Luigi Trojano

Professor of Neuropsychology

Name Luigi
Surname Trojano
Institution Università degli Studi della Campania Luigi Vanvitelli
Address Department of Psychology, University of Campania 'Luigi Vanvitelli', Viale Ellittico 31, 81100 Caserta, Italy


  • High openness and high extroversion are linked with better time-based prospective memory in multiple sclerosis.

    Publication Date: 16/07/2019 on Journal of neurology
    by Raimo S, Trojano L, Gaita M, Spitaleri D, Santangelo G
    DOI: 10.1007/s00415-019-09460-4

    Prospective memory (PM) deficits are often reported in multiple sclerosis (MS), but their relationship with neuropsychological characteristics and personality traits remains to be explored.

  • Enactment effect in patients with Alzheimer's disease.

    Publication Date: 16/07/2019 on Journal of clinical and experimental neuropsychology
    by De Lucia N, Milan G, Conson M, Grossi D, Trojano L
    DOI: 10.1080/13803395.2019.1642306

    : Subjects can improve their performance on memory for action phrases if, during the encoding condition, they self-perform actions associated with verbs (subject-performed condition), or if they perceive the actions carried out by experimenter (experimenter-performed condition), with respect to a verbal task condition in which they only read or listen to the stimuli. This facilitation is labeled "Enactment effect" (EE), and is thought to be associated with episodic integration processes binding actions and nouns together in a coherent representation. Only recently, studies addressed EE in AD individuals reporting significant improvements on memory tasks in the subject-performed encoding condition. However, no studies tried to explore the cognitive mechanisms supporting EE in AD individuals. : Performance on recognition and cued recall tasks for action phrases were assessed in a sample of 32 mild-to-moderate AD individuals and 30 healthy adults, in verbal, subject-performed and experimenter-performed encoding conditions. Moreover, a cognitive assessment was completed to explore the possible correlates of EE in our participants. : Results showed that both subject-performed and experimenter-performed encoding conditions produced similar advantages over the verbal condition, in both memory tasks in both groups. Moreover, these memory advantages were strongly associated to executive processes, in both AD and healthy adults. : The present study confirmed that EE is spared in mild to moderate AD. Our findings supported the role of episodic integration processes and suggested a contribution of executive processes in EE.

  • Prospective memory in Parkinson's disease: the role of the motor subtypes.

    Publication Date: 29/06/2019 on Journal of neurology
    by D'Iorio A, Maggi G, Vitale C, Amboni M, Di Meglio D, Trojano L, Santangelo G
    DOI: 10.1007/s00415-019-09448-0

    Prospective memory (PM) is defined as memory for future intentions and it is typically divided into time-based and event-based PM. Deficit of PM has been reported in patients with Parkinson's disease (PD) but no study has yet explored the association between motor subtypes (tremor dominant and rigidity/bradykinesia dominant) and performance on PM tasks. The aim of the study was to explore the role of motor subtypes in the defect of PM.

  • Parkinson's disease management and impulse control disorders: current state and future perspectives.

    Publication Date: 31/05/2019 on Expert review of neurotherapeutics
    by Vitale C, Amboni M, Erro R, Picillo M, Pellecchia MT, Barone P, Trojano L, Santangelo G
    DOI: 10.1080/14737175.2019.1620603

    : Impulse control disorders (ICDs) in Parkinson's disease (PD) are a group of impulsive behaviors most often associated, but not limited to, dopamine replacement therapy (DRT), particularly the use of dopamine agonists (DA). ICDs can impair activities of daily living and have a strong negative impact on quality of life of patients and their families. : This review mainly focusses on the most common ICDs in the context of currently accepted management strategies for PD and emphasizes areas of controversy in need of further research. The authors further describe the concept of dopamine agonist withdrawal (DAWS) syndrome and its implication for the treatment of ICDs, the role of recently available antiparkinsonian drugs and routes of delivery, and non-pharmacological treatments. : When ICDs develop, proper management mainly consists of reducing, discontinuing or switching dopaminergic agents, especially of DA. In these scenarios, patients should be closely followed up as their motor condition may deteriorate along with occurrence of DAWS. Assessment of the presence and intensity of ICDs should be carried throughout the course of the disease and not only when a particular treatment is started or when the dosage is increased, since their occurrence is not linearly related to DRT alone.

