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2018.10.08

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2019.10.21

認知老化Cognitive Aging


簡介 Introduction

認知老化是指個體的認知能力隨著年齡增長逐漸衰退的現象和過程。值得注意的是,並非所有認知能力都隨著年齡而下降。心理學研究人員通常將認知能力 (有時也稱為智力)大致分為兩類:流體智力和晶體智力。流體智力指的是存儲和操縱新信息的能力 (例如,感知能力,注意力,處理信息的速度,記憶能力,不依賴於先前學習和經驗的流體推理能力)。這些能力通常於個體先前的學習和經驗無關。相反,晶體智力指的是提取及使用先前學習和經驗所獲取信息的能力 (例如,專業知識,生活經驗,智慧,語言能力,依賴於先前學習和經驗的推理能力)。雖然流體智力類別中的認知能力通常受老化影響,但晶體智力類別中的認知能力通常隨著年齡的增長而保持相對穩定 (Craik & Bialystok, 2006)。認知老化可以根據程度或嚴重程度的差別分為正常衰老,輕度認知障礙和認知障礙症 (例如,阿爾茨海默氏病)。正常老化指那些不會明顯干擾個人日常生活的認知衰退。認知障礙症是一個通用術語,包括一系列會明顯降低個體日常活動能力的嚴重認知衰退。輕度認知障礙介於正常老化和認知障礙症之間 —— 它對個體的日常活動存在一定干擾,但還未達到認知障礙症的診斷標準。目前普遍的觀點是認知衰老無法逆轉或治愈,但可通過乾預或治療延遲或緩解 (Ames et al., 2017; Buffington et al., 2013; Burns & Iliffe, 2009)。
Cognitive aging refers to the phenomenon and process in which individuals’ cognitive abilities, in general, decline as they get older. Worthy of note, not all cognitive abilities decline with age. Cognitive abilities (also known as intelligence) are often roughly classified into two categories in psychological research: fluid intelligence and crystallized intelligence. Fluid intelligence refers to the ability to process, store, and manipulate new information that is independent of individuals’ prior learning and experience (e.g., sensory ability, attention, the speed of processing, memory ability, fluid reasoning ability, and other abilities which do not depend on prior learning and experience). Crystallized intelligence, in contrast, refers to the ability to retrieve and use information that has been acquired through prior learning and experience (e.g., expertise, life experience, wisdom, language ability, and other abilities which depend on prior learning and experience). Whilst cognitive abilities in the fluid-intelligence category typically are subjected to age-associated decline, those in the crystallized-intelligence category are often shown to preserve or even improve with age (Craik & Bialystok, 2006). The age-associated cognitive decline could vary in the degree or severity, according to which cognitive decline can be categorized as normal aging, mild cognitive decline, and dementia (e.g., Alzheimer’s disease). Normal aging refers to age-related changes that do not evidently interfere with individuals’ daily life. Dementia is a general term that describes a group of symptoms associated with severe cognitive declines that reduce one’s ability to perform daily activities. Mild cognitive impairment is the borderland between normal aging and dementia—it somewhat interferes with one’s daily activities but does not meet the diagnostic criteria of dementia yet. Cognitive aging is thought to be irreversible or incurable but may be delayed or alleviated via intervention or treatment (Ames et al., 2017; Buffington et al., 2013; Burns & Iliffe, 2009).

作者/Author: Xianmin Gong & Natalie Wong

新聞及政府資訊 News&Government Information

陳子頌 、 羅卓軒. (2018, 2018-08-20, January 01). 【認知障礙症】中年出現輕度認知障礙 寫書法練腦力防退化. 明報.
來自香港理工大學康復治療科學系的副教授陳子頌及研究助理羅卓軒透過本港個案分析,解釋輕度認知障礙及其與認知障礙症之間的關係,並提出增強認知能力的三大要項。
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李鴻典. (2018, 2018-08-31, January 01). 我會不會得失智症?這些方法保養腦力. 三立新聞網.
來自台灣成大斗六分院精神科的吳證寬醫師解釋認知退化早期儘早介入、預防與治療的重要性及分享腦力保養的幾項重點。
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立場新聞. (2018, 2018-06-26, January 01). 以人為本、溫柔相待 荷蘭如此建立一個認知障礙症友善社會. 立場新聞.
來自阿姆斯特丹自由大學的認知障礙症護理專家及社工 Freek Gillissen與香港人分享荷蘭對認知障礙症患者及「以人為本」護理模式的經驗。
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影視作品 Movie and TV Series

BBC. (2017). The truth about dementia. United Kingdom: BBC.
This documentary movie tells a story about a woman’s investigation of dementia that took her mother’s life and what she discovers along the way.
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Glatzer, R. & Westmoreland, W. (2014). Still Alice. U.S.: Lutzus-Brown, BSM Studio, Big Indie Pictures, Shriver Films.
The main character is a 50-year old linguistics professor. She is diagnosed with early-onset familial Alzheimer's disease. The disease interferes with her daily activities and family relationship. She tries to fight against the disease.
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許鞍華. (1995). 女人四十. 香港: 誠冠有限公司 & 卡士有限公司.
此影片主要講述一位香港職業婦女如何和患上阿爾茨海默氏症的公公相處的故事。
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學術文章 Academic Papers

Buffington, A. L. et al. (2013). Dementia: an evidence-based review of common presentations and family-based interventions. The Journal of the American Osteopathic Association, 113(10), 768–775.
This article introduces different causes and types of dementia and discusses family-based interventions of dementia.
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Burns, A. & Iliffe, S. (n.d.). Dementia. BMJ, 338, b75.
This article does a review of the clinical issues related to dementia, such as the consequences, diagnosis, and intervention of dementia.
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Craik, F. I. & Bialystok, E. (2006). Cognition through the lifespan: mechanisms of change. Trends in Cognitive Sciences, 10(3), 131–138.
This article reviews studies about cognitive changes through the lifespan, including different developmental trajectories of fluid and crystallized intelligence. It also discusses the mechanisms underlying these changes.
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Harada, C. N. et al. (2013). Normal cognitive aging. Clinics in Geriatric Medicine, 29(4), 737–752.
This article does a comprehensive review on how aging alters individuals’ neurocognitive abilities and brain functions. It also discusses the practical implications of normal cognitive aging and factors that may slow down the speed of cognitive aging.
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Lo, R. Y. (2017). The borderland between normal aging and dementia. Tzu-Chi Medical Journal, 29(2), 65.
This article introduces the differences among normal aging, mild cognitive impairment, and dementia. It talks about the characteristics and some issues (e.g., diagnosis) of mild cognitive impairment and dementia.
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書籍 Books

Ames, D. et al. (Dementia (5th edition)). Cognitive aging: Progress in understanding and opportunities for action. Boca Raton, Florida, U.S.: CRC Press.
This book covers a wide variety of topics related to dementia, including some up-to-date research advances and findings in this domain.
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Blazer, D. G. et al. (2015). Cognitive aging: Progress in understanding and opportunities for action. Washington, DC: National Academies Press.
This book covers several topics related to cognitive aging, including the changes of various cognitive abilities during aging, the methods and tools to assess cognitive aging, the risk and protective factors of cognitive abilities, and some recommendations from multiple perspective (e.g., intervention, health care, education, community action) for response to cognitive aging.
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Pachana, N. A. (2016). Encyclopedia of geropsychology. Singapore: Springer Singapore.
This encyclopedia book collects 335 east-to-read entries that cover an extensive variety of topics (including cognitive aging) related to aging.
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