兴奋剂使用者的认知功能和相关因素的时间变化:为期12个月的前性研究
Albert Kar Kin Chung1, Cheuk Yin Tse2, Y Doug Dong2
1Department of Psychiatry, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong. chungkka@hku.hk.
Scientific reports
|October 10, 2025
概括
兴奋剂使用者最初的认知能力下降,但在一年内没有进一步恶化. 认知功能更多地与人口统计相关,而不是兴奋剂使用严重程度或模式.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 成 药物 药物 药物 药物
背景情况:
- 在兴奋剂使用者中经常观察到认知障碍.
- 在这个人群中对认知变化的纵向数据有限.
研究的目的:
- 研究活跃兴奋剂使用者的认知功能在12个月内发生的变化.
- 探索与这些认知变化相关的因素.
主要方法:
- 对最近使用兴奋剂的76名成年人进行了前性纵向研究.
- 每季度使用蒙特利尔认知评估 (MoCA) 和正面评估电池 (FAB) 评估认知功能.
- 线性混合效应模型分析了认知轨迹和相关因素.
主要成果:
- 参与者在12个月内使用了稳定的兴奋剂.
- 在基线时,MoCA得分低于临床截止值,但没有进一步下降.
- FAB得分显示没有系统的时间变化.
- 女性性别和年龄较大与较低的MoCA和FAB得分有关.
- 兴奋剂使用障碍的严重程度和使用时间与认知结果无关.
结论:
- 活跃兴奋剂使用者经历了适度的基线认知缺陷,在一年内没有显著恶化.
- 人口因素,特别是年龄和性别,与认知表现的关联比物质使用严重程度更强.
- 进一步的研究可能需要更敏感的认知措施来检测兴奋剂使用者的微妙变化.
相关概念视频
Cognitive Enhancers: Cholinesterase Inhibitors and NMDA Receptor Antagonists
558
Cognitive enhancers, also known as "smart drugs," are substances used to enhance memory, mental alertness, and concentration. These can be natural or synthetic and improve cognition in conditions like Alzheimer's disease (AD) and other neurodegenerative diseases. Some common examples include caffeine, amphetamines, methylphenidate, modafinil, arecoline, donepezil, vortioxetine, and piracetam. These enhancers work on the principle of synaptic plasticity and altered circuit function.
558
Stimulants
831
Stimulants are substances that enhance neural activity and elevate dopamine levels in the brain, leading to their highly addictive nature. These drugs include cocaine, amphetamines, MDMA, caffeine, and nicotine, each with distinct mechanisms of action and varied health implications.
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
831
CNS Stimulants: Cocaine, Amphetamines and Cannabinoids
779
CNS stimulants, such as cocaine, amphetamines, and cannabinoids, have varying structures and mechanisms of action that lead to different therapeutic effects and side effects. Cocaine, with its molecular formula C17H21NO4, is a tropane alkaloid and a tertiary amino compound. It has two chemical forms: the hydrochloride salt and the "freebase." The former is in powder form, while the latter involves removing the hydrochloride salt to create a form that can be smoked. Cocaine exerts its...
779
Attention-Deficit/Hyperactivity Disorder
758
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
758
Substance Use Disorders Affecting Sleep
400
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
400


