Royall, Donald R Jr.School of Medicine |
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Objectives: clinical /translational geriatric research with special interests in geriatric assessment, the cognitive correlates of functional outcomes, executive function, and dementing illnesses. |
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| 10/2009 - Present | Professor; Department of Family & Community Medicine | University of Texas Health Science Center at San Antonio, Family & Community Medicine, San Antonio, TX |
| 1/2000 - Present | Professor; Department of Medicine | University of Texas Health Science Center at San Antonio, Medicine, San Antonio, TX |
| 1/2000 - Present | Professor; Department of Psychiatry | University of Texas Health Science Center at San Antonio, Psychiatry, San Antonio, TX |
| 1/1994 - Present | Geriatric Psychiatry Consultant | Air Force Village Retirement Community, Psychiatry, San Antonio, TX |
| 1/1994 - Present | Director of Research | Freedom House Foundation, San Antonio, TX |
| 1/1990 - Present | Faculty/Staff Physician | Audie L. Murphy VA Hospital Geriatric Research Education and Clinical Care Program (GRECC), Psychiatry, San Antonio, TX |
| Year | Degree | Discipline | Institution |
| 1990 | Residency | Residency in Psychiatry | Johns Hopkins Hospital Baltimore , MD |
| 1987 | Residency | Residency in Internal Medicine | Johns Hopkins Hospital Baltimore , MD |
| 1985 | Internship | Internship in Internal Medicine | Johns Hopkins Hospital Baltimore , MD |
| 1984 | MD | Psychiatry | University of Texas Medical School at Houston Houston , TX |
| 1980 | BS | Psychology (Magna Cum Laude) | Texas A&M University/College Station San Antonio , TX |
| 1980 | BS | Biology (Magna Cum Laude) | Texas A&M University/College Station San Antonio , TX |
Research Interest: Dementia Phenomenology- Clinical phenomenology of dementia concentrating on frontal executive control functions and related clinical phenomena. |
Research Interest: Health Services Research- Concentrating on the cognitive correlates of functional status, forensic capacity, and need for services across diagnostic groups. Also on the ability of qualitative assessment to cost-effectively target dementia subgroups for evaluation. |
Research Interest: Psychometrics- Clinical assessment strategies (e.g. for dementia): Concentrating on the development of bedside measures for the assessment of executive control [The Executive Interview (EXIT25) *Royall 1992, 1995, The Executive Interview Spanish Translation (EXIT-S) *Royall 1995, The Telephone Executive Assessment Scale (TEXAS), CLOX: An Executive Clock Drawing Task *Royall 1995] and qualitative assessment of dementia phenomenology [Qualitative Evaluation of Dementia (QED) *Royall 1992, 1995. |
Research Technical Expertise- Longitudinal data analysis, latent variable models, Structural Equation Models, Growth Curve and Growth Mixture Models, Clinical Trials, neuroimaging studies |
| Date | Description | Institution | # Students |
| 7/2008 - Present | Individual Instruction | UTHSCSA | |
| 1/2000 - Present | Post Graduate Rotation Supervision | ALMVAH MS/R | |
| 1/1999 - Present | PGY-3 Psychiatry: Neurobiology | ||
| Course Director - PGY-3 Psychiatry Didactic Semeinar. Co-taught with Jeff Cordes, MD | |||
| 1/1997 - Present | PGY-1 Medicine/PGY-2 Psychiatry: Clinical Geropsychiatry Seminar | ||
| Course Director - Topics in Geropsychiatry to PGY-1 Medicine/PGY-2 Psychiatry residents rotating in Geriatrics | |||
| 1/1997 - Present | Post Graduate Rotation Supervision | ALMVAH MS/R | |
| 1/1995 - Present | PGY-3-4 Clinical Geropsychiatry Seminar | ||
| Course Director - Topics in Geropsychiatry delivered to PGY-III & IV Psychiatry residents rotating through Geropsychiatry | |||
