认知储备可以预测复发性复发性多发性硬化症的长期认知轨迹
Gianpaolo Maggi1, Manuela Altieri1, Mario Risi1
1Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli," Naples, Italy.
概括
认知储备 (CR) 影响复发性复发性多发性硬化症 (pwRRMS) 患者的认知轨迹. 高CR与认知能力的改善有关,而低CR预测下降,强调需要CR增强干预措施.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 认知科学 认知科学
背景情况:
- 认知储备 (CR) 在复发性复发性多发性硬化症 (pwRRMS) 中在维持认知方面发挥着作用.
- 关于CR对 pwRRMS 的长期影响的先前研究是有限的.
研究的目的:
- 根据他们的CR,调查 pwRRMS的长期认知轨迹.
- 在pWRRMS中随着时间的推移识别认知变化的预测因素.
主要方法:
- 在基线和6.5年的随访后,对78 pwRRMS的神经心理评估.
- 使用词汇知识测试 (VOC) 分析CR.
- 统计分析包括ANCOVA和回归,对残疾和抑郁症进行控制.
主要成果:
- 高CR的PwRRMS表现出认知能力的改善,而低CR的PwRRMS表现出认知能力的下降.
- 词汇知识测试 (VOC) 的得分在整体样本中增加,并预测认知变化.
- 女性性别与VOC分数的增加有关.
结论:
- 通过VOC测量的认知储备可以增强,并预测 pwRRMS 中的长期认知结果.
- 鉴定由于低CR而面临风险的pwRRMS对于实施干预措施至关重要.
- 增强CR的策略可能会延迟pWRRMS的认知障碍.
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