多元文化主义和在帕金森病中报告的认知变化
Marta Statucka1, Megan Vaziri1,2, Bianca Iddiols1
1Krembil Brain Institute, Toronto Western Hospital UHN, Toronto, ON, Canada.
Journal of the International Neuropsychological Society : JINS
|November 21, 2023
概括
帕金森病患者的主观认知衰退和日常生活困难在英语圈国家和国际移民中出生的人之间没有显著差异. 移民身份对这些主观评估的影响最小,这些主观评估对于诊断认知功能障碍至关重要.
科学领域:
- 神经心理学 神经心理学
- 神经学 神经学
- 老年学是一门学科.
背景情况:
- 主观认知衰退 (SCD) 和日常生活的工具活动 (iADLs) 是诊断轻度认知障碍和痴呆症的关键.
- 有限的研究表明,文化与认知能力的自我评估之间存在联系.
- 目前尚不清楚,英语世界出生的患者和国际移民之间的主观神经心理评估要素是否有所不同.
研究的目的:
- 调查在主观认知衰退 (SCD) 和日常生活的工具性活动 (iADL) 困难在帕金森病患者出生在英语世界国家与国际移民之间的潜在差异.
- 确定移民身份对高级帕金森病主观认知评估的影响.
主要方法:
- 764名晚期帕金森病 (PD) 患者的回顾性图表审查.
- 从神经心理学报告中提取和编码SCD和iADL困难.
- 检查自我和家庭评级的执行功能和iADL问卷.
主要成果:
- 通过采访,在英语圈和国际群体之间的整体SCD或iADL困难中没有发现显著差异.
- 英语圈患者报告了更多的执行和语言SCD;国际护理合作伙伴在问卷中报告了更多的执行功能障碍.
- 国际患者和护理伙伴报告了更多的iADL困难,将其归因于运动症状.
结论:
- 根据移民身份,没有观察到SCD或iADL困难的一致群体差异.
- 移民身份对PD患者的主观认知和功能评估的影响有限.
- 在诊断帕金森病的认知功能障碍时,主观认知衰退和iADL困难应被重视.
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