| 1/1995 - Present | PGY-4 Geropsychiatry Seminar | ||
| Course Director - PGY-4 Psychiatry Didactic Seminar. Co-taught with Jeffrey Cordes, MD | |||
| 1/1992 - Present | Individual Instruction | University of Texas Health Science Center at San Antonio | |
Abstract |
| Royall DR, Palmer RF. δ Scores Predict MCI and AD Conversions from Non-Demented States; 2015 Jan. (Journal of Prevention of Alzheimer?s Disease, in press). |
| Royall DR, Palmer RF. A Case for Senility: Age adversely affects cognition, but only through δ; 2014 Aug. (Rejuvenation Biotechnology Conference 2014. Santa Clara, CA. August 21-23, 2014). |
| Royall DR, Palmer RF. Serum IGF-BP2 Strongly Moderates Age?s Effect on Cognition; 2014 Aug. (Rejuvenation Biotechnology Conference 2014. Santa Clara, CA. August 21-23, 2014). |
| Royall DR Palmer RF. IGF BP-2 Strongly Moderates Age`s Effect on Cognition; 2014 Jun. (Proceedings of the 43rd Annual Meeting of the American Aging Association). |
| Royall DR, Palmer RF. The Biomarkers of Dementia Severity Vary Widely by Ethnicity: A Latent Variable Approach; 2013 Jul. (2013 Alzheimer?s Association International Conference (AAIC). Boston, MA. July 17, 2013). |
| Royall DR. The `Pseudodementia? of `Pseudodepression'; 2013 Jul. (Journal of Nutrition, Health & Aging; vol. 17, no. S1). |
| Salazar R, Royall DR, Palmer RF. Neuropsychiatric Symptoms in Community Dwelling Mexican-Americans: results from the Hispanic EPESE Study; 2013 Jul. (2013 Alzheimer?s Association International Conference (AAIC). Boston, MA. July 17, 2013). |
| Royall DR, Palmer RF. Ethnicity Specific Pathways between Biomarkers and Cognition: A Latent Variable Approach; 2013 Jul. (2013 Alzheimer?s Association International Conference (AAIC). Boston, MA. July 15, 2013). |
| Palmer RF, Royall DR. Future Dementia Status is Almost Entirely Explained by the Latent Variable ?d??s Baseline and Change; 2013 Jul. (2013 Alzheimer?s Association International Conference (AAIC). Boston, MA. July 17, 2013). |
| Salazar R, Shuham WJ, Royall DR. Frequency of Neuropsychiatric Symptoms in Hispanics with Alzheimer?s Disease; 2013 Jul. (2013 Alzheimer?s Association International Conference (AAIC). Boston, MA. July 17, 2013). |
| Hall J, Edwards M, Hobson Balldin V, Strutt A, Pavlik V, Marquez de la Plata C, Cullum CM, Lacritz L, Reisch J, Massman P, Royall D, Barber R, Younes S, Weichmann A, O?Bryant SE. Normative data for Mexican Americans on tasks of executive and physiometric functions: The Texas Mexican American Normative Studies; 2012 Nov. (Archives of Clinical Neuropsychology; vol. 27). |
| Edwards M, Hobson-Balldin V, Hall J, Strutt A, Pavlik V, Maruquez de la Plata C, Cullum CM, Lacritz L, Reisch J, Massman P, Barber R, Royall D, Younes S, & O?Bryant SE. Mexican American normative references on tasks of memory and language: The Texas Mexican American Normative Studies; 2012 Nov. (Archives of Clinical Neuropsychology; vol. 27). |
| Hobson-Balldin V, Menon C, Younes S, Hall J, Strutt A, Pavlik V, Marquez de la Plata C, Cullum CM, Lacritz L, Reisch J, Massman P, Royall D, Barber R, O?Bryant SE. Normative performance on the RBANS in a multi-ethnic bilingual cohort: The Texas Mexican American Normative Studies; 2012 Nov. (Archives of Clinical Neuropsychology; vol. 27). |
| Royall DR, Palmer RF. Latent Variables Offer a Cost-Effective Approach to Dementia Case Finding; 2012 Jul. (Alzheimer?s and Dementia; vol. 8, no. Sup). |
| Royall DR, Palmer RF. Latent Variables Offer an Unbiased Approach to Dementia Case Finding; 2012 Jul. (Alzheimer?s and Dementia; vol. 8, no. Sup). |
| Velez CE, Salazar R, Royall DR. Screening for Mild Cognitive Impairment and Alzheimer`s Dementia by Telephone Using the Alzheimer`s Questionnaire; 2012 Mar. (Meeting of the American Directors Association. San Antonio, TX, March 9, 2012). |
