studies

  • A scoping review on the conduct and reporting of scoping reviews

    Open Access•Andrea C Tricco, Erin Lillie et al.•BMC Medical Research Methodology•2016

Highly citedNo

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