阿尔茨海默病和轻度认知障碍中既往错误和成功的影响。

The Effects of Previous Error and Success in Alzheimer's Disease and Mild Cognitive Impairment.

机构信息

Psychology Department, Lancaster University, Centre for Ageing Research, Lancaster, LA1 4YF, UK.

Department of Statistics, Lancaster University, Fylde College, Lancaster, LA1 4YF, UK.

出版信息

Sci Rep. 2019 Dec 27;9(1):20204. doi: 10.1038/s41598-019-56625-2.

Abstract

This work investigated in Alzheimer's disease dementia (AD), whether the probability of making an error on a task (or a correct response) was influenced by the outcome of the previous trials. We used the antisaccade task (AST) as a model task given the emerging consensus that it provides a promising sensitive and early biological test of cognitive impairment in AD. It can be employed equally well in healthy young and old adults, and in clinical populations. This study examined eye-movements in a sample of 202 participants (42 with dementia due to AD; 65 with mild cognitive impairment (MCI); 95 control participants). The findings revealed an overall increase in the frequency of AST errors in AD and MCI compared to the control group, as predicted. The errors on the current trial increased in proportion to the number of consecutive errors on the previous trials. Interestingly, the probability of errors was reduced on the trials that followed a previously corrected error, compared to the trials where the error remained uncorrected, revealing a level of adaptive control in participants with MCI or AD dementia. There was an earlier peak in the AST distribution of the saccadic reaction times for the inhibitory errors in comparison to the correct saccades. These findings revealed that the inhibitory errors of the past have a negative effect on the future performance of healthy adults as well as people with a neurodegenerative cognitive impairment.

摘要

本研究旨在探讨阿尔茨海默病痴呆症(AD)中,个体在前一次试验的结果的影响下,完成任务(或正确反应)的出错概率。我们使用反扫视任务(AST)作为模型任务,因为它提供了一种有前途的、敏感的、早期的认知障碍生物测试方法,这一方法在 AD 中逐渐达成共识。该任务可以同样好地应用于健康的年轻和老年成年人以及临床人群中。本研究在 202 名参与者(42 名因 AD 导致的痴呆症患者;65 名轻度认知障碍(MCI)患者;95 名对照组参与者)的样本中检查了眼动。研究结果与预测一致,发现 AD 和 MCI 患者的 AST 错误频率总体增加。与对照组相比,当前试验中的错误随着前几次试验中连续错误的增加而增加。有趣的是,与错误未被纠正的试验相比,在前一个错误被纠正的试验中,错误的概率降低了,这表明 MCI 或 AD 痴呆症患者具有一定程度的适应性控制。与正确的扫视相比,抑制性错误的 AST 分布中反应时间的早期峰值更高。这些发现表明,过去的抑制性错误对健康成年人以及患有神经退行性认知障碍的人的未来表现有负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e10/6934582/ffffb7cff04c/41598_2019_56625_Fig1_HTML.jpg

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