Rosenblum Sara, Meyer Sonya, Richardson Ariella, Hassin-Baer Sharon
Laboratory of Complex Human Activity and Participation (CHAP), Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa 3498838, Israel.
Department of Occupational Therapy, Ariel University, Ariel 4077603, Israel.
Brain Sci. 2022 Jun 5;12(6):741. doi: 10.3390/brainsci12060741.
This study aimed to capture subjective daily functional cognitive decline among patients with Parkinson's disease. Participants (40-79 y; 78 with Parkinson's disease and 41 healthy matched controls) completed the Unified Parkinson's Disease Rating Scale (MDS-UPDRS), Parkinson's Disease Cognitive Functional Rating Scale (CFRS), Daily Living Questionnaire (DLQ), and Time Organisation and Participation Scale (TOPS) questionnaires. Patients with Parkinson's disease were divided into groups with or without suspected mild cognitive decline according to their scores on the Cognitive Functional (CF) feature, which is based on certain items of the MDS-UPDRS. Significant between-group differences were found in the DLQ and TOPS scores. Significant correlations were found among the questionnaire results, with specific DLQ and TOPS items accounting for 35% of the variance in the CF feature, which correlated with daily cognitive functional states. This study's results are relevant for detecting subtle deficits in Parkinson's disease patients suspected of mild cognitive decline, which can affect health and quality of life and relates to risk for later dementia.
本研究旨在捕捉帕金森病患者日常主观功能性认知衰退情况。参与者年龄在40 - 79岁之间(78例帕金森病患者和41例健康匹配对照),完成了统一帕金森病评定量表(MDS - UPDRS)、帕金森病认知功能评定量表(CFRS)、日常生活问卷(DLQ)以及时间组织与参与量表(TOPS)问卷。根据基于MDS - UPDRS某些项目的认知功能(CF)特征得分,将帕金森病患者分为疑似轻度认知衰退组和非疑似轻度认知衰退组。在DLQ和TOPS得分上发现了显著的组间差异。问卷结果之间存在显著相关性,特定的DLQ和TOPS项目占CF特征变异的35%,CF特征与日常认知功能状态相关。本研究结果对于检测疑似轻度认知衰退的帕金森病患者的细微缺陷具有重要意义,这些缺陷可能影响健康和生活质量,并与后期痴呆风险相关。