Cheung Mei-Chun, Lee Tsz-Lok, Sze Sophia L, Chan Agnes S
Department of Social Work, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China.
Research Center for Neuropsychological Well-Being, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China.
Front Psychol. 2023 Jan 10;13:1095111. doi: 10.3389/fpsyg.2022.1095111. eCollection 2022.
This study investigated the effects of transcranial photobiomodulation (tPBM) on improving the frontal lobe cognitive functions and mental health of older adults.
Three older adults with mild cognitive impairment (MCI) of the non-amnestic type received 18-session tPBM stimulation for 9 weeks and were assessed with neuropsychological tests of memory and executive functions and standardized questionnaires on depressive and anxiety symptoms, global cognitive functions, and daily functioning abilities before and after tPBM stimulation.
At baseline, their intrusion and/or perseveration errors in a verbal memory test and a fluency test, as measures of the frontal lobe cognitive functions, were in the borderline to severely impaired range at baseline. After tPBM stimulation, the three older adults showed various levels of improvement in their frontal lobe cognitive functions. One older adult's intrusion and perseveration errors improved from the <1st-2nd percentile (moderately to severely impaired range) to the 41st-69th percentile (average range), another older adult's intrusion errors improved from the 11th percentile to the 83rd percentile, and the third older adult's intrusion errors improved from the 5th percentile to the 56th percentile. Moreover, improvements in their anxiety and/or depressive symptoms were also observed. One older adult's depressive and anxiety symptoms improved from the severe range at baseline to the mild range after the intervention. The other two older adults' depressive symptoms improved from the mild range at baseline to the normal range after the intervention.
These findings provide preliminary support for the potential of tPBM to improve the frontal lobe cognitive functions and mental health of older adults with MCI. Given the small sample size of only three older adults and the absence of a placebo control group, larger randomized controlled studies are needed to confirm its potential.
本研究调查了经颅光生物调节(tPBM)对改善老年人额叶认知功能和心理健康的影响。
三名非遗忘型轻度认知障碍(MCI)的老年人接受了为期9周、共18次的tPBM刺激,并在tPBM刺激前后通过记忆和执行功能的神经心理学测试以及关于抑郁和焦虑症状、整体认知功能和日常功能能力的标准化问卷进行评估。
在基线时,作为额叶认知功能指标,他们在言语记忆测试和流畅性测试中的侵入和/或持续错误处于临界至严重受损范围。tPBM刺激后,这三名老年人的额叶认知功能有不同程度的改善。一名老年人的侵入和持续错误从低于第1 - 2百分位(中度至重度受损范围)提高到第41 - 69百分位(平均范围),另一名老年人的侵入错误从第11百分位提高到第83百分位,第三名老年人的侵入错误从第5百分位提高到第56百分位。此外,还观察到他们的焦虑和/或抑郁症状有所改善。一名老年人的抑郁和焦虑症状从基线时的严重范围改善到干预后的轻度范围。另外两名老年人的抑郁症状从基线时的轻度范围改善到干预后的正常范围。
这些发现为tPBM改善患有MCI的老年人额叶认知功能和心理健康的潜力提供了初步支持。鉴于样本量仅为三名老年人且缺乏安慰剂对照组,需要更大规模的随机对照研究来证实其潜力。