认知领域异常的模式增强了对痴呆症风险预测的歧视:ARIC研究
David S Knopman1, James Russell Pike2, Rebecca F Gottesman3
1Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
概括
神经心理测试揭示了痴呆风险的范围. 特定的认知模式,如记忆或执行功能缺陷,预测未来的痴呆症,多领域问题构成最高风险.
科学领域:
- 神经学 神经学
- 神经心理学 神经心理学
- 老年学是一门学科.
背景情况:
- 神经心理评估对于预测痴呆风险至关重要.
- 它们在风险分层方面的全部潜力往往被低估.
研究的目的:
- 调查特定领域神经心理测试表现与痴呆症发病率之间的关联.
- 根据认知概况建立痴呆症的风险谱.
主要方法:
- 对社区动脉样硬化风险 (ARIC) 研究中没有痴呆症的参与者的神经心理测试结果的分析.
- 使用累积发病率曲线和考克斯比例危险模型来评估风险.
- 检查了在特定认知领域的表现和事件痴呆症之间的关联.
主要成果:
- 在5296名参与者的7.9年的随访中,出现了明确的痴呆风险谱.
- 单域语言缺陷显示的风险最低,而包括记忆障碍在内的多域缺陷显示的风险最高.
- 风险模式在不同性别和种族之间是一致的.
结论:
- 特定领域的认知概况为痴呆症风险提供了显著的预后价值,超过了轻度认知障碍的风险.
- 痴呆风险的年龄敏感谱可以通过规范定义的认知异常来确定.
- 这些发现强调了在痴呆症风险评估中详细的神经心理分析的有用性.
相关概念视频
Dementia
110
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
110
Alzheimer's Disease: Overview
462
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...
462
Cognitive Development During Adulthood
88
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,...
88


