认知训练和群体心理治疗对COVID-19后患者认知表现的影响:一个探索性和非随机临床试验
Tarek Jebrini1, Anabel Thomas2, Simone Sachenbacher2
1Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Nussbaumstraße 7, 80336, Munich, Germany. tarek.jebrini@med.uni-muenchen.de.
European archives of psychiatry and clinical neuroscience
|October 2, 2024
概括
认知训练和心理治疗可能有助于改善后COVID-19 (PC) 患者的认知功能. 这项研究发现记忆力和其他认知能力的改善,这表明PC综合征恢复的潜在好处.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 在COVID-19后 (PC) 状态中,认知投诉很普遍,表现出异质性损伤.
- 与PC相关的认知缺陷的神经心理治疗选择仍未得到充分探索.
- 初步数据表明,随着时间的推移和认知训练,认知能力可能会得到改善.
研究的目的:
- 评估PC患者的综合认知训练和小组心理治疗干预措施的可行性和有效性.
- 为了确定PC患者的认知改善是否归因于干预或自然时间进展.
- 探索干预对各种认知领域的影响.
主要方法:
- 一个探索性,非随机的,非盲目的受控试验,涉及30名PC患者 (15项干预,15项对照).
- 一个为期8周的小组干预,结合了干预组的认知训练和心理治疗.
- 干预前和后评估认知表现;对照组在没有干预的情况下以可比的间隔进行评估.
主要成果:
- 这项干预是可行的,并得到了患者的积极评价.
- 干预组内在大多数认知指标中观察到显著的改善.
- 对口头记忆和视觉空间技能的显著时间x组相互作用;在注意力,记忆和处理速度上观察到更广泛的时间效应.
结论:
- PC患者的认知症状可能随着时间的推移自发改善.
- 结合认知训练和小组心理治疗似乎对患有神经认知和精神健康问题的PC患者有益.
- 这些发现支持对后COVID-19认知功能障碍结构化治疗设计的进一步研究.
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