Cognitive rehabilitation in the elderly: Effects on strategic behavior in relation to goal management
Cognitive rehabilitation in the elderly: Effects on strategic behavior in relation to goal management
复制标题
DOI：
10.1017/s1355617707070178
复制
发表时间：
2007-01-01
影响因子：
2.6
通讯作者：
Robertson, Ian H.
中科院分区：
文献类型：
--
作者：
Levine, Brian;Stuss, Donald T.;Robertson, Ian H.
执行功能对衰老和影响额叶功能的其他条件的影响高度敏感。然而，很少有经过验证的干预措施专门设计来解决执行功能，而且，据我们所知，没有一个在健康的老龄化样本中得到验证。作为一项针对49名健康老年人的大规模认知康复随机试验的一部分，一项改进的目标管理培训计划被纳入其中，以解决现实生活中由执行功能障碍引起的缺陷。该计划强调定期暂停正在进行的活动，以建立目标层次和监控行为输出。开发了桌面模拟现实生活任务（srlt）来测量该干预所针对的过程。参与者被随机分为两组，一组立即接受干预，另一组在康复前等待。结果表明，两组的SRLT表现和自评执行缺陷的改善与培训相一致。这些收益在长期跟踪提示中保持不变。未来的研究将评估这些效应在患者群体中的特异性。
Executive functions are highly sensitive to the effects of aging and other conditions affecting frontal lobe function. Yet there are few validated interventions specifically designed to address executive functions, and, to our knowledge, none validated in a healthy aging sample. As part of a large-scale cognitive rehabilitation randomized trial in 49 healthy older adults, a modified Goal Management Training program was included to address the real-life deficits caused by executive dysfunction. This program emphasized periodic suspension of ongoing activity to establish goal hierarchies and monitor behavioral output. Tabletop simulated real-life tasks (SRLTs) were developed to measure the processes targeted by this intervention. Participants were randomized to two groups, one of which received the intervention immediately and the other of which was wait-listed prior to rehabilitation. Results indicated improvements in SRLT performance and self-rated executive deficits coinciding with the training in both groups. These gains were maintained at long-term follow-tip. Future research will assess the specificity of these effects in patient groups.