临床表现 临床表现
Esther Brill1, Alexa Frederike Holfelder1, Michael Falkner2
1University Hospital of Old Age Psychiatry and Psychotherapy, Bern, Bern, Switzerland.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
计算机化认知训练 (CCT) 显示,对老年人的认知衰退没有短期益处. 高度坚持表明,CCT可能是长期或与其他干预措施相结合的有价值的.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 认知心理学 认知心理学
背景情况:
- 主观认知衰退 (SCD) 和轻度认知障碍 (MCI) 预测阿尔茨海默病.
- 计算机化认知训练 (CCT) 是一种潜在的非药物干预.
- 之前的CCT研究显示出混合的结果和坚持挑战.
研究的目的:
- 在SCD/MCI患者中评估CCT的有效性.
- 将CCT与活跃和等待名单对照组进行比较.
- 评估神经生理学和基于血液的生物标志物.
主要方法:
- 双中心随机受控试验 (RCT) 与155名参与者 (平均年龄72.2).
- 三个部门:CCT,主动控制 (纪录片),等候名单控制.
- 三个月的干预60次会议,随后为干预组进行6个月的CCT.
主要成果:
- 对于认知结果,没有显著的分组时间点相互作用.
- 在不同组中观察到高坚持 (4.87次/周).
- 灰质体积或粉样蛋白水平没有变化;经过长期训练后观察到的主观改善.
结论:
- 三个月的CCT没有显示出任何特定的认知或生物优势.
- 坚持高水平表明个性化,相关干预的重要性.
- 长期的CCT显示出积极的主观效应,表明其在多组分干预中的作用.
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