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有和没有帕金森病的非痴呆老年人的记忆、主观记忆和运动功能

Memory, Subjective Memory and Motor Functioning in Non-Demented Elders With and Without Parkinson's Disease.

作者信息

Fastame Maria Chiara, Hitchcott Paul Kenneth, Corona Federica, Pilloni Giuseppina, Porta Micaela, Pau Massimiliano, Penna Maria Pietronilla

机构信息

Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy.

Department of Surgery, Medical, Molecular, and Critical Area Pathology, University of Pisa, Pisa, Italy.

出版信息

Eur J Psychol. 2019 Jun 7;15(2):404-420. doi: 10.5964/ejop.v15i2.1672. eCollection 2019 Jun.

Abstract

Parkinson's Disease (PD) is a progressive neurological condition characterized by motor and non-motor symptoms impacting life quality. The main aim of the current study was to investigate the effect of PD on objective (i.e., working memory and semantic memory) and subjective memory (i.e., self-reported seriousness of forgetting, mnemonic usage and actual memory efficiency) controlling for the effect of depressive symptomatology. The relationship of working memory performance to gait and mobility indices was also examined, as well as the factors predicting subjective memory were explored. Fifty-four community-dwelling adults (mean age = 72.3 years, SD = 8.8) were recruited in Sardinia, an Italian island located in the Mediterranean Sea. Specifically, 27 non-demented adults with mild, early-stage PD were matched for years of education, age, and gender with a sample of healthy individuals. Participants completed a test battery assessing objective memory, subjective memory, and depressive symptoms, and an instrumental analysis of gait and functional mobility was performed. Participants with PD had poorer objective memory across all indices measured and displayed a restricted set of gait and posture impairments. Working memory performance was selectively related to gait and posture measures. Moreover, participants with PD had lower trust in their memory efficiency relative to the past than the control healthy group. Finally, 22% of the variance in seriousness of the consequences of forgetting was predicted by education and general cognitive efficiency. Overall, the present findings confirm the presence of changes in both objective and subjective memory in PD, independent from depressive symptoms.

摘要

帕金森病(PD)是一种进行性神经疾病,其特征是运动和非运动症状会影响生活质量。本研究的主要目的是在控制抑郁症状影响的情况下,调查帕金森病对客观记忆(即工作记忆和语义记忆)和主观记忆(即自我报告的遗忘严重程度、记忆方法的使用和实际记忆效率)的影响。还研究了工作记忆表现与步态和活动指数之间的关系,并探索了预测主观记忆的因素。在位于地中海的意大利撒丁岛招募了54名社区居住成年人(平均年龄 = 72.3岁,标准差 = 8.8)。具体而言,27名患有轻度早期帕金森病的非痴呆成年人在受教育年限、年龄和性别方面与一组健康个体进行了匹配。参与者完成了一系列评估客观记忆、主观记忆和抑郁症状的测试,并对步态和功能活动进行了仪器分析。帕金森病患者在所有测量指标上的客观记忆较差,并且表现出一系列有限的步态和姿势障碍。工作记忆表现与步态和姿势测量存在选择性关联。此外,与健康对照组相比,帕金森病患者对自己当前记忆效率的信任度低于过去。最后,教育程度和一般认知效率可预测22%的遗忘后果严重程度差异。总体而言,本研究结果证实帕金森病患者在客观和主观记忆方面均存在变化,且与抑郁症状无关。

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Neuropsychology. 2017 Sep;31(6):596-604. doi: 10.1037/neu0000353. Epub 2017 Apr 20.
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Working memory in healthy aging and in Parkinson's disease: evidence of interference effects.健康衰老与帕金森病中的工作记忆:干扰效应的证据。
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