使用主观报告的二次模式预测认知衰退到痴呆的进展:来自CompAS纵向研究的证据
Lucía Pérez-Blanco1,2, Alba Felpete-López1,2, Ana Nieto-Vieites1,2
1Department of Developmental Psychology, Faculty of Psychology, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.
Frontiers in aging neuroscience
|February 19, 2024
概括
自我报告的认知投诉预测早期衰退,而告密者报告更好地预测客观进展到痴呆症. 抑郁症状也表明认知状态恶化.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 精神病学是一个精神病学.
背景情况:
- 认知能力下降是老年人群的一个重大问题.
- 早期发现认知障碍对于及时干预至关重要.
- 主观认知症状 (SCC) 和抑郁症状是潜在的早期指标.
研究的目的:
- 评估自我和告密者报告的认知投诉和认知衰退抑郁症状的预测有效性.
- 在认知障碍的不同阶段分析这些因素:认知无障碍 (CU),主观认知衰退 (SCD) 和轻度认知障碍 (MCI).
主要方法:
- 337名参与者 (年龄大于50岁) 在基线和三次随访时被评估.
- 使用QAM评估主观认知投诉 (SCC) 和使用GDS-15.5评估抑郁症状.
- 使用后勤回归来识别认知状态的稳定性,回归或进展的预测因素.
主要成果:
- 自我报告的投诉预测了从无症状到前症状阶段的进展.
- 信息人报告的SCC是随着客观恶化增加 (SCD到MCI/痴呆症) 的进展的更强有力的预测因素.
- 抑郁症的症状预测了从CU到SCD和SCD到MCI的进展.
结论:
- 晚出现的自我报告投诉预测无症状个体的主观下降.
- 早期告密者报告的投诉准确地预测了从无症状阶段的客观下降.
- 自我报告的投诉的变化有效地预测痴呆症和从前兆/前症状阶段的逆转.
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