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在 COVID-19 大流行背景下,对健康老年人进行计算机化认知训练的主观影响。

Subjective impacts of computerized cognitive training for healthy older adults in the context of the COVID-19 pandemic.

机构信息

Universidade de São Paulo, Escola de Artes, Ciências e Humanidades, Departamento de Gerontologia, São Paulo SP, Brazil.

Instituto Supera de Educação, São José dos Campos SP, Brazil.

出版信息

Arq Neuropsiquiatr. 2023 Mar;81(3):240-247. doi: 10.1055/s-0043-1767823. Epub 2023 Apr 14.

Abstract

BACKGROUND

Computerized cognitive training programs may have benefited the self-assessment of memory, quality of life, and mood among older adults during the coronavirus disease 2019 (COVID-19) pandemic.

OBJECTIVE

To determine the subjective impacts of computerized cognitive training on mood, frequency of forgetfulness, memory complaints, and quality of life in the elderly using an online platform.

METHODS

In total, 66 elderly participants of USP 60 + , a program for the elderly offered by Universidade de São Paulo, who voluntarily enrolled in the study were selected and randomized with an allocation ratio of 1:1 into 2 groups: the training group (n = 33) and the control group (n = 33). After signing the free and informed consent form, they answered a protocol which included a sociodemographic questionnaire, the Memory Complaints Questionnaire (MAC-Q), the McNair and Kahn's Frequency of Forgetfulness Scale, the Geriatric Depression Scale (GDS-15), the Geriatric Anxiety Inventory (GAI), and the Control, Autonomy, Self-Realization, and Pleasure (CASP-19) questionnaire. The training cognitive game platform aimed to stimulate various cognitive aspects, including memory, attention, language, executive functions (reasoning, logical thinking), and visual and spatial skills.

RESULTS

The participants of the training group showed a reduction in the MAC-Q, MacNair and Kahn, and GAI scores in the pre- and posttest comparison. Significant differences were identified between the groups regarding the total scores of the MAC-Q in the post-test, which was also evidenced by the logistic regression.

CONCLUSION

Participation in a computerized cognitive intervention promoted reductions in memory complaints, frequency of forgetfulness, and anxiety symptoms, in addition to improving self-reported quality of life.

摘要

背景

在 2019 年冠状病毒病(COVID-19)大流行期间,计算机化认知训练计划可能使老年人能够自我评估记忆力、生活质量和情绪。

目的

使用在线平台确定计算机化认知训练对老年人情绪、健忘频率、记忆抱怨和生活质量的主观影响。

方法

共有 66 名 USP 60+的老年人参与者(USP 60+是由圣保罗大学提供的老年人计划)自愿参加了该研究,他们按照 1:1 的比例随机分为训练组(n=33)和对照组(n=33)。在签署自由和知情同意书后,他们回答了一份方案,其中包括一份社会人口统计学问卷、记忆抱怨问卷(MAC-Q)、麦克奈尔和卡恩的健忘频率量表、老年抑郁量表(GDS-15)、老年焦虑量表(GAI)和控制、自主、自我实现和快乐(CASP-19)问卷。训练认知游戏平台旨在刺激各种认知方面,包括记忆、注意力、语言、执行功能(推理、逻辑思维)以及视觉和空间技能。

结果

训练组的参与者在前后测比较中,MAC-Q、MacNair 和 Kahn 以及 GAI 评分均有所降低。在测试后,两组之间的 MAC-Q 总分存在显著差异,这也得到了逻辑回归的证明。

结论

参与计算机化认知干预可减少记忆抱怨、健忘频率和焦虑症状,同时提高自我报告的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6720/10104751/cbfd2bfafb71/10-1055-s-0043-1767823-i220043-1.jpg

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