认知丰富和教育质量 黑人和白人成年人患有多发性硬化症中中度认知功能障碍
Jeremy G Grant1, Lisa J Rapport1, Rachel Darling2
1Department of Psychology, Wayne State University, 5057 Woodward Ave., Detroit, MI 48202, USA.
Multiple sclerosis and related disorders
|August 8, 2023
概括
认知丰富和教育质量提高了MS患者的认知表现 (PwMS). 认知丰富提供了保护,特别是在黑人PwMS,建议定制干预措施可以建立对认知衰退的弹性.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 认知储备对于维持认知功能至关重要.
- 教育和认知活动等社会行为因素可能会影响认知储备.
- 了解这些因素的差异性影响对于管理多发性硬化症 (MS) 的认知衰退至关重要.
研究的目的:
- 为了比较多年的教育,教育质量和认知丰富对MS (PwMS) 的黑人和白人认知表现的预测能力.
- 研究这些认知储备的代理如何与人口因素和残疾水平相互作用.
主要方法:
- 82名PwMS (41名黑人,41名白人) 完成了神经和神经心理评估.
- 认知表现使用成人阅读韦克斯勒测试和MS简要国际认知评估 (BICAMS) 来评估.
- 用认知储备量表来衡量对认知丰富活动的终身参与度.
主要成果:
- 教育质量和认知丰富是认知表现的更强的预测因素,而不是多年的教育.
- 认知丰富提供了显著的认知保护,特别是在教育质量较低的个人和黑人PwMS中.
- 教育质量和认知丰富度缓和了残疾对黑人PwMS认知表现的影响.
结论:
- 多种途径,包括正规教育和认知丰富,有助于在PwMS中建立认知储备.
- 应将认知丰富的活动纳入MS治疗,以促进对认知衰退的弹性.
- 这些干预措施对于面临更高风险的边缘化种族/族裔群体尤其重要,他们可能有多年的教育经验无法完全捕捉到的教育经验.
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