临床表现 临床表现
Anna Aaronson1, Caroline Altaras2,3, Monica T Ly2,3
1Boston University CTE and Alzheimer's Disease Research Center, Boston, MA, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 26, 2025
概括
主观认知投诉 (SCC) 在重复头部冲击 (RHI) 患者中更为频繁. 这些投诉与认知功能相关,并且可能受到RHI人群中神经精神病学因素的影响.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 运动医学 运动医学
背景情况:
- 主观认知投诉 (SCC) 可以表明早期的阿尔茨海默病和相关的痴呆症.
- 重复的头部冲击 (RHI) 与增加的SCC有关,特别是在前职业美国足球运动员中.
研究的目的:
- 在不同RHI暴露的个体中描述参与者和告密者报告的SCC.
- 评估SCC与神经心理测量的一致性.
- 在暴露于RHI的个体中识别与SCC相关的因素.
主要方法:
- 在RHI (n=172) 和非RHI (n=320) 组之间比较了SCCs (认知变化指数,BRIEF-A元认知指数).
- 使用标准化神经心理测试评估记忆和执行功能.
- 使用回归模型检查了自我/告知者SCC和神经心理学表现之间的相关性.
主要成果:
- RHI组报告的SCC (MI,CCI) 比非RHI组显著更高.
- 与非RHI组相比,RHI组的自我/告知性SCC显示出更强的相关性.
- 在RHI组中,SCC与客观认知指标有关,在非RHI组中较少的关联.
结论:
- 在RHI环境中,SCC出现的频率更高,可能反映出实际的认知变化.
- 高比例的SCC可能是多因素的,受神经精神病学因素的影响.
- 需要进行纵向研究来追踪SCC及其与疾病生物标志物的相关性.
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