智力障碍者执行职能与执行工具性日常活动之间的关联
Beatriz García-Pintor1,2, Francisco Manuel Morales-Rodríguez3, José Manuel Pérez-Mármol2,4
1Association in Favour of People with Intellectual Disability-ASPROGRADES, 18007 Granada, Spain.
Healthcare (Basel, Switzerland)
|September 9, 2023
概括
由于执行功能受损,智力残疾人难以完成日常生活任务. 提高这些认知技能可以提高他们在日常生活的工具活动 (IADLs) 中的独立性.
科学领域:
- 认知神经科学 认知神经科学
- 发展心理学 发展心理学
- 康复医学 康复医学 康复医学
背景情况:
- 智力障碍 (ID) 的机构化个人对日常生活 (IADLs) 的工具性活动的机会有限.
- 这种限制可能会影响更高的认知功能,包括执行功能,反之亦然.
- 了解执行职能与IADL表现之间的关系对于有针对性的干预至关重要.
研究的目的:
- 为了比较具有中度智力障碍和没有中度智力障碍的个体之间的IADL表现和执行功能.
- 调查智力障碍患者执行功能与IADL表现之间的关联.
主要方法:
- 一项多中心,横截面研究,涉及90名中度ID患者和79名对照患者.
- 使用WAIS-IV,INECO正面查,语义口语流利性测试和BADS-Scale进行评估的执行功能.
- 使用劳顿和布罗迪尺度评估IADL表现.
主要成果:
- 与对照人群相比,智力残疾人在执行IADL方面表现出显著的限制.
- 执行职能与IADL表现密切相关,占差异的81%.
- 较高的IADL表现与较低的执行功能障碍相关.
结论:
- 中度智力障碍与IADL执行的缺陷有关.
- 执行职能缺陷部分解释了IADL表现的局限性.
- 结果支持开发基于证据的干预措施,以改善IADL参与和支持ID患者的战略.
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