| Allman RM, Sawyer P, Crowe M, Roth DL, Royall DR. Prognostic significance of CLOX cognitive phenotypes on mortality and function; 2011 Nov. (64th Annual Meeting of the Gerontological Society of America, Boston, MA, November 18-22, 2011). |
| Xiao G, Barber R, Reisch J, Doody R, Fairchild T, Adams P, Royall DR, Wilhelmsen K, Diaz-Arrastia R, O?Bryant S, and the TARC Investigators. Developing and Validating of Diagnostic Algorithm for Alzheimer?s Disease; 2011 Jul. (Alzheimer?s and Dementia; vol. 7, no. S). |
| Royall DR, Palmer RF, White LR. Modeling the Temporal Evolution of Alzheimer?s pathology with Autopsy Data; 2011 Jul. (Alzheimer?s and Dementia; vol. 7, no. Sup). |
| Royall DR, Palmer RF, Vidoni ED, Honea RA, Burns JM. The Default Mode Network and Related Right Hemisphere Structures may be the Key Substrates of Dementia; 2011 Jul. (Alzheimer's and Dementia; vol. 7, no. Sup). |
| Royall DR, Palmer RF, White L. Tangles are Distributed Across Two Temporally and Spatially Distinct Populations; 2011 Jul. (Alzheimer's and Dementia; vol. 7, no. Sup). |
| Royall DR, Palmer RF, Vidoni ED, Honea RA, Burns JM. Imaging Dementia: The Cognitive Correlates of Functional Status; 2011 Jul. (Alzheimer`s and Dementia; vol. 7, no. Sup). |
| Royall DR, Doody R, Barber R, Palmer RF, O?Bryant S, Reisch J, Fairchild T, Adams P, and the TARC Investigators. The Cognitive Correlates of Functional Status: A New Approach to Dementia; 2011 Jul. (Alzheimer?s and Dementia; vol. 7, no. Sup). |
| Doody R, Chan W, Ballantyne C, Pavlik V, Barber R, O?Bryant S, Darby E, Diaz-Arrastia R, Fairchild T, Royall DR, Adams P, and the TARC Investigators. Biomarkers Associated with Cardiovascular Risk in the Texas Alzheimer?s Research Consortium (TARC) Cohort: LpPla2 and Homocysteine; 2011 Jul. (Alzheimer?s and Dementia; vol. 7, no. Sup). |
| Doody R, Chan W, Barber R, Ballantyne C, Pavlik V, O?Bryant S, Darby E, Diaz-Arrastia R, Fairchild T, Royall DR, Adams P, and the TARC Investigators. Inflammatory Biomarkers in the Texas Alzheimer?s Research Consortium (TARC) Cohort; 2011 Jul. (Alzheimer?s and Dementia; vol. 7, no. Sup). |
| Barber R, O?Bryant S, Reisch J, Doody R, Fairchild T, Adams P, Royall DR, Diaz-Arrastia R, and the TARC Investigators. Serum Granulocyte Colony Stimulating Factor and Alzheimer?s Disease; 2011 Jul. (Alzheimer?s and Dementia; vol. 7, no. Sup). |
| O?Bryant S, Xiao G, Barber R, Hall J, Doody R, Reisch J, Fairchild T, Adams P, Royall DR, Wilhelmsen K, Diaz-Arrastia R, and the TARC Investigators. Refinement and Expansion of the Texas Alzheimer?s Research Consortium Serum-Based Diagnostic Algorithm for Alzheimer?s Disease; 2011 Jul. (Alzheimer?s and Dementia; vol. 7, no. Sup). |
| Wilhelmsen K, Chase S, Griffin N, Diaz-Arrastia R, Barber R, Royall DR, O?Bryant S, Doody R, Fairchild T, Rosenberg RN, Adams P, Reisch J, and the TARC Investigators. Genome-Wide Association Scan Replication for Bio-marker Endophenotypes of Alzheimer?s Disease; 2011 Jul. (Alzheimer?s and Dementia; vol. 7, no. Sup). |
| Dentino A, Hall J, Barber R, Doody R, Royall DR, O?Bryant S, and the TARC Investigators. The Impact of Depression on Cognition Varies by APOE4 Status; 2011 Jul. (Alzheimer?s and Dementia; vol. 7, no. Sup). |
| Horton MS, Schillerstrom JE, Earthman BS, Joshi KG, SCHILLERSTROM TL, Velez AM, Royall DR. Prevalence of executive impairment on a general medicine ward; 2003 Jan. (Journal of the American Geriatrics Society; vol. 51). |
Journal Article |
| Royall DR Salazar R Palmer RF. Neuropsychiatric symptoms in community-dwelling Mexican-Americans: Results from the Hispanic EPESE study International Journal of Geriatric Psychiatry 2015 Jan;30:300-307. |
| Bishnoi R Palmer RF Royall DR. Vitamin D Binding Protein as a Serum Biomarker of Alzheimer Disease Journal of Alzheimer?s Disease 2015 Jan;43:37-45. |
