在手术候选人中,随着时间的推移,主观和客观认知的重叠的变化
Louisa Hohmann1, Jan Niklas Jipping2, Frank Oltmanns3
1Epilepsy-Center Berlin-Brandenburg, Institut für Diagnostik der Epilepsien, Evangelisches Krankenhaus Königin Elisabeth Herzberge, Herzbergstraße 79, 10365 Berlin, Germany; Department of Neurology, Berlin-Brandenburg Epilepsy Center, Charité-Universitätsmedizin Berlin, corporate member of Free University and Humboldt University of Berlin, Berlin, Germany.
Seizure
|May 22, 2024
概括
患有的人的认知一致性 (PWE) 很低,随着时间的推移,过度或低估会持续. 手术后,经过手术的PWE往往会高估记忆力,而非手术的PWE可能会出现注意力下降.
科学领域:
- 神经科学是一个神经科学.
- 认知心理学 认知心理学
- 临床神经学 临床神经学
背景情况:
- 在患者 (PWE) 中的主观和客观认知评估往往显示有限的同意.
- 在PWE中,认知能力的高估和低估都可能发生.
- 认知一致性的纵向变化,特别是在手术后,仍未得到充分研究.
研究的目的:
- 为了研究主观和客观认知功能在经操作和非操作的PWE之间随着时间的推移相一致的程度.
- 为了比较手术患者和非手术对照人群之间的认知一致性变化.
- 分析主观和客观认知的可靠变化及其手术后的一致性.
主要方法:
- 在基线 (T1) 和1-3年后 (T2) 评估了切除性手术候选人的队列.
- 神经心理学检查和自我报告问卷评估了注意力和记忆力.
- 操作 (n=21) 和非操作 (n=27) PWE之间进行了对比,高估,低估和可靠变化.
主要成果:
- 总体一致性很低:注意力为42%,记忆力为25%.
- 经过手术的PWE显示,与未经手术的PWE (11%在T2) 相比,记忆过高估计的显著增加 (67%在T2).
- 手术后的PWE经历了主观认知改善和客观记忆下降,而非手术后的PWE显示注意力下降;可靠的变化很少同时发生.
结论:
- 在PWE的认知一致性始终很低,差异持续长期.
- 手术患者可能会倾向于高估记忆,需要量身定制的神经心理干预措施.
- 特定领域的评估对于理解和解决PWE认知变化至关重要.
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