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Publication Name World Journal of Psychiatry
Manuscript ID 115373
Country Brazil
Category Neurosciences
Manuscript Type Observational Study
Article Title Multidimensional cognitive impairment in hepatosplenic schistosomiasis: A cross-sectional study
Manuscript Source Invited Manuscript
All Author List Iris Campos Lucas, Norma Arteiro Filgueira, Ana Lucia Domingues, Edmundo Pessoa Lopes, Ianca Karine Prudencio Albuquerque and Breno José Alencar Pires Barbosa
Funding Agency and Grant Number
Corresponding Author Iris Campos Lucas, PhD, Professor, Programa de Pós-Graduação em Medicina Tropical, Centro de Ciências Médicas, Universidade Federal de Pernambuco, Av. Prof. Moraes Rego, No. 1235 Cidade Universitária, Recife 50670-901, Pernambuco, Brazil. iriscamposlucas@gmail.com
Key Words Cognitive impairment; Schistosomiasis mansoni; Portal hypertension; Neuropsychological tests; Executive function; Hepatic encephalopathy; Portosystemic shunts; Psychometric; Cross-sectional studies
Core Tip Cognitive impairment in hepatosplenic schistosomiasis goes well beyond minimal hepatic encephalopathy, affecting areas such as visuospatial abilities, working memory, and inhibitory control. Our study, using a brief, culturally adapted assessment battery, found over two-thirds of patients impaired in these domains, often independent of portosystemic shunt presence. These findings call for a paradigm shift from solely minimal hepatic encephalopathy-focused screening to comprehensive, multidimensional cognitive assessment in hepatosplenic schistosomiasis, enabling earlier detection and a more holistic approach to management in endemic, low-resource settings.
Citation Lucas IC, Filgueira NA, Domingues AL, Lopes EP, Albuquerque IKP, Barbosa BJAP. Multidimensional cognitive impairment in hepatosplenic schistosomiasis: A cross-sectional study. World J Psychiatry 2025; In press
Received
2025-10-16 14:27
Peer-Review Started
2025-10-16 14:28
First Decision by Editorial Office Director
2025-11-06 08:43
Return for Revision
2025-11-06 08:43
Revised
2025-11-14 19:16
Publication Fee Transferred
Second Decision by Editor
2025-12-25 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-25 03:33
Articles in Press
2025-12-25 03:33
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ISSN 2220-3206 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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