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阿尔茨海默病中的认知衰退

Cognitive Decline in Alzheimer's Disease.

作者信息

Testo Abigail A, Roundy Gwenyth, Dumas Julie A

机构信息

Department of Psychiatry, University of Vermont, Burlington, VT, USA.

出版信息

Curr Top Behav Neurosci. 2025;69:181-195. doi: 10.1007/7854_2024_527.

Abstract

Deficits in memory, language, and other cognitive domains that impact an individual's ability to perform necessary tasks of daily living are symptoms of dementia, which is a major cause of death and disability in older adults. As the global population continues to age, deepening our understanding of dementia is crucial. Alzheimer's disease is the leading cause of dementia and accounts for between 60% and 80% of total dementia cases. Declines in episodic memory are considered a hallmark of Alzheimer's disease and occur early in disease progression. The cognitive effects of Alzheimer's disease differ from the cognitive changes expected in nonpathological or normal aging. While some cognitive changes are expected as a part of the aging processes, the declines in cognition associated with Alzheimer's disease are to a degree that the individual diagnosed with the disease is unable to function independently in activities of daily living. In this review, we will discuss how cognition is impacted by both normal and pathological aging, with a focus on Alzheimer's disease. We describe the progressive nature of Alzheimer's disease, as well as the effects of each stage of the disease on cognition.

摘要

记忆、语言及其他认知领域的缺陷会影响个体完成日常生活必要任务的能力,这些都是痴呆症的症状,而痴呆症是老年人死亡和残疾的主要原因。随着全球人口持续老龄化,加深我们对痴呆症的理解至关重要。阿尔茨海默病是痴呆症的主要病因,占痴呆症病例总数的60%至80%。情景记忆衰退被认为是阿尔茨海默病的一个标志,且在疾病进展早期就会出现。阿尔茨海默病对认知的影响不同于非病理性或正常衰老过程中预期的认知变化。虽然随着衰老过程会出现一些认知变化,但与阿尔茨海默病相关的认知衰退程度严重到使被诊断患有该疾病的个体无法在日常生活活动中独立发挥功能。在这篇综述中,我们将讨论正常衰老和病理性衰老如何影响认知,重点是阿尔茨海默病。我们描述了阿尔茨海默病的渐进性本质,以及该疾病各阶段对认知的影响。

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