将多样性,文化和公平纳入神经心理评估中
Anny Reyes1, Stephanie Torres2, Talia L Robinson3
1Department of Radiation Medicine & Applied Sciences, University of California, San Diego, CA, USA.
Neurologic clinics
|September 29, 2024
概括
了解认知功能需要考虑医疗,精神和社会因素. 整合一个病人.
科学领域:
- 神经心理学 神经心理学
- 认知科学 认知科学
- 公共卫生 公共卫生
背景情况:
- 认知功能受到医疗,精神,发育,社会文化和社会经济因素的复杂相互作用的影响.
- 神经心理学评估传统上侧重于认知测试的表现.
- 健康的社会决定因素显著影响一个人的认知健康和表现.
研究的目的:
- 强调神经心理评估中需要采用整体方法的关键需求.
- 突出整合不同患者背景因素对于准确的认知诊断的重要性.
- 为了强调诊断错误的临床影响,源于不完整的评估.
主要方法:
- 对神经心理学评估原则的审查.
- 强调对认知测试数据的上下文解释.
- 整合患者病史,包括医疗,精神,发育和社会环境因素.
主要成果:
- 如果未能整合全面的患者背景信息,可能导致误诊.
- 准确的认知诊断依赖于将测试结果与个体独特的个人资料联系起来.
- 诊断错误对患者的护理和治疗计划有重大负面影响.
结论:
- 神经心理学实践必须纳入各种各样的个体因素,以便精确的认知评估.
- 为了避免诊断错误并确保有效的患者管理,必须采用全面的,个性化的方法.
- 认识到健康的社会决定因素的影响对于理解认知障碍至关重要.
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