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神经认知修复疗法:一种在患有抑郁症和焦虑症的社区生活试点人群中增强认知能力的有前景的方法。

Neurocognitive Remediation Therapy: A Promising Approach to Enhance Cognition in Community Living Pilots with Depression and Anxiety.

作者信息

Nuralieva Nargiza, Chang Ming, Huang Lei, Ts Sanjayan

机构信息

School of Psychology, Shaanxi Normal University, Xi'an, Shaanxi, 710062, People's Republic of China.

Shaanxi Provincial Key Laboratory of Behavioral and Cognitive Neuroscience, Xi'an, Shaanxi, 710062, People's Republic of China.

出版信息

Psychol Res Behav Manag. 2024 Aug 5;17:2919-2939. doi: 10.2147/PRBM.S446634. eCollection 2024.


DOI:10.2147/PRBM.S446634
PMID:39129790
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11314441/
Abstract

Depression and anxiety are pervasive mental health issues, affecting millions globally and often accompanied by cognitive impairments with significant repercussions in daily life and professions, particularly in safety-critical roles like community-living pilots. This exploration assesses Neurocognitive Remediation Therapy (NRT) as an innovative solution for addressing cognitive deficits linked to depression and anxiety in these pilots. Theoretical underpinnings of NRT draw from cognitive rehabilitation, neuropsychology, and neuroplasticity principles. Depression and anxiety often manifest as cognitive deficits, impacting attention, memory, executive functions, and decision-making. NRT interventions aim to address these impairments by enhancing cognitive flexibility, attentional control, and memory through training exercises and cognitive restructuring, empowering individuals to regain cognitive functionality and adaptability. Empirical evidence supports NRT's efficacy in enhancing cognitive functioning, showing significant improvements in attention, memory, and executive functions. This review focuses on NRT's potential to improve cognition in community pilots, demonstrating its effectiveness in reducing cognitive deficits and enhancing job performance, even in high-pressure environments like aviation. The practical implications of NRT for pilots are profound. Tailored programs can address specific cognitive challenges, such as maintaining vigilance and decision-making under stress. Integrating NRT into training regimens enhances skill sets and mental resilience, contributing to safety and success. Additionally, NRT positively impacts emotional well-being, reducing stress and improving overall quality of life. In Conclusion, NRT emerges as a promising intervention for enhancing cognitive functioning in community-living pilots with depression and anxiety. Evidence suggests its potential to improve performance, job satisfaction, and overall well-being. Further research and implementation are crucial to fully realize its benefits and ensure pilots' safety and success.

摘要

抑郁和焦虑是普遍存在的心理健康问题,全球数百万人深受其害,且常常伴有认知障碍,对日常生活和职业产生重大影响,尤其是在社区生活飞行员等对安全至关重要的岗位上。本探索评估了神经认知康复疗法(NRT)作为解决这些飞行员与抑郁和焦虑相关认知缺陷的创新解决方案。NRT的理论基础源自认知康复、神经心理学和神经可塑性原理。抑郁和焦虑常常表现为认知缺陷,影响注意力、记忆力、执行功能和决策能力。NRT干预旨在通过训练练习和认知重构来增强认知灵活性、注意力控制和记忆力,从而解决这些障碍,使个体恢复认知功能和适应能力。实证证据支持NRT在增强认知功能方面的有效性,显示出在注意力、记忆力和执行功能方面有显著改善。本综述聚焦于NRT改善社区飞行员认知的潜力,证明其在减少认知缺陷和提高工作绩效方面的有效性,即使在航空等高压力环境中也是如此。NRT对飞行员的实际影响意义深远。量身定制的方案可以解决特定的认知挑战,比如在压力下保持警觉和进行决策。将NRT纳入训练方案可增强技能和心理适应力,有助于保障安全和取得成功。此外,NRT对情绪健康有积极影响,减轻压力并改善整体生活质量。总之,NRT成为一种有前景的干预措施,可增强患有抑郁和焦虑的社区生活飞行员的认知功能。有证据表明其有改善绩效、工作满意度和整体幸福感的潜力。进一步的研究和实施对于充分实现其益处并确保飞行员的安全和成功至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/519c/11314441/ac83fe64e34f/PRBM-17-2919-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/519c/11314441/373e48af012f/PRBM-17-2919-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/519c/11314441/ae06ec24571c/PRBM-17-2919-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/519c/11314441/a50728067913/PRBM-17-2919-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/519c/11314441/ac83fe64e34f/PRBM-17-2919-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/519c/11314441/373e48af012f/PRBM-17-2919-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/519c/11314441/ae06ec24571c/PRBM-17-2919-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/519c/11314441/a50728067913/PRBM-17-2919-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/519c/11314441/ac83fe64e34f/PRBM-17-2919-g0004.jpg

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[1]
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本文引用的文献

[1]
The Evolution of Science in Second Language Acquisition Research: A Commentary on "The Neurocognitive Underpinnings of Second Language Processing: Knowledge Gains From the Past and Future Outlook".

Lang Learn. 2023-12

[2]
Latin America and the Caribbean Code Against Cancer 1st Edition: 17 cancer prevention recommendations to the public and to policy-makers (World Code Against Cancer Framework).

Cancer Epidemiol. 2023-10

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The Role of Serotonin in Fear Learning and Memory: A Systematic Review of Human Studies.

Brain Sci. 2023-8-12

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Activated Tryptophan-Kynurenine metabolic system in the human brain is associated with learned fear.

Front Mol Neurosci. 2023-7-28

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Transl Psychiatry. 2023-7-19

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Psychiatry Res. 2023-8

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J Inherit Metab Dis. 2023-9

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Health Psychol Rev. 2023-3

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