轻度认知障碍老年人的认知训练：对认知和功能表现的影响。
Cognitive training in older adults with Mild Cognitive Impairment: Impact on cognitive and functional performance.
作者信息
Brum Paula Schimidt, Forlenza Orestes Vicente, Yassuda Mônica Sanches
机构信息
Bachelor in Gerontology EACH-USP, São Paulo, SP, Brazil.
MD, Psychiatrist. Collaborating Professor and PhD in Medicine from the Department of Psychiatry of the Faculty of Medicine of the University of São Paulo, São Paulo, SP, Brazil.
出版信息
Dement Neuropsychol. 2009 Apr-Jun;3(2):124-131. doi: 10.1590/S1980-57642009DN30200010.
UNLABELLED
Aging is associated with cognitive decline, yet this does not prevent older adults from finding ways to compensate for age-related deficits. Earlier studies have shown that cognitively unimpaired older adults can benefit from training programs. The efficacy of cognitive interventions among older adults without dementia but with cognitive decline (mild cognitive impairment, MCI) has not yet been widely tested.
OBJECTIVES
To evaluate the impact of 8-session cognitive training on the cognitive and functional performance of older adults with MCI.
METHODS
16 older adults diagnosed with MCI received cognitive training (18 participated as controls). All participants were assessed pre and post intervention using the Short Cognitive Test (SKT), Direct Assessment of Functional Scale Revised (DAFS-R), Geriatric Depression Scale (GDS), and Clock Drawing Test (CDT).
RESULTS
A significant improvement was observed in the study group between pre and post-test in attention (SKT), time orientation, shopping skills and dealing with finances (DAFS-R) along with reduced depressive symptoms (GDS).
CONCLUSION
These results indicate the importance of non-pharmacological interventions for older adults with MCI to help compensate for cognitive decline.
未标注
衰老与认知能力下降有关，但这并不妨碍老年人找到弥补与年龄相关缺陷的方法。早期研究表明，认知未受损的老年人可以从训练项目中获益。在没有痴呆但有认知能力下降（轻度认知障碍，MCI）的老年人中，认知干预的效果尚未得到广泛测试。
目的
评估为期8节的认知训练对患有MCI的老年人认知和功能表现的影响。
方法
16名被诊断为MCI的老年人接受了认知训练（18名作为对照参与）。所有参与者在干预前后均使用简短认知测试（SKT）、功能量表直接评估修订版（DAFS-R）、老年抑郁量表（GDS）和画钟测试（CDT）进行评估。
结果
研究组在测试前后，注意力（SKT）、时间定向、购物技能和理财能力（DAFS-R）有显著改善，同时抑郁症状（GDS）减轻。
结论
这些结果表明，非药物干预对患有MCI的老年人帮助弥补认知能力下降具有重要意义。
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