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《COVID-19 封锁对智障和发育障碍患者认知功能的影响》。

The Impact of the COVID-19 Lockdown on the Cognitive Functions in Persons with Intellectual and Developmental Disabilities.

机构信息

Association Juan XXIII, 36003 Pontevedra, Spain.

Personality, Assessment, and Psychological Intervention, University of Extremadura, 10073 Cáceres, Spain.

出版信息

Int J Environ Res Public Health. 2022 Nov 23;19(23):15511. doi: 10.3390/ijerph192315511.

Abstract

The main objective of the research was to compare the cognitive functioning of a sample of persons with IDD (Intellectual and Developmental Disabilities) before the pandemic (2019) and after the pandemic (2020 and 2021), and to analyse the impact according to age and level of IDD impairment. The participants were 92 persons with IDD, of whom 43 were female (46.7%). The mean age in 2019 was 47.07 years (SD = 6.78). All the participants were living with family members. The CAMCOG-DS test from CAMDEX was used to assess the cognitive functions. The results indicate a worsening in cognitive functions (attention-concentration, abstract thought, language, and praxis) after lockdown, in both the total group of participants and the mild-moderate impairment group, and in both age groups. In the severely affected group, we found an improvement in the cognitive functions assessed after lockdown. These results are similar to those found in people with dementia and in the general ageing population. Results were discussed in relation to the consequences of isolation in people with IDD, as well as providing guidelines for future pandemic situations.

摘要

本研究的主要目的是比较一组智力和发育障碍(IDD)患者在大流行前(2019 年)和大流行后(2020 年和 2021 年)的认知功能,并根据年龄和 IDD 损伤程度分析其影响。参与者为 92 名 IDD 患者,其中 43 名女性(46.7%)。2019 年的平均年龄为 47.07 岁(SD=6.78)。所有参与者均与家庭成员同住。使用 CAMDEX 的 CAMCOG-DS 测试评估认知功能。结果表明,在封锁后,所有参与者和轻度至中度损伤组以及两个年龄组的认知功能(注意力-集中、抽象思维、语言和实践)均恶化。在严重受损组中,我们发现封锁后评估的认知功能有所改善。这些结果与痴呆症患者和一般老龄化人群中的结果相似。结果与 IDD 患者隔离的后果以及为未来大流行情况提供指导方针进行了讨论。

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The effects of the COVID-19 pandemic on people with dementia.新冠疫情对痴呆症患者的影响。
Nat Rev Neurol. 2021 Feb;17(2):69-70. doi: 10.1038/s41582-020-00450-z.

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