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揭示有记忆问题的求助者报告主观认知抱怨。

Uncovering mnestic problems in help-seeking individuals reporting subjective cognitive complaints.

机构信息

Division of Experimental Psychology and Neuropsychology, Department of Educational Science and Psychology, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany.

Division of Methods and Evaluation, Department of Educational Science and Psychology, Freie Universität Berlin, Berlin, Germany.

出版信息

Sci Rep. 2023 Sep 14;13(1):15266. doi: 10.1038/s41598-023-42527-x.

Abstract

In individuals with subjective cognitive impairments (SCI) the risk for the development of a neurodegenerative disease is assumed to be increased. However, it is not clear which factors contribute to the expression of SCI: Is it related to the cognitive resources already challenged, or is the psycho-affective state of more relevance? Using a novel online assessment combining self-report questionnaires and neuropsychological psychometric tests, significant predictors for the level of complaints were identified in two samples of elderly individuals: Help-seekers (HS, n = 48) consulting a memory clinic and a matched sample of non-help-seekers (nHS, n = 48). Based on the results of the online assessment, the SCI level was found to be significantly determined by the psycho-affective state (depressive mood) in the nHS group, whereas cognitive performance (cued recall) was the main predictor in the HS group. The predictive value of recall performance, however, is more-strongly expressed in memory tests which reduce the impact of compensatory strategies (face-name-association vs. word lists). Our results indicate that the problem-focused behavior of help-seeking individuals is also associated with a higher sensitivity for cognitive deficits-which can be uncovered with an appropriate psychometric test. Considering these factors, the conversion risk in individuals with SCI can probably be determined more reliably.

摘要

在有主观认知障碍(SCI)的个体中,发展为神经退行性疾病的风险被认为会增加。然而,哪些因素导致 SCI 的表现尚不清楚:这与已经受到挑战的认知资源有关,还是与心理-情感状态更相关?本研究使用一种新颖的在线评估方法,结合自我报告问卷和神经心理学心理计量测试,在两个老年个体样本中识别出了与抱怨水平相关的显著预测因素:寻求帮助者(HS,n=48),他们咨询了记忆诊所,以及匹配的无帮助寻求者样本(nHS,n=48)。基于在线评估的结果,在 nHS 组中,SCI 水平明显由心理-情感状态(抑郁情绪)决定,而在 HS 组中,认知表现(线索回忆)是主要预测因素。然而,在减少补偿策略影响的记忆测试中(面孔-名字联想对单词列表),回忆表现的预测价值表达得更为强烈。我们的研究结果表明,寻求帮助的个体的问题导向行为也与更高的认知缺陷敏感性有关,这可以通过适当的心理计量测试揭示出来。考虑到这些因素,SCI 个体的转化风险可能可以更可靠地确定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c622/10502030/fdfec403c41c/41598_2023_42527_Fig1_HTML.jpg

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