Exploring cognitive overload in adults with visual impairment: The association between concentration and fatigue.

IF 1.6 4区 医学 Q3 OPHTHALMOLOGY Optometry and Vision Science Pub Date : 2024-11-06 DOI:10.1097/OPX.0000000000002192
Manon H J Veldman, Beritan Adanç, Ger H M B van Rens, Ruth M A van Nispen, Hilde P A van der Aa
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Abstract

Significance: This research contributes to the concept of cognitive overload and the association between concentration and fatigue in individuals with visual impairment (VI). Gaining more insight into these and other factors explaining cognitive overload is essential for a better understanding, prevention, and treatment of fatigue severity in individuals with VI.

Purpose: Individuals with VI need to use additional cognitive resources to compensate for their loss of vision. These cognitive demands include increased concentration, which may put an extra burden on energy levels. This study aimed to expand upon previous research on the concept of cognitive overload by exploring the relationship between concentration and fatigue severity in individuals with VI.

Methods: A cross-sectional study was conducted based on data from the eligibility screening of the E-nergEYEze trial (n = 213). Concentration problems were measured with the Checklist of Individual Strengths subscale Concentration, and fatigue severity was measured with the Checklist of Individual Strengths subscale Fatigue Severity. Linear regression analyses were performed to investigate the association between concentration problems and fatigue severity. Potential effect modifiers (i.e., sociodemographic and vision-related characteristics) were considered, and associations were corrected for confounding.

Results: Concentration problems were directly and positively associated with fatigue severity (β = 0.47; R2 = 0.10; 95% confidence interval, 0.28 to 0.66; adjusted model: β = 0.52; R2 = 0.16; 95% confidence interval, 0.32 to 0.72). No relevant effect modifiers were identified. However, other factors that were not included in this study were involved in this association.

Conclusions: This study contributes to understanding the cognitive overload as experienced by adults with VI and highlights the importance of the association of concentration problems, as a reflection of the cognitive burden and perceived fatigue. It is recommended to identify and address concentration difficulties through suitable awareness and treatment strategies to prevent and reduce severe fatigue in this population.

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探索视力障碍成人的认知超负荷:注意力与疲劳之间的关联
意义重大:这项研究有助于理解认知超负荷的概念以及视力障碍(VI)患者注意力集中与疲劳之间的关系。为了更好地理解、预防和治疗视力障碍者的疲劳严重程度,深入了解这些及其他解释认知超负荷的因素至关重要。这些认知需求包括注意力更加集中,这可能会对能量水平造成额外负担。本研究旨在通过探讨视障人士的注意力和疲劳严重程度之间的关系,拓展以往关于认知超负荷概念的研究:根据 E-nergEYEze 试验资格筛选数据(n = 213)开展了一项横断面研究。注意力问题通过 "个人优势检查表 "的 "注意力 "分量表进行测量,疲劳严重程度通过 "个人优势检查表 "的 "疲劳严重程度 "分量表进行测量。为研究注意力问题与疲劳严重程度之间的关系,我们进行了线性回归分析。考虑了潜在的效应调节因素(即社会人口学特征和视力相关特征),并对相关性进行了混杂校正:集中注意力问题与疲劳严重程度直接正相关(β = 0.47;R2 = 0.10;95% 置信区间,0.28 至 0.66;调整模型:β = 0.52;R2 = 0.16;95% 置信区间,0.32 至 0.72)。未发现相关的效应调节因子。然而,本研究未包括的其他因素也参与了这种关联:这项研究有助于了解成年 VI 患者的认知超负荷情况,并强调了注意力集中问题的重要性,因为它反映了认知负担和感知疲劳。建议通过适当的认识和治疗策略来识别和解决注意力不集中问题,以预防和减轻这类人群的严重疲劳。
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来源期刊
Optometry and Vision Science
Optometry and Vision Science 医学-眼科学
CiteScore
2.80
自引率
7.10%
发文量
210
审稿时长
3-6 weeks
期刊介绍: Optometry and Vision Science is the monthly peer-reviewed scientific publication of the American Academy of Optometry, publishing original research since 1924. Optometry and Vision Science is an internationally recognized source for education and information on current discoveries in optometry, physiological optics, vision science, and related fields. The journal considers original contributions that advance clinical practice, vision science, and public health. Authors should remember that the journal reaches readers worldwide and their submissions should be relevant and of interest to a broad audience. Topical priorities include, but are not limited to: clinical and laboratory research, evidence-based reviews, contact lenses, ocular growth and refractive error development, eye movements, visual function and perception, biology of the eye and ocular disease, epidemiology and public health, biomedical optics and instrumentation, novel and important clinical observations and treatments, and optometric education.
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