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职业康复中病休参与者认知功能的变化:一项可行性研究。

Changes in cognitive functioning in sick-listed participants in occupational rehabilitation: A feasibility study.

作者信息

Johansen Thomas, Skjerve Arvid, Jensen Chris, Dittrich Winand H, Øyeflaten Irene

机构信息

a National Centre for Occupational Rehabilitation , Rauland , Norway ;

b Occupational Rehabilitation Centre , Rauland , Norway ;

出版信息

Scand J Occup Ther. 2016 Nov;23(6):437-45. doi: 10.3109/11038128.2016.1144786. Epub 2016 Mar 9.

Abstract

BACKGROUND

Individuals on long-term sick leave attending occupational rehabilitation often complain about impairments in cognitive functions such as memory and attention. Knowledge of cognitive functioning in these individuals is limited. Such knowledge is clinically relevant for improving occupational rehabilitation programmes.

OBJECTIVE

The aims of this feasibility study were to assess the methodological design and to investigate changes in memory and attention on participants during occupational rehabilitation.

METHODS

Individuals attending occupational rehabilitation (n = 28) and individuals working full time (n = 25) matched for age, gender, and education participated. The two groups were administered cognitive tests targeting memory and attention and self-reported questionnaires at pre-test and post-test. Outcome measures were speed and accuracy of responses on the cognitive tests and self-reported work ability, subjective health complaints, and symptoms of depression and anxiety.

RESULTS

In total, 35% of all invited participants agreed to take part and 93% of these also completed the second test. The mean gain scores in the intervention group were significantly higher than in the control group in response latency on simple and choice reaction time and errors in spatial working memory.

CONCLUSION

The results of this study indicate that the motivation of participants to complete testing was high. Improvements in memory and attention were evident in rehabilitation participants indicating that rehabilitation may have an effect on cognitive functions.

摘要

背景

长期病假参加职业康复的个体常抱怨存在记忆和注意力等认知功能障碍。关于这些个体认知功能的了解有限。此类知识对于改进职业康复计划具有临床相关性。

目的

本可行性研究的目的是评估方法设计,并调查职业康复期间参与者记忆和注意力的变化。

方法

参加职业康复的个体(n = 28)和年龄、性别及教育程度匹配的全职工作个体(n = 25)参与研究。两组在测试前和测试后接受针对记忆和注意力的认知测试以及自我报告问卷。结果测量指标为认知测试中反应的速度和准确性以及自我报告的工作能力、主观健康投诉、抑郁和焦虑症状。

结果

总共35%的受邀参与者同意参加,其中93%也完成了第二次测试。干预组在简单反应时、选择反应时的反应潜伏期以及空间工作记忆错误方面的平均增益得分显著高于对照组。

结论

本研究结果表明参与者完成测试的积极性很高。康复参与者的记忆和注意力有明显改善,表明康复可能对认知功能有影响。

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