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[长期吸烟对认知功能的影响]

[The Effect of Chronic Cigarette Use on Cognitive Function].

作者信息

Güleç Gülcan, Akarsu Özlem, Mutlu Şahin Fezan, Eşsizoğlu Altan, Köşger Ferdi, Sezer Erdi, Sonkurt Harun Olcay

出版信息

Turk Psikiyatri Derg. 2018 Fall;29(3):154-161.

Abstract

OBJECTIVE

In this study, we aimed to investigate the effect of chronic cigarette smoking on the cognitive function in people who have no other mental or physical illness other than tobacco use disorder.

METHOD

The study was carried out on three groups: smokers (n = 71), former smokers (n = 39), and non-smokers (n = 49). The Wisconsin Card Sorting Test (WCST), Stroop Color and Word Test (ST), Trail Making Test (TMT), Auditory Verbal Learning Test (AVLT), and Serial Digit Learning Test (SDLT) were applied to the 3 groups participating in the study. Groups were compared with the Three-Factor Covariance Analysis.

RESULTS

Stroop test 4th card time score which determined the basic level of color discourse in the smoker group was significantly higher than the non-smoker group. The Trail Making Test-B time scores were significantly higher in the smoker group than the non-smoker group. And Trail Making Test-B time points were significantly higher in the former smoker group than nonsmoker group. Auditory Verbal Learning Test - verbal learning scores were lower in the smoker group than the non-smoker and former smoker group. There was no significant difference in verbal learning scores between the non-smoking and former smoker groups. The neurocognitive deficits in smokers appear to be related to dose and duration.

CONCLUSION

This study suggests that auditory verbal memory, visualspatial processing, and attention areas may be a selective area of disability in smokers. A major limitation is the fact that general cognitive performance levels of participants was not assessed by a general criteria such as Wechsler Adult Intelligence Scale (WAIS).

摘要

目的

在本研究中,我们旨在调查长期吸烟对除烟草使用障碍外无其他精神或身体疾病的人群认知功能的影响。

方法

该研究针对三组人群开展:吸烟者(n = 71)、既往吸烟者(n = 39)和非吸烟者(n = 49)。对参与研究的这三组人群进行了威斯康星卡片分类测验(WCST)、斯特鲁普颜色和文字测验(ST)、连线测验(TMT)、听觉言语学习测验(AVLT)以及连续数字学习测验(SDLT)。通过三因素协方差分析对各组进行比较。

结果

吸烟者组中决定颜色辨别基本水平的斯特鲁普测验第4张卡片时间得分显著高于非吸烟者组。吸烟者组的连线测验-B时间得分显著高于非吸烟者组。既往吸烟者组的连线测验-B时间得分显著高于非吸烟者组。吸烟者组的听觉言语学习测验-言语学习得分低于非吸烟者组和既往吸烟者组。非吸烟者组和既往吸烟者组之间的言语学习得分无显著差异。吸烟者的神经认知缺陷似乎与剂量和持续时间有关。

结论

本研究表明,听觉言语记忆、视觉空间处理和注意力领域可能是吸烟者中存在功能障碍的选择性区域。一个主要局限性在于,参与者的一般认知表现水平未通过诸如韦氏成人智力量表(WAIS)等一般标准进行评估。

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