Cognitive Reserve in Dementia: Implications for Cognitive Training

被引:73
作者
Mondini, Sara [1 ,2 ,3 ]
Madella, Ileana [1 ]
Zangrossi, Andrea [1 ,3 ]
Bigolin, Angela [1 ]
Tomasi, Claudia [1 ,2 ]
Michieletto, Marta [1 ]
Villani, Daniele [2 ]
Di Giovanni, Giuseppina [4 ]
Mapelli, Daniela [1 ,3 ]
机构
[1] Univ Padua, Dept Gen Psychol, Padua, Italy
[2] Casa Cure Halle San Camillo, Neuromotor Rehabil Unit, Cremona, Italy
[3] Univ Padua, Human Inspired Technol Res Ctr, Padua, Italy
[4] IRCCS Ctr S Giovanni Dio Fatebenefratelli, Brescia, Italy
关键词
cognitive reserve; dementia; Alzheimer's disease; cognitive training; rehabilitation; ALZHEIMERS-DISEASE; EDUCATION; PLASTICITY; RISK; INTERVENTION; ACTIVATIONS; STIMULATION; IMPAIRMENT; PREDICTORS; HEALTHY;
D O I
10.3389/fnagi.2016.00084
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Cognitive reserve (CR) is a potential mechanism to cope with brain damage. The aim of this study was to evaluate the effect of CR on a cognitive training (CT) in a group of patients with dementia. Eighty six participants with mild to moderate dementia were identified by their level of CR quantified by the CR Index questionnaire (CRIq) and underwent a cycle of CT. A global measure of cognition mini mental state examination (MMSE) was obtained before (TO) and after (T1) the training. Multiple linear regression analyses highlighted CR as a significant factor able to predict changes in cognitive performance after the CT. In particular, patients with lower CR benefited from a CT program more than those with high CR. These data show that CR can modulate the outcome of a CT program and that it should be considered as a predictive factor of neuropsychological rehabilitation training efficacy in people with dementia.
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页数:7
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