| Royall DR, Palmer RF. Ethnicity moderates dementia?s biomarkers Journal of Alzheimer?s Disease 2015 Jan;43:275-287. |
| Royall DR, Palmer RF, Matsuoka T, Kato Y, Taniguchi S, Ogawa M, Fujimoto H, Okamura A, Shibata K, Nakamura K, Nakaaki S, Koumi H, Mimura M, Fukui K, Narumoto J. Greater than the sum of its parts: δ can be constructed from item-level data Journal of Alzheimer?s Disease, in press 2015 Jan;. |
| Royall DR, Palmer RF, Matsuoka T, Kato Y, Taniguchi S, Ogawa M, Fujimoto H, Okamura A, Shibata K, Nakamura K, Nakaaki S, Koumi H, Mimura M, Fukui K, Narumoto J. δ-scores are exportable across cultural and linguistic boundaries Journal of Alzheimer?s Disease, in press 2015 Jan;. |
| Palmer, RF Royall, DR. Future dementia severity is almost entirely explained by the latent variable δ?s intercept and slope Journal of Alzheimer?s Disease, in press 2015 Jan;. |
| Royall DR, Matsuoka T, Palmer RF, Kato Y, Taniguchi S, Ogawa M, Fujimoto H, Okamura A, Shibata K, Nakamura K, Nakaaki S, Koumi H, Mimura M, Fukui K, Narumoto J. Greater than the sum of its parts: δ improves upon a battery's diagnostic performance Neuropsychology, in press 2015 Jan;. |
| Royall DR Bishnoi R Palmer RF. Serum IGF-BP2 Strongly Moderates Age?s Effect on Cognition: A MIMIC Analysis Neurobiology of Aging 2015 Jan;36:2232-2240. |
| Bishnoi, R Palmer, RF Royall, DR. IL-15 as a serum biomarker of Alzheimer disease PLoS ONE 2015 Jan;10. |
| Salazar R, Velez CE, Royall DR. Telephone Screening for Mild Cognitive Impairment in Hispanics Using the Alzheimer`s Questionnaire Experimental Aging Research 2014 Jan;40:129-139. |
| Royall DR Palmer RF. Does Ethnicity Moderate Dementia?s Biomarkers? Neurobiology of Aging 2014 Jan;35:336-344. |
| Royall DR, Palmer RF. The temporospatial evolution of neuritic plaque-related and independent tauopathies: implications for dementia staging Journal of Alzheimers Disease 2014 Jan;40(3):541-549. |
| Royall DR, Palmer RF. ?Executive functions? cannot be distinguished from general intelligence: Two variations on a single theme within a symphony of latent variance Frontiers in Behavioral Neuroscience 2014 Jan;8. |
| Royall DR, Palmer RF, Chiodo LK, Polk M. Towards an aging specific cognitive phenotype: The Freedom House Study Experimental Aging Research 2014 Jan;40:245-265. |
| Royall DR, Salazar R, Palmer RF. Latent Variables May be Useful in Pain?s Assessment Health and Quality of Life Outcomes 2014 Jan;12. |
| O`Bryant SE, Johnson LA, Reisch J, Edwards M, Hall J, Barber R, Devous M, Royall DR, Singh M. Risk factors for mild cognitive impairment among Mexican Americans Alzheimer`s & Dementia 2013 Jan;9:622-631. |
| Royall DR, Palmer RF. Alzheimer pathology does not mediate the association between depressive symptoms and subsequent cognitive decline Alzheimer?s Disease & Dementia 2013 Jan;9:318-325. |
| Royall DR, Palmer RF, Vidoni ED, Honea RA. The Default Mode Network may be the key substrate of depression related cognitive changes Journal of Alzheimer?s Disease 2013 Jan;34:547-560. |
| Schillerstrom JE, Birkenfeld EM, Yu AS, Goldstein DJ, Royall DR. Neuropsychological correlates of performance based functional status in elder Adult Protective Services (APS) referrals for capacity assessments Journal of Elder Abuse and Neglect 2013 Jan;25:294-304. |
| Royall DR, Palmer RF, White LR, Petrovitch H, Ross GW, Masaki K. Modeling regional vulnerability to Alzheimer pathology Neurobiology of Aging 2012 Aug;33(08):1556-1563. |
| Royall DR, Palmer RF, O`Bryant SE. Validation of a Latent Variable Representing the Dementing Process J Alzheimers Dis 2012 Jun;30:639-649. |
| Royall DR, Palmer RF, Vidoni ED, Honea RA, Burns JM. The Default Mode Network and Related Right Hemisphere Structures may be the Key Substrates of Dementia J Alzheimers Dis 2012 Jan;32:467-478. |
