日常生活中的仪器活动和轻度认知障碍
David J Libon1,2, Sheina Emrani3, Emily F Matusz4
1Department of Geriatrics and Gerontology, New Jersey Institute for Successful Aging, Rowan University-School of Osteopathic Medicine, Stratford, USA.
Journal of clinical and experimental neuropsychology
|August 25, 2023
概括
轻度认知障碍 (MCI) 可以影响日常功能. 与认知上正常的个体相比,执行性MCI与更大的功能障碍有关,特别是在管理财务和记忆方面.
科学领域:
- 神经心理学 神经心理学
- 老年学是一门学科.
- 认知科学 认知科学
背景情况:
- 痴呆症的诊断需要认知和功能障碍.
- 轻度认知障碍 (MCI) 通常表现为相对完整的功能能力.
- 区分认知正常和MCI对于早期干预至关重要.
研究的目的:
- 通过日常生活的工具活动 - 补偿量表 (IADL-C) 调查认知状态 (认知正常,无记忆性MCI,无执行性MCI) 和功能能力之间的关系.
- 探索信息人级功能能力 (IADL-C) 与神经心理测试中的表现之间的关联.
主要方法:
- 100名记忆诊所参与者被分类为认知正常 (CN),无记忆性MCI (aMCI) 或混合/无执行性MCI (混合/无执行性MCI).
- 参与者完成了全面的神经心理评估.
- 基于信息者的问卷IADL-C被用于量化功能能力.
主要成果:
- 与CN组相比,混合/异型MCI组在IADL-C上表现出明显更大的功能障碍.
- 特定的IADL-C子表,包括金钱和自我管理和旅行和事件记忆,在混合/dysMCI组中较低.
- 回归分析显示,较低的执行功能和情节性记忆测试得分与更大的功能障碍有关.
结论:
- 用IADL-C测量的功能障碍与MCI中的执行困难有着不成比例的联系.
- 插曲性记忆缺陷也会导致功能障碍,尽管程度较小.
- 这些发现强调了评估MCI患者的功能能力的重要性,特别是那些执行功能障碍的人.
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