  • Fatigue in Parkinson's disease: Italian validation of the Parkinson Fatigue Scale and the Fatigue Severity Scale using a Rasch analysis approach.

    Publication Date: 22/05/2019 on Parkinsonism & related disorders
    by Siciliano M, Chiorri C, De Micco R, Russo A, Tedeschi G, Trojano L, Tessitore A
    DOI: 10.1016/j.parkreldis.2019.05.028

    The Fatigue Severity Scale (FSS-9) and the Parkinson Fatigue Scale (PFS-16) are commonly used for assessing fatigue in Parkinson's disease (PD). Here we validated the Italian version of these scales, assessed their psychometric properties by Rasch analysis, and computed their optimal cut-off scores using clinical diagnosis of PD-related fatigue as the gold standard.

  • Coping Strategies in Migraine without Aura: A Cross-Sectional Study.

    Publication Date: 05/05/2019 on Behavioural neurology
    by Russo A, Santangelo G, Tessitore A, Silvestro M, Trojsi F, De Mase A, Garramone F, Trojano L, Tedeschi G
    DOI: 10.1155/2019/5808610

    In the context of a causal relationship between stress and migraine, coping strategies are aimed at managing stressful life events and reducing the distressing emotions connected to them.

  • Assessing Anxiety and its correlates in Amyotrophic Lateral Sclerosis: the State-Trait Anxiety Inventory.

    Publication Date: 21/03/2019 on Muscle & nerve
    by Siciliano M, Trojano L, Trojsi F, Monsurrò MR, Tedeschi G, Santangelo G
    DOI: 10.1002/mus.26475

    We evaluated: i) psychometric properties of State-Trait Anxiety Inventory Form Y (STAI Form Y); ii) clinical correlates of state and trait anxiety; iii) associations of anxiety with Quality of Life (QoL) dimensions.

  • Does cognitive reserve play any role in multiple sclerosis? A meta-analytic study.

    Publication Date: 14/02/2019 on Multiple sclerosis and related disorders
    by Santangelo G, Altieri M, Gallo A, Trojano L
    DOI: 10.1016/j.msard.2019.02.017

    Inconsistent evidence is available about the possibility that cognitive reserve (CR) moderates the impact of disease progression, evaluated by MRI biomarkers (lesion load, white matter or gray matter volumes) or clinical proxies of physical disability (i.e. the Expanded Disability Status Scale, EDSS) on cognition in Multiple Sclerosis (MS). A meta-analytic study with a meta-regression approach was performed to investigate the possible role of CR as moderator of the impact of brain damage and physical disability on cognition.

  • Apathy as a herald of cognitive changes in multiple sclerosis: A 2-year follow-up study.

    Publication Date: 07/02/2019 on Multiple sclerosis (Houndmills, Basingstoke, England)
    by Raimo S, Spitaleri D, Trojano L, Santangelo G
    DOI: 10.1177/1352458519828296

    Behavioral symptoms, such as apathy and depression, are common in multiple sclerosis (MS) but their relationship with cognitive and clinical characteristics often remains underinvestigated and not monitored over time.

  • Cognitive reserve and neuropsychological performance in multiple sclerosis: A meta-analysis.

    Publication Date: 31/01/2019 on Neuropsychology
    by Santangelo G, Altieri M, Enzinger C, Gallo A, Trojano L
    DOI: 10.1037/neu0000520

    Cognitive dysfunction is frequent in multiple sclerosis (MS), and its relationship with cognitive reserve (CR) has been investigated in several studies with conflicting results. In this meta-analysis, we here sought to determine the relationship between CR and cognition in MS patients and to ascertain whether demographic or clinical variables could moderate the above-mentioned relationship.