中国神经再生研究(英文版) ›› 2013, Vol. 8 ›› Issue (8): 760-766.doi: 10.3969/j.issn.1673-5374.2013.08.011

• 原著:退行性病与再生 • 上一篇    

阿尔茨海默病患者中心信息整合差

  

  • 收稿日期:2012-12-11 修回日期:2013-02-19 出版日期:2013-03-15 发布日期:2013-03-15

Weak central coherence in patients with Alzheimer’s disease

Selina Mårdh1, 2   

  1. 1 Swedish National Road and Transport Research Institute (VTI), Linköping 58195, Sweden
    2 Department of Behaviour and Learning, Linköping University, Linköping 58183, Sweden
  • Received:2012-12-11 Revised:2013-02-19 Online:2013-03-15 Published:2013-03-15
  • Contact: Selina M?rdh, Researcher, Swedish National Road and Transport Research Institute (VTI), S-581 95 Link?ping, Sweden, selina@vti.se.

摘要:

中心信息整合指将外界环境中的零散讯息加以整合的能力。时至今日,中心信息整合这一概念主要在研究自闭症时出现,我们的研究旨在检测阿尔茨海默病患者的中心信息整合。9例阿尔茨海默病患者和10名年龄、性别与之匹配的正常对照组纳入研究。当让受试描述一幅以火为主题的图画时,阿尔茨海默病患者只能提到图片中的零散信息,不能将火与整体环境融合起来,讲叙图片故事。说明阿尔茨海默病患者中心信息整合差,这对了解阿尔茨海默病患者眼中的世界,并给予其合适的护理有重要意义。

关键词: 神经再生, 神经退行性变, 临床实践, 阿尔茨海默病, 老年痴呆, 中心信息整合, 认知, 感知, 信息处理, 护理

Abstract:

Central coherence refers to the ability to interpret details of information into a whole. To date, the concept of central coherence is mainly used in research of autism, Asperger’s syndrome and recently in the research on eating disorders. The main purpose of the present study was to examine central coherence in patients with Alzheimer’s disease. Nine Alzheimer’s disease patients and ten age- and gender-matched control subjects, who differed significantly in neurological assessment, were shown a picture of a fire. Compared to control subjects, the Alzheimer’s disease patients described the picture in a fragmented way by mentioning details and separate objects without perceiving the context of the fire. In conclusion, patients with Alzheimer’s disease are at the weak end of central coherence, and hence suffer from a fragmented view of their surroundings. The findings have important clinical implications for the understanding of patients with Alzheimer’s diseaseand also for the possibility of caregivers to meet the Alzheimer’s disease individual in an appropriate way in the everyday care.

Key words: neural regeneration, neurodegenerative diseases, clinical practice, Alzheimer’s disease, senile dementia, central coherence, cognition, perception, information processing, neuroregeneration