School of Nursing, Eastern Michigan University, Ypsilanti, MI, USA.
School of Health Sciences, Eastern Michigan University, Ypsilanti, MI, 48197, USA.
BMC Geriatr. 2023 Apr 26;23(1):248. doi: 10.1186/s12877-023-03906-1.
Understanding the negative consequences of Mild Cognitive Impairment (MCI) in Ukraine among a population who have collectively experienced difficult life events, provided the impetus for the current study which analyzed whether the perception of psychological distress differed among older adults with two types of MCI (amnestic MCI [aMCI] & nonamnestic MCI [naMCI]) compared to their cognitively intact peers.
A sample of 132 older adults were selected from an outpatient regional hospital in Lviv, Ukraine and assigned into either an MCI or non-MCI control group. A demographic survey, and the Symptom Questionnaire (SQ) were administered to both groups.
Results of an ANOVA comparing the SQ sub-scales between the Ukrainian MCI and control groups were analyzed. A multiple hierarchical regression analysis assessed the predictive value of MoCA scores on the SQ sub-scales. Compared to adults in the MCI group, adults in the control group reported significantly lower rates of anxiety, somatic, depressive symptoms, and total psychological distress.
While the level of cognitive impairment was a significant predictor for each sub-type of distress, the explained variance was minimal suggesting that other factors also played a role. Reference was made to a similar MCI sample in the U.S. which had lower SQ psychological distress scores than the Ukraine sample, further suggesting possible environmental effects on symptoms. The importance of depression and anxiety screening and treatment for older adults with MCI was also discussed.
了解在经历过艰难生活事件的人群中，轻度认知障碍（MCI）的负面后果。这促使我们进行了当前的研究，分析了与认知正常的同龄人相比，两种类型的 MCI（遗忘型 MCI [aMCI] 和非遗忘型 MCI [naMCI]）的老年人是否存在不同的心理困扰感知。
从乌克兰利沃夫的一家门诊地区医院选择了 132 名老年人作为样本，并将其分为 MCI 组或非 MCI 对照组。对两组进行了人口统计学调查和症状问卷（SQ）的评估。
对乌克兰 MCI 组和对照组的 SQ 子量表进行方差分析，比较了结果。采用多元分层回归分析评估 MoCA 评分对 SQ 子量表的预测价值。与 MCI 组的成年人相比，对照组的成年人报告焦虑、躯体、抑郁症状和总心理困扰的发生率显著较低。
尽管认知障碍的程度是每种类型的困扰的显著预测因素，但解释的方差很小，表明其他因素也起作用。提到了美国的一个类似的 MCI 样本，其 SQ 心理困扰评分低于乌克兰样本，这进一步表明环境对症状可能有影响。还讨论了对 MCI 老年人进行抑郁和焦虑筛查和治疗的重要性。
