认知变化指数是否预测未来的认知和临床衰退? 在人口统计学上不同的队列中进行纵向分析
Caroline O Nester1,2, Qi Gao3, Mindy J Katz4
1Department of Psychology, The Graduate Center, City University of New York, New York, NY, USA.
Journal of Alzheimer's disease : JAD
|February 23, 2024
概括
认知变化指数 (CCI) 有效地预测了老年人的认知衰退和痴呆风险,甚至跨越不同群体. 所有版本的CCI都显示出对未来认知障碍的预测有效性.
科学领域:
- 老年学是一门学科.
- 认知神经科学 认知神经科学
- 临床心理学 临床心理学
背景情况:
- 认知变化指数 (CCI) 是评估自我认知的认知功能和变化的常用工具.
- 它预测未来认知和临床衰退的能力仍然不确定.
研究的目的:
- 为了确定基线CCI得分是否可以预测老年人从正常认知到认知障碍的过渡.
- 评估CCI在不同先发性疾病组的预测准确性及其对种族/种族的敏感性.
主要方法:
- 利用了来自爱因斯坦衰老研究的322名参与者的数据,评估了扩展的40项CCI (CCI-40) 和各种神经心理测试.
- 采用线性混合效应模型来分析基线CCI得分与认知测试下降率和临床痴呆症评分表 (CDR) 之间的关联.
主要成果:
- 较高的基线CCI得分与认知衰退的增加率显著相关,通过CDR得分的变化来衡量.
- CCI的预测有效性在其不同版本 (CCI-12,CCI-20,CCI-40) 和各种种族/种族群体之间是一致的.
结论:
- 由CCI测量的自我报告的认知变化是多样化,非痴呆老年人群中痴呆风险的有价值指标.
- 所有评估的CCI版本都在预测未来认知能力下降方面表现得很好.
相关概念视频
Cognitive Development During Adulthood
109
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
109
Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K
Cognitivism
1.4K
Cognitive psychology emerged as a significant field in the mid-20th century. It focused on understanding humans' internal mental processes. This approach emphasizes how people perceive, remember, think, and solve problems—elements critical to human cognition.
Previously dominated by behaviorism, which prioritized observable behaviors and largely ignored mental processes, psychology transformed in the 1950s. Cognitive psychologists argue that understanding how we think and process...
Previously dominated by behaviorism, which prioritized observable behaviors and largely ignored mental processes, psychology transformed in the 1950s. Cognitive psychologists argue that understanding how we think and process...
1.4K
Longitudinal Studies
160
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
160
Alzheimer's Disease: Overview
484
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
484
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K


