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流体认知中的个体内变异性能够揭示衰老大脑在性质上不同的认知风格。

Intra-Individual Variability Across Fluid Cognition Can Reveal Qualitatively Different Cognitive Styles of the Aging Brain.

作者信息

De Felice Sara, Holland Carol A

机构信息

Institute of Neurology, Faculty of Brain Sciences, University College London, London, United Kingdom.

Division of Health Research, Centre for Ageing Research (C4AR), Faculty of Health and Medicine, Lancaster University, Bailrigg, United Kingdom.

出版信息

Front Psychol. 2018 Oct 16;9:1973. doi: 10.3389/fpsyg.2018.01973. eCollection 2018.

Abstract

Dispersion is a measure of intra-individual variability reflecting how much performance across distinct cognitive functions varies within an individual. In cognitive aging studies, results are inconsistent: some studies report an increase in dispersion with increasing age and decline in performance, while others report an increasingly homogenous cognitive profile in older adults. We propose that inconsistencies may reflect qualitative differences in the cognitive functioning of the aging brain: age-groups may differ in how efficiently they engage resources, depending on both executive processing and resources available. This in turn would result in either greater or less dispersion. 21 young (mean 25.14 years, ± 2.85), 21 middle-old (65.05 ± 4.19), and 20 old-old (80.65 ± 4.38) healthy adults completed a series of neuropsychological tasks engaging executive processing, including switching, planning, updating, working memory and short-term memory. Individual dispersion profiles were obtained using a regression method which computes individual standard deviation across tasks from standardized test scores. Results revealed associations between performance, dispersion and cognitive reserve (measured as education level). Although differences across groups did not approach significance, there was a general pattern consistent with existing literature showing greater dispersion in the old-old group, and this was negatively associated with performance. In contrast, the middle-old group showed young-equivalent dispersion index, while performance was similar to the young group on some tasks and to the old-old group on others, possibly reflecting differences in cognitive demand. Educational level positively correlated with performance in the middle-old group only. Overall, a distinct pattern emerged for the middle-old adults: they showed young-equivalent performance on a number of measures and similar dispersion index, while uniquely benefitting from cognitive reserve. This may possibly reflect engagement in compensatory mechanisms. This study contributes to clarifying inconsistencies in previous studies and calls for more thoughtful selection of sample cohorts in aging research. The study of dispersion may provide a behavioral index of age-related changes in how cognition functions and recruits resources. Future work could examine whether this also reflects age-related changes in neural recruitment and aim at identifying factors contributing to cognitive reserve, in order to prolong good performance and improve cognition in aging.

摘要

离散度是个体内部变异性的一种度量,反映了个体在不同认知功能上的表现差异程度。在认知老化研究中,结果并不一致:一些研究报告称,随着年龄增长,离散度增加,表现下降,而另一些研究则报告老年人的认知特征越来越趋于同质化。我们认为,这些不一致可能反映了老化大脑认知功能的质的差异:不同年龄组在有效利用资源方面可能存在差异,这取决于执行加工能力和可用资源。这反过来又会导致离散度的增加或减少。21名年轻健康成年人(平均年龄25.14岁,标准差±2.85)、21名中老年健康成年人(65.05±4.19)和20名高龄健康成年人(80.65±4.38)完成了一系列涉及执行加工的神经心理学任务,包括转换、计划、更新、工作记忆和短期记忆。使用回归方法从标准化测试分数中计算个体在各项任务中的标准差,从而获得个体离散度概况。结果揭示了表现、离散度与认知储备(以教育水平衡量)之间的关联。尽管组间差异未达到显著水平,但存在一种与现有文献一致的总体模式,即高龄组的离散度更大,且与表现呈负相关。相比之下,中老年组的离散度指数与年轻人相当,而在某些任务上的表现与年轻组相似,在另一些任务上则与高龄组相似,这可能反映了认知需求的差异。教育水平仅与中老年组的表现呈正相关。总体而言,中老年成年人呈现出一种独特的模式:他们在多项指标上表现与年轻人相当,离散度指数也相似,同时唯独受益于认知储备。这可能反映了他们参与了代偿机制。本研究有助于澄清先前研究中的不一致之处,并呼吁在老化研究中更谨慎地选择样本队列。对离散度的研究可能为认知功能和资源调用方式的年龄相关变化提供一个行为指标。未来的工作可以研究这是否也反映了神经募集的年龄相关变化,并旨在确定有助于认知储备的因素,以延长良好表现并改善老化过程中的认知。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4da/6198726/e94987a75b7c/fpsyg-09-01973-g001.jpg

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