Limited research has investigated the effects of executive dysfunction on semantic memory deterioration among patients with amnestic mild cognitive impairment (aMCI). This study examined the cognitive performance of 181 participants from various MCI subgroups, a group of mildly impaired individuals with dementia of the Alzheimer type (DAT) and a group of individuals with subjective memory impairment on various semantic memory tasks. The aMCI-single domain (aMCI-sd) group displayed poor performance on a semantic memory task requiring relatively higher degrees of effortful retrieval, and participants in the aMCI-multiple domain (aMCI-md) group, who also suffered with mild executive dysfunction displayed poor performance on all semantic memory tasks, similar to the DAT group. The nonamnestic MCI (non-a-MCI)-single domain group displayed normal performance across all semantic tasks, whereas the non-a-MCI-multiple domain group displayed a pattern similar to that of the aMCI-sd group. aMCI-sd patients who displayed poor performance on the semantic memory task had higher risk of conversion to DAT, whereas poor performance on tasks requiring relatively less effortful retrieval was associated with higher risk of conversion in the aMCI-md group. Thus, executive function may relate to deterioration of semantic memory retrieval processes. Such patterns of semantic memory impairment could be valuable for characterization of cognitive differences among MCI patients.

译文

有限的研究调查了执行功能障碍对遗忘型轻度认知障碍 (aMCI) 患者语义记忆恶化的影响。这项研究检查了来自各个MCI亚组的181名参与者的认知表现,一组轻度受损的阿尔茨海默氏痴呆症 (DAT) 个体和一组主观记忆障碍个体在各种语义记忆任务上的认知表现。aMCI-单域 (amci-sd) 组在需要相对较高程度的努力检索的语义记忆任务上表现不佳,而aMCI-多域 (amci-md) 组的参与者也患有轻度执行功能障碍在所有语义记忆任务上表现不佳,类似于DAT组。非遗忘MCI (non-a-MCI)-单域组在所有语义任务中显示正常性能,而非a-MCI-多域组显示的模式类似于amci-sd组。在语义记忆任务上表现不佳的amci-sd患者转换为DAT的风险较高,而在需要相对较少的努力检索的任务上表现不佳与amci-md组的转换风险较高相关。因此,执行功能可能与语义记忆检索过程的恶化有关。这种语义记忆障碍的模式对于表征MCI患者之间的认知差异可能很有价值。

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