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通过计算机认知训练改善轻度认知障碍患者记忆及其神经机制的转移效应:随机对照试验

Exploring transfer effects on memory and its neural mechanisms through a computerized cognitive training in mild cognitive impairment: randomized controlled trial.

机构信息

Department of Psychiatry, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.

Department of Big Data & AI Master Business Administration, Sejong University, Seoul, Republic of Korea.

出版信息

Psychogeriatrics. 2024 Sep;24(5):1075-1086. doi: 10.1111/psyg.13161. Epub 2024 Jul 16.


DOI:10.1111/psyg.13161
PMID:39014538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11577984/
Abstract

BACKGROUND: Computerized cognitive training (CCT) has been proposed as a potential therapy for cognitive decline. One of the benefits of CCT is a transfer effect, but its mechanism on the memory domain is unclear. This study aimed to investigate the transfer effect of non-memory multidomain CCT on the memory domain and its neural basis in patients with mild cognitive impairment (MCI) through a randomized controlled trial. METHODS: Patients with MCI recruited from memory clinics were randomly assigned to either the CCT or the control group. The CCT group received multidomain CCT training excluding memory training, while the control group read educational books with learning-based quizzes twice a week for 8 weeks. Participants underwent memory tests yielding a composite score, other cognitive domain tests, non-cognitive scales, and resting-state functional magnetic resonance imaging (rsfMRI), at baseline and after intervention. Within- and between-group comparisons, group × time interactions, and seed-to-voxel analyses in memory-involving brain networks were performed. RESULTS: The CCT group showed improvement over the control group in memory domain (Group × time, F = 5.87, P = 0.03, η = 0.31), which was related with the increased connectivity in the hippocampal-frontal and fusiform-occipital network. No other cognitive and non-cognitive symptoms differed between groups after adjusting for covariates. CONCLUSION: Eight weeks of multidomain CCT without memory training improved memory function and restored functional network in the hippocampal and medial temporal region in MCI patients. These results can provide evidence for the transferring ability of CCT on memory functioning with its neural basis.

摘要

背景:计算机化认知训练(CCT)已被提议作为认知衰退的潜在治疗方法。CCT 的益处之一是转移效应,但它在记忆领域的机制尚不清楚。本研究旨在通过随机对照试验探讨非记忆多领域 CCT 对轻度认知障碍(MCI)患者记忆领域的转移效应及其神经基础。

方法:从记忆诊所招募的 MCI 患者被随机分配到 CCT 组或对照组。CCT 组接受不包括记忆训练的多领域 CCT 训练,而对照组每周两次阅读带有基于学习的测验的教育书籍,共 8 周。参与者在基线和干预后进行记忆测试,得出综合分数,进行其他认知领域测试、非认知量表和静息态功能磁共振成像(rsfMRI)。进行组内和组间比较、组×时间交互作用以及记忆相关脑网络中的种子到体素分析。

结果:CCT 组在记忆领域的表现优于对照组(组×时间,F=5.87,P=0.03,η=0.31),这与海马-额叶和梭状回-枕叶网络的连接增加有关。调整协变量后,两组之间的其他认知和非认知症状没有差异。

结论:8 周的无记忆训练的多领域 CCT 可改善 MCI 患者的记忆功能,并恢复海马和内侧颞叶区域的功能网络。这些结果可为 CCT 对记忆功能的转移能力及其神经基础提供证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1213/11577984/936d54d66437/PSYG-24-1075-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1213/11577984/f4b8f1764b1b/PSYG-24-1075-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1213/11577984/936d54d66437/PSYG-24-1075-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1213/11577984/f4b8f1764b1b/PSYG-24-1075-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1213/11577984/936d54d66437/PSYG-24-1075-g002.jpg

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本文引用的文献

[1]
Computerized cognitive training for memory functions in mild cognitive impairment or dementia: a systematic review and meta-analysis.

NPJ Digit Med. 2024-1-3

[2]
Immunotherapies for Alzheimer's disease.

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[3]
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Dement Neurocogn Disord. 2023-1

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Cochrane Database Syst Rev. 2020-2-27

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