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采用怀旧法探究健康老龄化人群的认知储备。

Using a Reminiscence-based Approach to Investigate the Cognitive Reserve of a Healthy Aging Population.

机构信息

a Neuroscience Lab , Champlain College , Burlington , Vermont , USA.

b Psychology Department , Universita' Cattolica del Sacro Cuore , Milano , Italy.

出版信息

Clin Gerontol. 2019 Jul-Sep;42(4):408-420. doi: 10.1080/07317115.2018.1447526. Epub 2018 Mar 20.

DOI:10.1080/07317115.2018.1447526
PMID:29558337
Abstract

: The concept of Cognitive Reserve (CR) has been used to account for brain plasticity in older adults that may underlie the resilience against the effects of aging or pathology on cognitive abilities. This study aims at exploring the proxies of CR in a sample of healthy older adults by analyzing their spontaneous reminiscence through a discourse analysis approach. : Fifteen community-dwelling older adults were asked to participate in a video-recorded, spontaneous reminiscence interview. Interviews were transcribed according to Conversation Analysis, and two judges classified the interview content identifying five main markers of CR: enriched environment, cognitively stimulating activities, education, physical activity, and social interaction. : Reminiscence allowed to identify markers of CR. Sharing stories that are linked to CR markers promote positive emotion, coherent sense of self, and cognitive evaluation of the importance of the social network. : Reminisce looks like a possible approach not only to indirect evaluate the CR, but also to promote it. : The reminisce approach can be used as a clinical tool to assess and increase the CR, help the clinical population to experience more positive emotions, maintain a more defined sense of self, and value more the social resources available.

摘要

认知储备(CR)的概念被用来解释老年人的大脑可塑性,这可能是他们对衰老或病理对认知能力影响的适应能力的基础。本研究旨在通过话语分析方法分析健康老年人的自发回忆,探索 CR 的替代指标。

15 名居住在社区的老年人被要求参加视频记录的自发回忆访谈。访谈按照会话分析进行转录,两名评委对访谈内容进行分类,确定了 CR 的五个主要标志:丰富的环境、认知刺激活动、教育、体育活动和社会交往。

回忆可以识别出 CR 的标志。分享与 CR 标志相关的故事可以促进积极的情绪、连贯的自我意识以及对社会网络重要性的认知评价。

回忆似乎是一种间接评估 CR 并促进 CR 的方法。

回忆方法可以用作评估和增加 CR 的临床工具,帮助临床人群体验更多积极的情绪,保持更明确的自我意识,并重视可用的社会资源。

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