Objective:To analyze the clinical effect of sensory integration training combined with cognitive training in the rehabilitation treatment of children with mental retardation.Methods:A total of 120 children with mental...Objective:To analyze the clinical effect of sensory integration training combined with cognitive training in the rehabilitation treatment of children with mental retardation.Methods:A total of 120 children with mental retardation who received rehabilitation intervention in our hospital from January 2022 to December 2025 were selected and divided into a control group and an experimental group,with 60 children in each group.The control group adopted a conventional rehabilitation training program;the experimental group adopted a combined sensory integration training and cognitive training program.The sensory integration ability,cognitive function,and daily living skills of children in the two groups were compared.Results:The sensory integration ability score of the experimental group(85.3±6.2)was significantly higher than that of the control group(72.1±7.5)(p<0.05);the cognitive function score(88.7±5.8)was significantly improved compared with that of the control group(76.4±6.9)(p<0.05);the daily living skills score(90.2±4.7)was significantly higher than that of the control group(80.5±5.3)(p<0.05).The social interaction ability of the experimental group reached 92.5%,which was significantly higher than that of the control group(81.3%)(p<0.05).Conclusion:Sensory integration training combined with cognitive training demonstrates favorable outcomes in the rehabilitation treatment of children with mental retardation,exhibiting a notable neurofunctional remodeling effect.It can optimize the multidimensional rehabilitation process,effectively enhance the comprehensive developmental potential of children,and hold significant clinical application value.展开更多
Background Schizophrenia is characterised by pervasive cognitive deficits that significantly impair daily functioning and quality of life.Pharmacological treatments have limited efficacy in addressing these deficits,h...Background Schizophrenia is characterised by pervasive cognitive deficits that significantly impair daily functioning and quality of life.Pharmacological treatments have limited efficacy in addressing these deficits,highlighting the need for adjunctive interventions like computerised cognitive training(CCT).Aims This study aimed to evaluate the effects of a 30-session CCT programme on mental well-being and cognitive performance in individuals with schizophrenia.Additionally,it assessed the usability and acceptability of CCT in this population.Methods A double-blind,randomised clinical trial was conducted with 54 participants assigned to intervention and control groups.Cognitive and mental health outcomes were assessed using validated tools such as the Depression Anxiety Stress Scale 21,the Warwick-Edinburgh Mental Wellbeing Scale and the Cambridge Neuropsychological Test Automated Battery.Usability was measured with the System Usability Scale(SUS).Assessments were conducted at baseline,post-intervention and 3 months post-follow-up.Results The CCT intervention significantly improved mental well-being,reduced stress and enhanced working memory(paired associate learning,spatial working memory and spatial span)compared with controls.However,no significant effects were observed for anxiety,depression or executive function.Usability scores were high(SUS=83.51),and compliance rates were strong(92.7%),indicating favourable participant engagement.Conclusion CCT demonstrated potential as an adjunctive treatment for schizophrenia,with significant improvements in targeted cognitive and mental health domains.The high usability and compliance rates support its feasibility for broader implementation.Further research is needed to optimise protocols and explore long-term benefits.CCT offers a promising approach to addressing mental health and cognitive challenges in schizophrenia,particularly for stress and working memory.Its usability and acceptability suggest it could be seamlessly integrated into clinical practice.展开更多
Objective We investigated the feasibility and efficacy of cognitive training for older adults in rura settings and with low education levels, who have mild cognitive impairment （MCl）. Methods Forty-five older adults...Objective We investigated the feasibility and efficacy of cognitive training for older adults in rura settings and with low education levels, who have mild cognitive impairment （MCl）. Methods Forty-five older adults （ages 〉65 years） with MCI were assigned to treatment or control groups, at a 2：1 ratio. Cognitive training occurred in the treatment group for 2 months. The cognitive abilities of the participants were assessed at pre-training, metaphase, and post-training time points, using the Mini-Mental State Examination （MMSE）, Montreal Cognitive Assessment （MoCA）, Loewenstein Occupational Therapy Cognitive Assessment （LOTCA）, and Hamilton Depression Scale （HAM-D）. Results Following training, cognitive abilities improved in the treatment group, based on the total scores of all 4 measures, as well as specifically on the MoCA and LOTCA. There were differences in the main effects of group and time point on some subscales, but these differences had little, if any, effect on the overall analyses. Conclusion The present study demonstrated that cognitive training has beneficial effects on attention, language, orientation, visual perception, organization of visual movement, and logical questioning in patients with MCI. Furthermore, the observed effects are long-term changes.展开更多
