Could Temperamental Features Modulate Participation in Clinical Trials?

The prodromal stages of Alzheimer’s disease (AD) are the primary focus of research aimed at slowing disease progression. This study explores the influence of affective temperament on the motivation of people with mild cognitive impairment (MCI) and subjective cognitive decline (SCD) to participate i...

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Main Authors: Simona Cintoli, Camilla Elefante, Claudia Radicchi, Giulio Emilio Brancati, Silvia Bacciardi, Joyce Bonaccorsi, Gabriele Siciliano, Icro Maremmani, Giulio Perugi, Gloria Tognoni
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/3/1121
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author Simona Cintoli
Camilla Elefante
Claudia Radicchi
Giulio Emilio Brancati
Silvia Bacciardi
Joyce Bonaccorsi
Gabriele Siciliano
Icro Maremmani
Giulio Perugi
Gloria Tognoni
author_facet Simona Cintoli
Camilla Elefante
Claudia Radicchi
Giulio Emilio Brancati
Silvia Bacciardi
Joyce Bonaccorsi
Gabriele Siciliano
Icro Maremmani
Giulio Perugi
Gloria Tognoni
author_sort Simona Cintoli
collection DOAJ
description The prodromal stages of Alzheimer’s disease (AD) are the primary focus of research aimed at slowing disease progression. This study explores the influence of affective temperament on the motivation of people with mild cognitive impairment (MCI) and subjective cognitive decline (SCD) to participate in clinical trials. One hundred four subjects with MCI and SCD were screened for participation in pharmacological and non-pharmacological trials. Affective temperament was assessed based on the Temperament Evaluation of the Memphis, Pisa, Paris and San Diego (TEMPS) scale. Demographic variables and temperament subscales scores were compared between MCI and SCD patients and among patients participating in the pharmacological trial, the non-pharmacological trial and refusing participation. Twenty-one subjects consented to participate in the pharmacological trial, seventy consented to the non-pharmacological trial and thirteen refused to participate in any trial. Patients with SCD had greater education and more depressive temperamental traits than those with MCI. While older age, higher education and anxious temperament were negatively associated with participation in the pharmacological trial, irritable temperamental positively predicted pharmacological trial participation. In conclusion, temperamental features may affect the willingness of patients with MCI and SCD to take part in clinical trials and, especially, the choice to participate in pharmacological studies.
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spelling doaj.art-cf7ca4070d4a4f48903b40eea02627712023-11-16T17:12:02ZengMDPI AGJournal of Clinical Medicine2077-03832023-01-01123112110.3390/jcm12031121Could Temperamental Features Modulate Participation in Clinical Trials?Simona Cintoli0Camilla Elefante1Claudia Radicchi2Giulio Emilio Brancati3Silvia Bacciardi4Joyce Bonaccorsi5Gabriele Siciliano6Icro Maremmani7Giulio Perugi8Gloria Tognoni9Neurology Unit, Santa Chiara University Hospital, 56126 Pisa, ItalyPsychiatry Unit, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyInstitute of Neuroscience, National Research Council, 56124 Pisa, ItalyPsychiatry Unit, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyDepartment of Psychiatry, North-Western Tuscany Region NHS Local Health Unit, Versilia Zone, 55049 Viareggio, ItalyNeurology Unit, Santa Chiara University Hospital, 56126 Pisa, ItalyNeurology Unit, Santa Chiara University Hospital, 56126 Pisa, ItalyPsychiatry Unit, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyPsychiatry Unit, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyNeurology Unit, Santa Chiara University Hospital, 56126 Pisa, ItalyThe prodromal stages of Alzheimer’s disease (AD) are the primary focus of research aimed at slowing disease progression. This study explores the influence of affective temperament on the motivation of people with mild cognitive impairment (MCI) and subjective cognitive decline (SCD) to participate in clinical trials. One hundred four subjects with MCI and SCD were screened for participation in pharmacological and non-pharmacological trials. Affective temperament was assessed based on the Temperament Evaluation of the Memphis, Pisa, Paris and San Diego (TEMPS) scale. Demographic variables and temperament subscales scores were compared between MCI and SCD patients and among patients participating in the pharmacological trial, the non-pharmacological trial and refusing participation. Twenty-one subjects consented to participate in the pharmacological trial, seventy consented to the non-pharmacological trial and thirteen refused to participate in any trial. Patients with SCD had greater education and more depressive temperamental traits than those with MCI. While older age, higher education and anxious temperament were negatively associated with participation in the pharmacological trial, irritable temperamental positively predicted pharmacological trial participation. In conclusion, temperamental features may affect the willingness of patients with MCI and SCD to take part in clinical trials and, especially, the choice to participate in pharmacological studies.https://www.mdpi.com/2077-0383/12/3/1121Alzheimer’ diseasemild cognitive impairmentsubjective cognitive declinetemperamentclinical trialsrecruitment
spellingShingle Simona Cintoli
Camilla Elefante
Claudia Radicchi
Giulio Emilio Brancati
Silvia Bacciardi
Joyce Bonaccorsi
Gabriele Siciliano
Icro Maremmani
Giulio Perugi
Gloria Tognoni
Could Temperamental Features Modulate Participation in Clinical Trials?
Journal of Clinical Medicine
Alzheimer’ disease
mild cognitive impairment
subjective cognitive decline
temperament
clinical trials
recruitment
title Could Temperamental Features Modulate Participation in Clinical Trials?
title_full Could Temperamental Features Modulate Participation in Clinical Trials?
title_fullStr Could Temperamental Features Modulate Participation in Clinical Trials?
title_full_unstemmed Could Temperamental Features Modulate Participation in Clinical Trials?
title_short Could Temperamental Features Modulate Participation in Clinical Trials?
title_sort could temperamental features modulate participation in clinical trials
topic Alzheimer’ disease
mild cognitive impairment
subjective cognitive decline
temperament
clinical trials
recruitment
url https://www.mdpi.com/2077-0383/12/3/1121
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