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[阿尔茨海默病和原发性进行性失语症认知康复中的无错误学习]

[Errorless learning in cognitive rehabilitation of Alzheimer’s disease and primary progressive aphasia].

作者信息

Joubert Sven, Tannou Thomas, Maquestiaux François

机构信息

Département de psychologie, Université de Montréal, Québec, Canada, CRIUGM, Québec, Canada

CRIUGM, Québec, Canada

出版信息

Geriatr Psychol Neuropsychiatr Vieil. 2022 Dec 1;20(4):506-514. doi: 10.1684/pnv.2022.1071.

DOI:10.1684/pnv.2022.1071
PMID:36700443
Abstract

Alzheimer’s disease (AD) and primary progressive aphasia (PPA) are age-related neurodegenerative diseases characterized by a slowly progressive cognitive decline that significantly impacts functional autonomy. Cognitive interventions remain one of the most useful management perspectives to help patients compensate for their cognitive and functional deficits in everyday life. Errorless learning represents a set of principles and methods aimed at eliminating or minimizing errors in a learning context, which was initially applied to patients with an amnesic syndrome. In this article, we examine the effectiveness of this learning principle in the context of AD and PPA. Based on current data from the literature, errorless learning appears to be useful in (re)learning new information or procedural skills in AD and APP, such as relearning names or certain independent activities of daily living. In addition, the benefits of errorless learning are maintained at follow-up. There are, however, discrepancies in the results between studies which could reflect differences in the learning methods employed and in the parameters of the interventions. In conclusion, such interventions should primarily target learning that is useful for patients and that allows them to preserve their autonomy longer and improve their quality of life.

摘要

阿尔茨海默病(AD)和原发性进行性失语症(PPA)是与年龄相关的神经退行性疾病,其特征是认知功能缓慢衰退,这对功能自主性有显著影响。认知干预仍然是最有用的管理方法之一,有助于患者在日常生活中弥补其认知和功能缺陷。无错误学习代表了一套旨在消除或最小化学习情境中错误的原则和方法,最初应用于失忆综合征患者。在本文中,我们研究了这一学习原则在AD和PPA背景下的有效性。根据文献中的现有数据,无错误学习似乎有助于AD和PPA患者(重新)学习新信息或程序性技能,例如重新学习名字或某些日常生活中的独立活动。此外,无错误学习的益处会在随访中持续存在。然而,不同研究的结果存在差异,这可能反映了所采用的学习方法和干预参数的不同。总之,此类干预应主要针对对患者有用的学习,使他们能够更长时间地保持自主性并提高生活质量。

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