{"doi":"10.1111/epi.18228","title":"Analysis of practical judgment in older adults with epilepsy: An exploratory, multicenter cohort study","abstract":"Despite the high prevalence of cognitive deficits in older people with epilepsy (PWE), their ability to judge and make decisions in daily life remains unexplored. In 61 older PWE (55-90 years) from the multicenter BRain Aging and Cognition in Epilepsy (BrACE) study, we examined everyday judgment, as measured by the Test of Practical Judgment (TOP-J: 9 questions, score range = 0-27; higher score = better judgment) and evaluated its association with clinical and demographic characteristics, global cognition, neuropsychological performance, subjective cognition, and quality of life (QOL). In our participants (mean age ± standard deviation [SD] = 66.3 ± 6.57 years; 57.4% female), >50% scored in the range observed in individuals with mild cognitive impairment (≤21) and 10% in the range similar to people with dementia (≤16). Multivariable analysis revealed that education was the only demographic factor associated with TOP-J performance. Pearson correlation analysis revealed that lower TOP-J scores were associated with lower global cognition, language, and abstraction/executive function. Lower TOP-J scores were also associated with poorer QOL and self-reported cognitive complaints. These data suggest that the TOP-J may be a viable screening tool for early identification of reduced judgment. This could guide appropriate interventions in clinical practice, especially when older PWE present with deficits in language and executive function.","journal":"Epilepsia","year":2024,"id":443892,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":8,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8431,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":295659,"name":"Anny Reyes","orcid":"0000-0003-0625-6990","position":1,"is_corresponding":false},{"id":1132505,"name":"Kayela Arrotta","orcid":"0000-0001-6482-4795","position":2,"is_corresponding":false},{"id":305330,"name":"Alice Lam","orcid":"0000-0001-7754-4637","position":3,"is_corresponding":false},{"id":31668,"name":"Rani A. Sarkis","orcid":"0000-0001-8291-7864","position":4,"is_corresponding":false},{"id":289691,"name":"Bruce P. Hermann","orcid":"0000-0003-0133-4427","position":5,"is_corresponding":false},{"id":295664,"name":"Robyn M. Busch","orcid":"0000-0002-5442-4912","position":6,"is_corresponding":false},{"id":338031,"name":"Jaideep Kapur","orcid":"0000-0002-8608-1352","position":7,"is_corresponding":false},{"id":372337,"name":"Emily L. Johnson","orcid":"0000-0001-6457-938X","position":8,"is_corresponding":false},{"id":1259078,"name":"Sabrina Tavella‐Burka","orcid":null,"position":9,"is_corresponding":false},{"id":241380,"name":"Carrie R. McDonald","orcid":"0000-0002-0721-5640","position":10,"is_corresponding":false},{"id":317071,"name":"Vineet Punia","orcid":"0000-0002-0552-6736","position":11,"is_corresponding":false},{"id":1031933,"name":"Ifrah Zawar","orcid":"0000-0002-6103-4250","position":0,"is_corresponding":true}],"reference_count":19,"raw_metadata":null,"created_at":"2026-07-19T02:01:29.001453Z","pmid":"39688241","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}