视频游戏对轻度认知障碍的老年人认知功能的影响:元分析
Bo Liu1, Xiaomei Li2, Hejia Cai1
1Outdoor Sports Academy, Guilin Tourism University, Guilin, China.
Frontiers in aging neuroscience
|February 9, 2026
概括
视频游戏显著提高了轻度认知障碍 (MCI) 患者的认知功能和执行技能. 这项研究凸显了数字干预在这种人群中增强认知能力的潜力.
科学领域:
- 认知神经科学 认知神经科学
- 数字健康干预措施 数字健康干预措施
- 临床心理学 临床心理学
背景情况:
- 轻度认知障碍 (MCI) 影响全球认知功能和执行功能.
- 需要有效的干预措施来缓解MCI患者的认知衰退.
- 基于视频游戏的干预提供了一种新的认知康复方法.
研究的目的:
- 系统地评估基于视频游戏的干预措施的有效性,以提高MCI患者的认知功能.
- 评估这些干预措施对全球认知和特定执行功能的影响.
- 通过元分析综合随机对照试验 (RCT) 的证据.
主要方法:
- 在主要数据库 (PubMed,科学网,科克莱恩图书馆,Embase,CINAHL,Medline) 进行系统的文献搜索,截至2025年10月12日.
- 包括五个RCT,涉及大约215名被诊断患有MCI的参与者.
- 使用Review Manager 5.3和Stata 17进行的元分析,以聚合效应大小.
主要成果:
- 视频游戏干预显著改善了全球认知,蒙特利尔认知评估 (MoCA) 和迷你心理状态检查 (MMSE) 的得分更高.
- 观察到执行功能和注意力的显著改善,包括减少了Trail Making Tests A和B (TMT-A,TMT-B) 的完成时间.
- 对于所有主要结果,统计学意义得到实现 (MoCA 的P < 0.0001,MMSE 的P = 0.0005,TMT-A 的P < 0.00001,TMT-B 的P = 0.007).
结论:
- 基于视频游戏的干预措施有望有意义地提高MCI患者的全球认知功能和执行功能.
- 目前的证据虽然是积极的,但基于有限数量的研究.
- 未来的研究应该集中在标准化干预方案和进行长期后续研究,以确认持续的益处.
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