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执行功能障碍跨焦虑严重程度:认知高原的证据
Shreyansh Srivastava1, Tatsat Vanzara1, Asha Srivastava1
1School of Behavioural Forensics, National Forensic Sciences University, Gandhinagar, Gujarat, India.
Annals of neurosciences
|January 23, 2026
概括
焦虑障碍中的执行功能障碍随着严重程度的加重而恶化,影响工作记忆和抑制控制. 在印度患者中,认知衰退高原在中度和重度焦虑水平之间.
科学领域:
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
背景情况:
- 焦虑症越来越多地与执行功能的神经认知缺陷有关,例如工作记忆,抑制控制和认知灵活性.
- 印度的研究历来专注于情感和行为方面,忽视了焦虑严重性的神经心理基础.
研究的目的:
- 检查焦虑严重程度与执行功能之间的关系.
- 在轻度,中度和重度焦虑群体中识别执行功能中的差异.
主要方法:
- 一项涉及60名患者的横截面研究,根据焦虑严重程度 (轻度,中度,严重) 分类,使用PROMIS焦虑-成人简体形式.
- 神经心理学评估包括韦克斯勒记忆量表 (WMI),斯特罗普测试 (抑制控制) 和威斯康星卡片排序测试 (概念处理).
- 统计分析包括ANOVA,后期测试,奇平方,皮尔森相关性和线性回归.
主要成果:
- 在焦虑严重程度组中观察到WMI,Stroop测试和WCST表现的显著差异 (p < .001).
- 轻度焦虑的人表现优于中度和重度焦虑的人;中度和重度组之间没有发现显著差异.
- 焦虑严重程度与执行功能有负相关性 (r = -0.45到 -0.61,p < .01),预测了20%-37%的绩效差异.
结论:
- 执行功能障碍随着焦虑的严重程度而升级,认知能力下降在中度至严重水平之间稳定.
- 焦虑的严重程度是工作记忆,抑制控制和概念处理的关键决定因素.
- 这些发现支持将神经心理评估和认知康复纳入印度焦虑管理协议.
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