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轻度认知障碍和主观记忆抱怨中的个体记忆功能:来自澳大利亚影像学、生物标志物和生活方式(AIBL)老龄化研究的结果。

Personal memory function in mild cognitive impairment and subjective memory complaints: results from the Australian Imaging, Biomarkers, and Lifestyle (AIBL) Study of Ageing.

机构信息

Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, VIC, Australia The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, VIC, Australia.

Neuroscience Research Australia, Sydney, Australia.

出版信息

J Alzheimers Dis. 2014;40(3):551-61. doi: 10.3233/JAD-131820.

Abstract

BACKGROUND

Autobiographical memory (ABM) refers to the recollection of individual experiences, while personal semantic memory (PSM) refers to personally relevant, but shared, facts. Mild cognitive impairment (MCI) is routinely diagnosed with the aid of neuropsychological tests, which do not tap the ABM and PSM domains.

OBJECTIVE

We aimed to characterize the nature of ABM and PSM retrieval in cognitively healthy (HC) memory complainers, non-memory complainers, and MCI participants, and to investigate the relationship between neuropsychological tests and personal memory.

METHODS

Gender- and education-matched participants (HC = 80 and MCI = 43) completed the Episodic ABM Interview (EAMI) and a battery of neuropsychological tests.

RESULTS

ABM and PSM did not differ between complainers and non-complainers, but were poorer in MCI participants, after accounting for age and depressive symptomatology. There were significant associations between personal memory and objective memory measures were found in MCI participants, but standard cognitive measures were more sensitive to MCI.

CONCLUSION

Personal memory was compromised in MCI, reflected by lower scores on the EAMI. Memory complaining, assessed by current approaches, did not have an impact on personal memory. Standard subjective questionnaires might not reflect the sorts of concerns that bring individuals to clinical attention. Understanding personal memory function in the elderly may aid in the development of a more sensitive measure of subjective memory concerns.

摘要

背景

自传体记忆(ABM)是指对个人经历的回忆,而个人语义记忆(PSM)是指与个人相关但又共享的事实。轻度认知障碍(MCI)通常通过神经心理学测试来诊断,这些测试无法触及 ABM 和 PSM 领域。

目的

我们旨在描述认知健康(HC)记忆抱怨者、非记忆抱怨者和 MCI 参与者的 ABM 和 PSM 检索的性质,并研究神经心理学测试与个人记忆之间的关系。

方法

性别和教育匹配的参与者(HC=80 名和 MCI=43 名)完成了情节自传体记忆访谈(EAMI)和一系列神经心理学测试。

结果

在考虑年龄和抑郁症状后,抱怨者和非抱怨者之间的 ABM 和 PSM 没有差异,但 MCI 参与者的 ABM 和 PSM 较差。在 MCI 参与者中,个人记忆与客观记忆测量之间存在显著关联,但标准认知测量对 MCI 更敏感。

结论

MCI 参与者的个人记忆受损,表现在 EAMI 得分较低。通过当前方法评估的记忆抱怨并没有对个人记忆产生影响。标准的主观问卷可能无法反映导致个体引起临床关注的那种担忧。了解老年人的个人记忆功能可能有助于开发更敏感的主观记忆问题衡量标准。

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