帕金森病认知变化的预测因素:一项为期2年的随访研究
Carmen Gasca-Salas1,2,3, Sarah Duff-Canning4, Eric McArthur5
1HM CINAC (Centro Integral de Neurociencias Abarca Campal), Hospital Universitario HM Puerta del Sur, HM Hospitales.
Alzheimer disease and associated disorders
|August 24, 2023
概括
帕金森病 (PD) 的认知衰退通过注意力和语言测试得分比轻度认知障碍 (PD-MCI) 的诊断更好地预测. 特定的认知领域得分,而不是PD-MCI状态,可以预测随着时间的推移的认知变化.
科学领域:
- 神经学 神经学
- 神经心理学 神经心理学
- 认知科学 认知科学
背景情况:
- 轻度认知障碍在帕金森病 (PD-MCI) 中很常见,但其用于跟踪认知变化的诊断实用性受到质疑.
- 在PD-MCI进展到痴呆的变化需要更好的认知变化的预测器.
研究的目的:
- 检查基线神经心理测试表现和认知诊断作为帕金森病认知变化的预测因素.
- 评估PD-MCI诊断对于预测纵向认知衰退的有用性.
主要方法:
- 138名患有PD (没有痴呆症) 的个人接受了基线神经心理评估,并被跟踪了长达2年.
- 运动障碍学会对PD-MCI和PDD的标准每年都会被应用.
- 全球和特定领域的认知z分数从10个测试电池中计算出来.
主要成果:
- 基线PD-MCI诊断没有预测全球认知变化.
- 较低的注意力和更高的执行域z-scores在基线预测了全球认知恶化.
- 较差的注意力和语言域得分预测了MCI或PDD的进展.
结论:
- 注意力测试得分预测PD的认知衰退超过2年.
- 较低的基线注意力和语言分数与MCI或PDD的进展有关.
- 仅仅是PD-MCI诊断并不能预测认知能力下降;特定的认知领域表现更具信息性.
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