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认知干预会改变与年龄相关的认知变化速率吗?

Do cognitive interventions alter the rate of age-related cognitive change?

作者信息

Salthouse Timothy A

机构信息

Department of Psychology, University of Virginia, Charlottesville, VA 22904-4400.

出版信息

Intelligence. 2015 Nov-Dec;53:86-91. doi: 10.1016/j.intell.2015.09.004.

Abstract

There has recently been a great deal of interest in cognitive interventions, particularly when applied in older adults with the goal of slowing or reversing age-related cognitive decline. Although seldom directly investigated, one of the fundamental questions concerning interventions is whether the intervention alters the rate of cognitive change, or affects the level of certain cognitive measures with no effect on the trajectory of change. This question was investigated with a very simple intervention consisting of the performance of three versions (treatment) or one version (control) of the relevant cognitive tests at an initial occasion. Participants were retested at intervals ranging from less than 1 to 12 years, which allowed rates of change to be examined in the control and treatment groups. Although the intervention can be considered modest, participants in the treatment group had about .25 standard deviations less negative cognitive change over an interval of approximately three years than those in the control group, which is comparable to effect sizes reported with more intensive interventions. However, there were no interactions of the intervention with length of the interval between occasions, and thus there was no evidence that the intervention affected the course of age-related cognitive decline.

摘要

最近,人们对认知干预产生了浓厚兴趣,尤其是当认知干预应用于老年人,旨在减缓或逆转与年龄相关的认知衰退时。尽管很少直接进行研究,但关于干预的一个基本问题是,干预措施是改变了认知变化的速率,还是影响了某些认知测量的水平,而对变化轨迹没有影响。通过一项非常简单的干预措施对这个问题进行了研究,该干预措施包括在初始阶段进行三个版本(治疗组)或一个版本(对照组)的相关认知测试。参与者每隔不到1年至12年接受重新测试,这使得能够在对照组和治疗组中检查变化速率。尽管该干预措施可被视为适度干预,但在大约三年的时间间隔内,治疗组参与者的负性认知变化比对照组参与者少约0.25个标准差,这与更强化干预措施所报告的效应量相当。然而,干预措施与各次测试之间的时间间隔长度没有相互作用,因此没有证据表明该干预措施影响了与年龄相关的认知衰退进程。

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