Sánchez Cabaco Antonio, De La Torre Lizbeth, Alvarez Núñez Daniel N, Mejía Ramírez Manuel Alejandro, Wöbbeking Sánchez Marina
Facultad de Psicología, Universidad Pontificia de Salamanca, Spain.
Escuela de Psicología, CETYS Universidad, Mexico.
PEC Innov. 2022 Nov 29;2:100107. doi: 10.1016/j.pecinn.2022.100107. eCollection 2023 Dec.
Due to the cognitive decline associated with aging, it is necessary to determine the variables involved in this process to implement preventive actions to avoid or help slow the progression of cognitive decline to dementia in older adults. This is a priority in the current pandemic situation, due to the consequences of periods of confinement due to COVID-19. To address these challenges, this study was conducted through Information and Communication Technologies (ICTs), by adapting an in-person assessment protocol into an online Tele neuropsychological consultation. The correlation between autonomy and cognitive performance variables is analyzed in 47 Mexican subjects over 60 years of age. The results of the statistical analyses suggest a moderate correlation between the level of autonomy and cognitive performance (with MOCA and Clock Drawing Test), significant correlation values are outlined in some of the variables reviewed, and interesting data were found in the correlation of cognitive reserve with cognitive decline and the educational level from the participants. Finally, future analysis is proposed of the sensitivity of screening tests (CDT) to find indicators of Mild Cognitive Impairment (MCI) in this population that is not detected in classical tests (MOCA). Developing ICT-based screening protocols for the elderly may be a key tool in these coronavirus times or under any given circumstances.
由于与衰老相关的认知衰退,有必要确定这一过程中涉及的变量,以便采取预防措施,避免或帮助减缓老年人认知衰退向痴呆症的发展。在当前的疫情形势下,这是一个优先事项,因为COVID-19导致的隔离期带来了各种后果。为应对这些挑战,本研究通过信息通信技术(ICT)进行,将面对面评估方案改编为在线远程神经心理学咨询。对47名60岁以上的墨西哥受试者的自主性与认知表现变量之间的相关性进行了分析。统计分析结果表明,自主性水平与认知表现(通过蒙特利尔认知评估量表和画钟试验)之间存在中度相关性,在一些审查的变量中勾勒出了显著的相关值,并且在认知储备与认知衰退的相关性以及参与者的教育水平方面发现了有趣的数据。最后,建议对筛查测试(画钟试验)的敏感性进行进一步分析,以找到在该人群中未在经典测试(蒙特利尔认知评估量表)中检测到的轻度认知障碍(MCI)指标。在这些冠状病毒时期或任何特定情况下,为老年人开发基于ICT的筛查方案可能是一个关键工具。