Evidence map›Paper›PMID 41592266›Full record

Observational studyNeurology2026

Patterns and Trajectories of Behavioral and Neuropsychiatric Symptoms in Frontotemporal Dementia and Primary Progressive Aphasia.

Lena Marth, Francisco J Martinez-Murcia, Juan-Manuel Górriz-Sáez, Jannis Denecke, Michael Ewers, Catharina Prix, Anna Christina Stockbauer, Alexander Maximilian Bernhardt, Olivia Wagemann, Elisabeth Wlasich and 41 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

51 authors.

Lena MarthDepartment of Neurology, University Hospital of Munich, Ludwig-Maximilians-Universität (LMU) Munich, Germany.ORCID 0009-0004-9980-9981
Francisco J Martinez-MurciaDepartment of Signal Theory Networking and Communications, Andalusian Research Institute in Data Science and Computational Intelligence (DasCI), University of Granada, Spain.ORCID 0000-0001-8146-7056
Juan-Manuel Górriz-SáezDepartment of Signal Theory Networking and Communications, Andalusian Research Institute in Data Science and Computational Intelligence (DasCI), University of Granada, Spain.ORCID 0000-0001-7069-1714
Jannis DeneckeInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Germany.ORCID 0000-0003-4777-2238
Michael EwersGerman Center for Neurodegenerative Diseases (DZNE), Munich, Germany.ORCID 0000-0001-5231-1714
Catharina PrixDepartment of Neurology, University Hospital of Munich, Ludwig-Maximilians-Universität (LMU) Munich, Germany.ORCID 0009-0007-5058-1586
Anna Christina StockbauerDepartment of Neurology, University Hospital of Munich, Ludwig-Maximilians-Universität (LMU) Munich, Germany.
Alexander Maximilian BernhardtDepartment of Neurology, University Hospital of Munich, Ludwig-Maximilians-Universität (LMU) Munich, Germany.ORCID 0000-0002-2572-5062
Olivia WagemannDepartment of Neurology, University Hospital of Munich, Ludwig-Maximilians-Universität (LMU) Munich, Germany.ORCID 0000-0003-3211-9105
Elisabeth WlasichDepartment of Neurology, University Hospital of Munich, Ludwig-Maximilians-Universität (LMU) Munich, Germany.ORCID 0009-0002-2733-7511
Julia KustermannDepartment of Neurology, University Hospital of Munich, Ludwig-Maximilians-Universität (LMU) Munich, Germany.
Oliver PetersGerman Center for Neurodegenerative Diseases (DZNE), Berlin, Germany.ORCID 0000-0003-0568-2998
Julian Hellmann-RegenGerman Center for Neurodegenerative Diseases (DZNE), Berlin, Germany.
Louise Droste Zu SendenGerman Center for Neurodegenerative Diseases (DZNE), Berlin, Germany.
Josef PrillerGerman Center for Neurodegenerative Diseases (DZNE), Berlin, Germany.ORCID 0000-0001-7596-0979
Eike Jakob SpruthGerman Center for Neurodegenerative Diseases (DZNE), Berlin, Germany.ORCID 0000-0002-8976-7309
Annika SpottkeGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.ORCID 0000-0001-9854-2972
Hannah AspergerGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Friederike SchroeckGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Anna GamezGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Anja SchneiderGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.ORCID 0000-0001-9540-8700
Klaus FliessbachGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.ORCID 0000-0002-0183-7510
Elisabeth DinterDepartment of Neurology, University Hospital Carl Gustav Carus, Technical University Dresden, Germany.
Jennifer LinnInstitute of Diagnostic and Interventional Neuroradiology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technical University Dresden, Germany.
Rene GüntherDepartment of Neurology, University Hospital Carl Gustav Carus, Technical University Dresden, Germany.ORCID 0000-0003-0329-5644
Jens WiltfangGerman Center for Neurodegenerative Diseases (DZNE), Göttingen, Germany.ORCID 0000-0003-1492-5330
Björn H SchottGerman Center for Neurodegenerative Diseases (DZNE), Göttingen, Germany.ORCID 0000-0002-8237-4481
Mathias BährGerman Center for Neurodegenerative Diseases (DZNE), Göttingen, Germany.
Inga ZerrGerman Center for Neurodegenerative Diseases (DZNE), Göttingen, Germany.ORCID 0000-0002-6722-2463
Agnes FlöelDepartment of Neurology, University Medicine Greifswald, Germany.ORCID 0000-0002-1475-5872
Robert MalinowskiDepartment of Neurology, University Medicine Greifswald, Germany.
Katharina BuergerGerman Center for Neurodegenerative Diseases (DZNE), Munich, Germany.ORCID 0000-0002-5898-9953
Daniel JanowitzGerman Center for Neurodegenerative Diseases (DZNE), Munich, Germany.ORCID 0009-0003-4090-547X
Emrah DuzelGerman Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.ORCID 0000-0002-0139-5388
Wenzel GlanzGerman Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.ORCID 0000-0002-5865-4176
Falk LüsebrinkGerman Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.
Stefan J TeipelGerman Center for Neurodegenerative Diseases (DZNE) Rostock/Greifswald, Germany.ORCID 0000-0002-3586-3194
Ingo KilimannGerman Center for Neurodegenerative Diseases (DZNE) Rostock/Greifswald, Germany.ORCID 0000-0002-3269-4452
Johannes PrudloGerman Center for Neurodegenerative Diseases (DZNE) Rostock/Greifswald, Germany.
Andreas HermannGerman Center for Neurodegenerative Diseases (DZNE) Rostock/Greifswald, Germany.ORCID 0000-0002-7364-7791
Matthis SynofzikGerman Center for Neurodegenerative Diseases (DZNE), Tübingen, Germany.ORCID 0000-0002-2280-7273
David MengelGerman Center for Neurodegenerative Diseases (DZNE), Tübingen, Germany.
Lukas BeichertGerman Center for Neurodegenerative Diseases (DZNE), Tübingen, Germany.ORCID 0009-0000-9259-9230
Doreen MüllerGerman Center for Neurodegenerative Diseases (DZNE), Tübingen, Germany.ORCID 0009-0000-4218-4870
Gabor C PetzoldGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.ORCID 0000-0002-0145-8641
Renat YakupovGerman Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.ORCID 0000-0002-3868-284X
Stefan HetzerBerlin Center for Advanced Neuroimaging, Charité - Universitätsmedizin Berlin, Germany.
Peter DechentMR-Research in Neurosciences, Department of Cognitive Neurology, University Medical Center Goettingen, Germany.ORCID 0009-0006-4005-3352
Klaus SchefflerDepartment for Biomedical Magnetic Resonance, University of Tübingen, Germany; and.ORCID 0000-0001-6316-8773
Sonja SchöneckerDepartment of Neurology, University Hospital of Munich, Ludwig-Maximilians-Universität (LMU) Munich, Germany.ORCID 0000-0003-4499-7861
Johannes LevinDepartment of Neurology, University Hospital of Munich, Ludwig-Maximilians-Universität (LMU) Munich, Germany.ORCID 0000-0001-5092-4306

