Mild cognitive impairment and emotional problems among the elderly in a community of Shanghai， China： A follow-up study
10.19845/j.cnki.zfysjjbzz.2025.0031
- VernacularTitle:上海某社区老年认知与情绪问题干预的随访研究
- Author:
Jingjie ZHANG
1
;
Kang JU
1
;
Silu CHEN
1
Author Information
1. Shanghai Changning Mental Health Center， Affiliated Mental Health Center of East China Normal University，Shanghai 200335， China
- Publication Type:Journal Article
- Keywords:
Mild cognitive impairment;
Emotional problems;
Follow-up intervention;
Prediction
- From:
Journal of Apoplexy and Nervous Diseases
2025;42(2):159-164
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the public health issues associated with the follow-up outcomes of mental health in elderly community residents with a focus on mild cognitive impairment （MCI） and emotional problems （anxiety and depression）， as the burden of various diseases increases with global population growth and aging. Methods In this study， Patient Health Questionnaire-9， Early Dementia Screening Scale， Montreal Cognitive Assessment， Generalized Anxiety Disorder Scale， Geriatric Depression Scale， and Activities of Daily Living scale were used to analyze the data on MCI and emotional problems among the elderly in a district of Shanghai， China. The t-test， Spearman correlation analysis， and linear regression analysis were used to identify related protective factors and evaluate the effectiveness of comprehensive intervention measures. Results The first session of intervention led to an improvement in cognitive impairment （P<0.001）. During the first session of intervention， exercise and skill training were very effective in improving cognitive impairment （r=0.71 and 0.68， P<0.001）， while group instruction and the distribution of educational materials failed to achieve an ideal effectiveness. The second session of intervention also had a significant effect on cognitive impairment （P<0.05）； however， the second session of intervention lacked a significant overall effect， and skill training remained the most effective intervention method （Pr=0.0344， P<0.05）. The research findings showed that the two sessions of community intervention were protective factors against MCI and depression， while they could not alleviate anxiety. Conclusion This study validates the effectiveness of follow-up intervention measures in improving cognitive function in elderly patients with MCI， which provide scientific prediction and reference for early screening， prediction， and follow-up intervention of elderly dementia and MCI at the community level.
- Full text:2025071516175883127上海某社区老年认知与情绪问题干预的随访研究.pdf
