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神经心理学在认知受损老年人评估中的作用。

The Role of Neuropsychology in the Assessment of the Cognitively Impaired Elderly.

作者信息

Lu Po H, Lee Grace J

机构信息

Executive Mental Health, Inc, 10801 National Boulevard, Los Angeles, CA 90064, USA.

Department of Psychology, School of Behavioral Health, Loma Linda University, 11130 Anderson Street, Loma Linda, CA 92350, USA.

出版信息

Neurol Clin. 2017 May;35(2):191-206. doi: 10.1016/j.ncl.2017.01.002.

Abstract

Cognitive abilities decline with age and older adults, as a group, are at increased risk for developing age-related cognitive disorders. Neuropsychological evaluation provides objective quantification of the type and severity of cognitive deficits that can affect the elderly population and elucidates a pattern of scores that provides diagnostic clues regarding etiology. It can also detect mild cognitive impairment that may not be evident on bedside assessment or mental status examination and provides critical information regarding the progression of cognitive changes through serial evaluations. Such information assists in counseling patients and family members and can guide therapeutic decisions.

摘要

认知能力会随着年龄增长而下降,老年人作为一个群体,患与年龄相关的认知障碍的风险更高。神经心理学评估能够对可能影响老年人群体的认知缺陷的类型和严重程度进行客观量化,并阐明一种分数模式,该模式可为病因学提供诊断线索。它还能检测出在床边评估或精神状态检查中可能不明显的轻度认知障碍,并通过系列评估提供有关认知变化进展的关键信息。这些信息有助于为患者及其家属提供咨询,并可指导治疗决策。

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