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesBehavioral and neuropsychiatric symptoms are common in frontotemporal dementia (FTD) and primary progressive aphasia (PPA). However, little is known about their patterns, time course, and association with brain atrophy. We, therefore, aimed to describe behavioral and neuropsychiatric phenotypes in patients with FTD and PPA, leveraging a hypothesis-free/data-driven approach.

methodsWe included participants diagnosed with behavioral variant FTD (bvFTD) or PPA according to Rascovsky and Gorno-Tempini criteria from the German Center for Neurodegenerative Diseases Clinical Registry Study of Neurodegenerative Diseases-FTD prospective multicenter observational cohort study. Symptoms were assessed using the Neuropsychiatric Inventory-Questionnaire. Principal component analysis (PCA) was used to delineate symptom groups. Subsequently, frequency and severity across diagnostic groups were examined. We applied linear mixed-effects models to describe the longitudinal evolution of symptoms. Associations with MRI-assessed atrophy were investigated using linear regression models.

resultsA total of 314 patients (42.4% female, mean age 65.52 [SD 9.0] years) with bvFTD or PPA were included. MRI was available for 134 of 314 individuals. PCA revealed 4 natural symptom groups, labeled active behavioral, passive behavioral, affective, and psychotic phenotypes. Symptom groups were observed at comparable frequencies across diagnostic groups. Time from symptom onset (0.130 [0.044-0.217], DISCUSSION: Our findings demonstrate that behavioral and neuropsychiatric symptoms are prevalent in both bvFTD and PPA. Their severity depends on the disease duration, phenotypic group, and sex. This detailed understanding of symptomatology is crucial for optimizing patient care, diagnostic evaluations, and the design of clinical trials. Limitations comprise the lack of neuropathologic validation and the limited availability of MRI data.

Indexed as

Aphasia, Primary ProgressiveFrontotemporal DementiaAgedAtrophyBrainCohort StudiesDisease ProgressionFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeuropsychological TestsProspective Studies

Identifiers

PMID41592266
PMCPMC12857812

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.