Cognitive Training During Midlife: A Systematic Review and Meta-Analysis.

IF 5.4 2区 心理学 Q1 NEUROSCIENCES
Chen Zhu, Shalini Arunogiri, Qi Li, Elizabeth H X Thomas, Caroline Gurvich
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Abstract

Midlife has been suggested to be a crucial time to introduce interventions for improving cognitive functions. The effects of cognitive training (CT) in healthy middle-aged populations and more specifically during the menopausal transition have not been systematically investigated. To investigate the effects of CT on cognition in healthy middle-aged adults and specifically in females during the menopause transition, literature was searched inception to July 2023 and studies were included that examined the effects of CT on a defined cognitive outcome. The improvement on cognitive performance following CT was the main outcome measured as mean difference (from baseline to immediate post) estimates with corresponding 95% confidence intervals (CI) in meta-analysis and was discussed with the support of subgroup analysis based on outcome type (i.e., far or near-transfer) and cluster tabulations. Nineteen articles were included in the qualitative synthesis with a total of 7765 individuals, and eight articles were included in the meta-analyses. CT was categorized into six type clusters: Game-based CT, General CT, Speed of Processing Training, Working Memory Training, Strategy-based CT, and Cognitive Remediation. Cognitive outcome was divided into six clusters: working memory, verbal memory, language, executive function, attention/processing speed, and visual memory. Meta-analysis reported significant improvement in the domain of executive function (0.48, 95% CI 0.08-0.87), verbal memory (0.22, 95% CI 0.11-0.33), and working memory (0.16, 95% CI 0.05-0.26). CT confers benefits on various cognitive domains, suggesting a potential role of CT to promote optimal cognitive functioning in the midlife and specifically in women during the menopause transition.

Abstract Image

中年期认知训练:系统回顾与元分析》。
有人认为,中年是采取干预措施改善认知功能的关键时期。关于认知训练(CT)对健康中年人群,特别是更年期过渡期人群的影响,目前还没有系统的研究。为了研究认知训练对健康中年人,特别是更年期女性认知能力的影响,我们检索了从开始到 2023 年 7 月的文献,并纳入了研究认知训练对特定认知结果影响的研究。在荟萃分析中,CT 治疗后认知能力的改善是主要结果,以平均差(从基线到治疗后即刻)估算值及相应的 95% 置信区间 (CI) 来衡量,并根据结果类型(即远转或近转)和分组表进行分组分析。定性综述中纳入了 19 篇文章,共计 7765 人,荟萃分析中纳入了 8 篇文章。CT 被分为六类:基于游戏的 CT、一般 CT、处理速度训练、工作记忆训练、基于策略的 CT 和认知矫正。认知结果分为六组:工作记忆、言语记忆、语言、执行功能、注意力/处理速度和视觉记忆。元分析表明,执行功能(0.48,95% CI 0.08-0.87)、言语记忆(0.22,95% CI 0.11-0.33)和工作记忆(0.16,95% CI 0.05-0.26)均有显著改善。CT在多个认知领域都有益处,这表明CT在促进中年期,尤其是更年期妇女的最佳认知功能方面具有潜在作用。
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来源期刊
Neuropsychology Review
Neuropsychology Review 医学-神经科学
CiteScore
11.00
自引率
1.70%
发文量
36
期刊介绍: Neuropsychology Review is a quarterly, refereed publication devoted to integrative review papers on substantive content areas in neuropsychology, with particular focus on populations with endogenous or acquired conditions affecting brain and function and on translational research providing a mechanistic understanding of clinical problems. Publication of new data is not the purview of the journal. Articles are written by international specialists in the field, discussing such complex issues as distinctive functional features of central nervous system disease and injury; challenges in early diagnosis; the impact of genes and environment on function; risk factors for functional impairment; treatment efficacy of neuropsychological rehabilitation; the role of neuroimaging, neuroelectrophysiology, and other neurometric modalities in explicating function; clinical trial design; neuropsychological function and its substrates characteristic of normal development and aging; and neuropsychological dysfunction and its substrates in neurological, psychiatric, and medical conditions. The journal''s broad perspective is supported by an outstanding, multidisciplinary editorial review board guided by the aim to provide students and professionals, clinicians and researchers with scholarly articles that critically and objectively summarize and synthesize the strengths and weaknesses in the literature and propose novel hypotheses, methods of analysis, and links to other fields.
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