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臨床症状

Angel Garcia De La Garza1, Carol A Derby1, Cuiling Wang1

  • 1Albert Einstein College of Medicine, Bronx, NY, USA.

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PubMed
まとめ
この要約は機械生成です。

日々のストレス、不安、覚醒困難は、高齢者の主観的な認知上の懸念（SCC）と関連しています。これらの日々の経験は、自己認識された記憶や認知機能の低下に大きく影響します。

キーワード:
高齢者認知機能ストレス不安日々の経験

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科学分野:

  • 老年学; 認知科学; 心理学

背景:

  • 生態学的瞬間評価（EMA）は、リアルタイムで主観的な認知上の懸念（SCC）を追跡します。 SCCは将来の認知機能低下を予測しますが、その日常の変動はよく理解されていません。 スマートフォンベースのEMAは、高齢者のSCCに影響を与える一時的な要因を評価できます。

研究 の 目的:

  • 地域在住高齢者のSCCに対する日常の文脈的要因の影響を調査すること。 日常の経験と自己認識された認知機能の低下とのリアルタイムの関連を探求すること。 日常生活とSCCとの間の瞬間的な関係を理解すること。

主な方法:

  • 14日間のスマートフォンベースのEMA（1日6回の調査）。 毎日の認知の抜け落ち、覚醒困難、ストレス、楽しみ、不安、孤独感を評価しました。 線形混合効果モデルを使用して、人口統計学的および認知的状態を調整して関連を分析しました。

主要な成果:

  • 310人の高齢者が参加し、平均11.40日間の日記が記録されました。 覚醒困難、ストレス、孤独感、不安はSCCと正の相関がありました。 多変量解析では、覚醒困難と不安はSCCと独立して関連していました。

結論:

  • 日々のストレス、感情、覚醒状態は、主観的な認知上の懸念と関連しています。 SCCを認知機能障害のスクリーニングに使用する際には、文脈的変数を考慮する必要があります。 今後の研究では、認知機能低下の予測における文脈的要因に対する個々の脆弱性を探求します。