University of Gothenburg, Sahlgrenska Academy, Institute of Neuroscience and Physiology, Gothenburg, Sweden.
Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
BMC Psychiatry. 2018 Feb 8;18(1):42. doi: 10.1186/s12888-018-1615-0.
The challenges of today's society call for more knowledge about how to maintain all aspects of cognitive health, such as speed/attention, memory/learning, visuospatial ability, language, executive capacity and social cognition during the life course.
Medical advances have improved treatments of numerous diseases, but the cognitive implications have not been sufficiently addressed. Disability induced by cognitive dysfunction is also a major issue in groups of patients not suffering from Alzheimer's disease or related disorders. Recent studies indicate that several negative lifestyle factors can contribute to the development of cognitive impairment, but intervention and prevention strategies have not been implemented. Disability due to cognitive failure among the workforce has become a major challenge. Globally, the changing aging pyramid results in increased prevalence of cognitive disorders, and the diversity of cultures influences the expression, manifestation and consequences of cognitive dysfunction.
Major tasks in the field of cognitive medicine are basic neuroscience research to uncover diverse disease mechanisms, determinations of the prevalence of cognitive dysfunction, health-economical evaluations, and intervention studies. Raising awareness for cognitive medicine as a clinical topic would also highlight the importance of specialized health care units for an integrative approach to the treatment of cognitive dysfunctions.
当今社会的挑战要求我们更多地了解如何在整个生命周期中保持认知健康的各个方面,如速度/注意力、记忆/学习、视空间能力、语言、执行力和社会认知。
医学的进步改善了许多疾病的治疗方法,但认知方面的影响尚未得到充分解决。认知功能障碍引起的残疾也是未患阿尔茨海默病或相关疾病患者群体的一个主要问题。最近的研究表明,一些负面的生活方式因素可能导致认知障碍的发展,但干预和预防策略尚未实施。劳动力中因认知失败而导致的残疾已成为一个主要挑战。在全球范围内,不断变化的老龄化金字塔导致认知障碍的患病率增加,文化的多样性影响认知功能障碍的表现、表现和后果。
认知医学领域的主要任务是进行基础神经科学研究,以揭示不同的疾病机制,确定认知功能障碍的患病率,进行健康经济学评估,并开展干预研究。提高对认知医学作为一个临床课题的认识,也将突出专门的保健单位对于认知功能障碍综合治疗的重要性。