在认知障碍出现之前和之后,生活目标的变化
Angelina R Sutin1, Martina Luchetti1, Yannick Stephan2
1Florida State University College of Medicine, Tallahassee.
生活中的目的在认知障碍发作之前显著下降,在认知障碍发作后加速. 这种下降是太微妙,无法预测损伤,但可能表明意识,建议目的作为一个后损伤干预目标的福祉.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
背景情况:
- 生活中的目的对于心理健康和认知健康至关重要.
- 以前的研究表明,目的和认知结果之间存在联系,但认知障碍之前的目的的自然历史是未知的.
研究的目的:
- 评估在认知障碍出现之前和之后生活目标的变化.
主要方法:
- 这项纵向队列研究分析了来自健康与退休研究 (HRS) 和国家健康与衰老趋势研究 (NHATS) 的数据.
- 用经过验证的措施来评估生活目标,并根据已确定的值来确定认知障碍.
- 多级建模被用来分析随着时间的推移与认知状态相关的目的变化.
主要成果:
- 在HRS和NHATS队伍中,在认知障碍发病前10年观察到生活目标的显著下降.
- 在认知障碍开始后,目的的下降显著加速,变得近3-4倍更.
- 损伤前的衰退太小,无法在临床上用于预测认知衰退.
结论:
- 随着认知障碍的出现,生活中的目标逐渐下降.
- 虽然损伤前的下降是微妙的,但损伤后的加速下降表明主观意识.
- 针对目的的干预措施可能有利于维持认知障碍患者的福祉和减轻行为症状.
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