| Royall DR, Palmer R, Chiodo LK, Polk MJ. Depressive symptoms predict longitudinal change in executive control but not memory Int J Geriatr Psychiatry 2012 Jan;27(01):89-96. |
| Royall DR, Palmer RF. Getting Past "g": testing a new model of dementing processes in persons without dementia J Neuropsychiatry Clin Neurosci 2012 Jan;24(1):37-46. |
| King AE, Mintz J, Royall DR. Meta-analysis of (123) I-MIBG cardiac scintigraphy for the diagnosis of Lewy body-related disorders Mov Disord 2011 Jun;26(7):1218-1224. |
| Kochunov P, Ramage AE, Lancaster JL, Robin DA, Narayana S, Coyle T, Royall DR, Fox P. Loss of cerebral white matter structural integrity tracks the gray matter metabolic decline in normal aging Neuroimage 2009 Mar;45(1):17-28. |
| Schillerstrom JE, Rickenbacker D, Joshi KG, Royall DR. Executive function and capacity to consent to a noninvasive research protocol Am J Geriatr Psychiatry 2007 Feb;15(2):159-162. |
| Royall DR, Rauch R, Roman GC, Cordes JA, Polk MJ. MRI findings associated with impairment on the Executive Interview (EXIT25) Experimental Aging Research 2001 Jan;27:293-308. |
| Royall DR, Cordes J, Polk M. Executive control and the comprehension of medical information by elderly retirees Exp Aging Res 1997 Jan;23(4):301-313. |
| Gallo JJ, Royall DR, Anthony JC. Risk factors for the onset of depression in middle age and later life Soc Psychiatry Psychiatr Epidemiol 1993 Jul;28(3):101-108. |
Other |
| Royall DR. Post script to Royall et al., 2013 2015 Jan;. |
| Royall DR. The ?Ethics? of Evidence are not Evidence of Ethics Journal of the American Geriatrics Society 2013 Jan;61. |
| Royall DR, Parr J, Parr VB. What did you expect? Int J Geriatr Psychiatry 2011 Dec;26(12):1319-1320. |
Review Article |
| Royall DR. Fortress Brain Medical Hypotheses 2013 Jan;80:118-121. |
| Palmer RF, Royall DR. Missing data? Plan on it! J Am Geriatr Soc 2010 Oct;58:343-348. |
Federal |
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| Funding Agency | Dept. of the Army -- USAMRAA |
| Title | ?A Latent Variable Phenotype for Dementia Diagnosis and Biomarker Selection in TBI? |
| Status | Active |
| Period | 9/2014 - 8/2017 |
| Role | Principal Investigator |
| Grant Detail | $634,561 total costs |
| Funding Agency | NINDS |
| Title | Insular and Autonomic Function in Depression |
| Status | Active |
| Period | 7/2014 - 6/2015 |
| Role | Principal Investigator |
| Grant Detail | $250,000 no cost extension |
Private |
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| Funding Agency | |
| Title | Open Label Study of the Effect of Daily Treatment with MPC-7869 in Subjects with Dementia of the Alzheimer`s Type |
| Status | Active |
| Period | 2/2007 - Present |
| Role | Principal Investigator |
| Grant Detail | A Phase III multi-center clinical trial. |
| Funding Agency | |
| Title | A Randomized Controlled Trial to Assess the Efficacy of a Medical Food in Patients with Mild to Moderate Alzheimer?s Disease Medication |
| Status | Active |
| Period | - Present |
| Role | Principal Investigator |
| Grant Detail | Industry Sponsored clinical trial. |
| Funding Agency | |
| Title | ?The Effect of Passive Immunization on the Progression of Alzheimer?s Disease: LY2062430 Versus Placebo? |
| Status | Active |
| Period | 9/2009 - Present |
| Role | Principal Investigator |
| Grant Detail | |
| Funding Agency | Eisai |
| Title | BAN2401-G000-201 A Placebo-controlled, Double-blind, Parallel-group, Bayesian Adaptive Randomization Design and Dose Regimen-finding Study to Evaluate Safety, Tolerability and Efficacy of BAN2401 in Subjects With Early Alzheimer?s Disease? |
| Status | Active |
| Period | 2/2013 - 2/2029 |
| Role | Co-Investigator |
| Grant Detail | |