非痴呆、轻度和中度痴呆个体主观心理障碍与客观认知表现之间的关系。
The Association Between Subjective Mental Impairment and Objective Cognitive Performance in Non-Demented, Very Mild and Mild Demented Individuals.
机构信息
Department of Neurology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.
Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan.
出版信息
Am J Alzheimers Dis Other Demen. 2023 Jan-Dec;38:15333175231196061. doi: 10.1177/15333175231196061.
OBJECTIVES
Explore associations between subjective mental impairment, objective cognitive performance, and subsequent decline in older individuals with different cognitive statuses in Taiwan.
METHODS
Use self-reported questionnaire and cognitive abilities screening instrument to assess subjective and objective cognitive function. Categorize participants as reporters or non-reporters based on subjective reports. Conduct t-tests and regression analysis.
RESULTS
206 participants were assessed: 99 cognitively intact (CI), 44 very mild dementia, and 63 mild dementia. In the CI group, reporters in memory, orientation, daily life, community affairs, and judgement domains performed worse than non-reporters. In very mild dementia group, reporters in memory and personality domains performed better than non-reporters. No association found between subjective reports and 1-year cognitive decline in dementia groups.
CONCLUSION
Association between subjective impairment and objective performance differs in CI and very mild dementia groups. Subjective reports do not predict 1-year cognitive decline in dementia patients. Longer follow-up studies needed.
目的
探讨在台湾不同认知状态的老年人中，主观心理障碍、客观认知表现与随后认知下降之间的关联。
方法
使用自我报告问卷和认知能力筛查工具评估主观和客观认知功能。根据主观报告将参与者分为报告者或非报告者。进行 t 检验和回归分析。
结果
评估了 206 名参与者：99 名认知正常（CI）、44 名轻度痴呆、63 名轻度痴呆。在 CI 组中，记忆、定向、日常生活、社区事务和判断领域的报告者比非报告者表现更差。在轻度痴呆组中，记忆和人格领域的报告者比非报告者表现更好。在痴呆组中，主观报告与 1 年认知下降之间没有关联。
结论
在 CI 和轻度痴呆组中，主观障碍与客观表现之间存在关联。主观报告不能预测痴呆患者的 1 年认知下降。需要进行更长时间的随访研究。
Zotero 插件