自我认知的认知波动及其与老年人与没有艾滋病毒疾病的日常功能之间的关系
Sara A Lorkiewicz1, Troy A Webber1,2, Jonathan Sober1
1Neuropsychology, Michael E. DeBakey VA Medical Center, Houston, TX, USA.
The Clinical neuropsychologist
|June 24, 2024
概括
认知波动,或思维能力的日常变化,影响中年和老年人的日常功能. 这些波动影响日常生活活动 (ADLs),无论艾滋病毒状况如何.
科学领域:
- 神经心理学 神经心理学
- 老年学是一门学科.
- 传染性疾病 传染性疾病
背景情况:
- 在实验室环境中,高认知个体内变异性 (IIV) 与艾滋病毒有关,这表明认知调节存在潜在困难.
- 每日认知波动对艾滋病毒感染者 (PLWH) 的日常功能存在和影响仍未得到充分研究.
研究的目的:
- 调查PLWH日常生活中认知波动的发生情况.
- 检查自我感知认知波动与PLWH日常功能之间的关系.
主要方法:
- 一项涉及145个PLWH和61个血清阴性对照的横截面研究,年龄为50岁及以上.
- 参与者完成了梅奥波动量表 (MFS),精神病学面试,医疗评估,以及情绪,认知症状和日常生活活动 (ADL) 的评估.
- 确认因素分析在MFS中确定了一个7项认知波动尺度.
主要成果:
- 虽然单变量分析表明PLWH中MFS认知波动得分较高,但在多重回归中,这种差异并不显著.
- 医学并发症和情感障碍被确定为认知波动的独特预测因素.
- 在整个样本中,较高的认知波动得分独立地与增加的认知症状和对ADL的更大依赖有关.
结论:
- 自我认知的认知波动显著损害了中年和老年人ADL的管理,无论艾滋病毒状况或一般认知症状.
- 需要进一步的研究来阐明PLWH认知波动的临床意义和日常生活影响.
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