Five-year effects of cognitive training in individuals with mild cognitive impairment.

IF 4 Q1 CLINICAL NEUROLOGY Alzheimer''s and Dementia: Diagnosis, Assessment and Disease Monitoring Pub Date : 2024-09-06 eCollection Date: 2024-07-01 DOI:10.1002/dad2.12626
Sylvie Belleville, Marc Cuesta, Nathalie Bier, Catherine Brodeur, Serge Gauthier, Brigitte Gilbert, Sébastien Grenier, Marie-Christine Ouellet, Chantal Viscogliosi, Carol Hudon
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Abstract

Introduction: In a 5-year follow-up study, we investigated the enduring effects of cognitive training on older adults with mild cognitive impairment (MCI).

Methods: A randomized controlled single-blind trial involved 145 older adults with MCI, assigned to cognitive training (MEMO+), an active control psychosocial intervention, or a no-contact condition. Five-year effects were measured on immediate and delayed memory recall, the Montreal Cognitive Assessment screening test (MoCA), self-reported strategy use, and daily living difficulties.

Results: At follow-up, participants who received cognitive training showed a smaller decline in delayed memory and maintained MoCA scores, contrasting with greater declines in the control groups. Cognitive training participants outperformed controls in both delayed memory and MoCA scores at the 5-year time point. No significant group differences were observed in self-reported strategy use or difficulties in daily living.

Discussion: Cognitive training provides long-term benefits by mitigating memory decline and slowing clinical symptom progression in older adults with MCI.

Highlights: Cognitive training reduced the 5-year memory decline of persons with MCI.Cognitive training also reduced decline on the Montreal Cognitive Assessment (MoCA).No intervention effect was found on strategy use or activities of daily living.

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认知训练对轻度认知障碍患者的五年影响。
简介:在一项为期 5 年的跟踪研究中,我们调查了认知训练对轻度认知障碍(MCI)老年人的持久影响:在一项为期 5 年的跟踪研究中,我们调查了认知训练对患有轻度认知障碍(MCI)的老年人的持久影响:这项随机对照单盲试验涉及 145 名患有 MCI 的老年人,他们被分配接受认知训练(MEMO+)、积极的社会心理干预对照或无接触条件。试验对即时和延迟记忆回忆、蒙特利尔认知评估筛查测试(MoCA)、自我报告的策略使用以及日常生活困难等方面的五年效果进行了测量:结果:在随访中,接受认知训练的参与者延迟记忆的下降幅度较小,MoCA 分数保持不变,而对照组的下降幅度更大。认知训练参与者的延迟记忆和MoCA评分在5年时间点上均优于对照组。在自我报告的策略使用或日常生活困难方面,没有观察到明显的组间差异:讨论:认知训练可减轻患有 MCI 的老年人的记忆力衰退并减缓临床症状的发展,从而带来长期益处:认知训练可减轻 MCI 患者 5 年的记忆力衰退。认知训练还可减轻蒙特利尔认知评估(MoCA)的衰退。
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来源期刊
CiteScore
7.80
自引率
7.50%
发文量
101
审稿时长
8 weeks
期刊介绍: Alzheimer''s & Dementia: Diagnosis, Assessment & Disease Monitoring (DADM) is an open access, peer-reviewed, journal from the Alzheimer''s Association® that will publish new research that reports the discovery, development and validation of instruments, technologies, algorithms, and innovative processes. Papers will cover a range of topics interested in the early and accurate detection of individuals with memory complaints and/or among asymptomatic individuals at elevated risk for various forms of memory disorders. The expectation for published papers will be to translate fundamental knowledge about the neurobiology of the disease into practical reports that describe both the conceptual and methodological aspects of the submitted scientific inquiry. Published topics will explore the development of biomarkers, surrogate markers, and conceptual/methodological challenges. Publication priority will be given to papers that 1) describe putative surrogate markers that accurately track disease progression, 2) biomarkers that fulfill international regulatory requirements, 3) reports from large, well-characterized population-based cohorts that comprise the heterogeneity and diversity of asymptomatic individuals and 4) algorithmic development that considers multi-marker arrays (e.g., integrated-omics, genetics, biofluids, imaging, etc.) and advanced computational analytics and technologies.
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