The human brain is highly plastic.Cognitive training is usually used to modify functional connectivity of brain networks.Moreover,the structures of brain networks may determine its dynamic behavior which is related to...The human brain is highly plastic.Cognitive training is usually used to modify functional connectivity of brain networks.Moreover,the structures of brain networks may determine its dynamic behavior which is related to human cognitive abilities.To study the effect of functional connectivity on the brain dynamics,the dynamic model based on functional connections of the brain and the Hindmarsh–Rose model is utilized in this work.The resting-state fMRI data from the experimental group undergoing abacus-based mental calculation(AMC)training and from the control group are used to construct the functional brain networks.The dynamic behavior of brain at the resting and task states for the AMC group and the control group are simulated with the above-mentioned dynamic model.In the resting state,there are the differences of brain activation between the AMC group and the control group,and more brain regions are inspired in the AMC group.A stimulus with sinusoidal signals to brain networks is introduced to simulate the brain dynamics in the task states.The dynamic characteristics are extracted by the excitation rates,the response intensities and the state distributions.The change in the functional connectivity of brain networks with the AMC training would in turn improve the brain response to external stimulus,and make the brain more efficient in processing tasks.展开更多
Cognitive impairments are commonly observed in patients with multiple sclerosis and are associated with lower levels of quality of life.No consensus has been reached on how to tackle effectively cognitive decline in t...Cognitive impairments are commonly observed in patients with multiple sclerosis and are associated with lower levels of quality of life.No consensus has been reached on how to tackle effectively cognitive decline in this clinical population non-pharmacologically.This exploratory case-control study aims to investigate the effectiveness of a hypothesis-based cognitive training designed to target multiple domains by promoting the synchronous co-activation of different brain areas and thereby improve cognition and induce changes in functional connectivity in patients with relapsing-remitting multiple sclerosis.Forty-five patients(36 females and 9 males,mean age 44.62±8.80 years)with clinically stable relapsing-remitting multiple sclerosis were assigned to either a standard cognitive training or to control groups(sham training and nonactive control).The standard training included twenty sessions of computerized exercises involving various cognitive functions supported by distinct brain networks.The sham training was a modified version of the standard training that comprised the same exercises and number of sessions but with increased processing speed load.The non-active control group received no cognitive training.All patients underwent comprehensive neuropsychological and magnetic resonance imaging assessments at baseline and after 5 weeks.Cognitive and resting-state magnetic resonance imaging data were analyzed using repeated measures models.At reassessment,the standard training group showed significant cognitive improvements compared to both control groups in memory tasks not specifically targeted by the training:the Buschke Selective Reminding Test and the Semantic Fluency test.The standard training group showed reductions in functional connectivity of the salience network,in the anterior cingulate cortex,associated with improvements on the Buschke Selective Reminding Test.No changes were observed in the sham training group.These findings suggest that multi-domain training that stimulates multiple brain areas synchronously may improve cognition in people with relapsing-remitting multiple sclerosis if sufficient time to process training material is allowed.The associated reduction in functional connectivity of the salience network suggests that training-induced neuroplastic functional reorganization may be the mechanism supporting performance gains.This study was approved by the Regional Ethics Committee of Yorkshire and Humber(approval No.12/YH/0474)on November 20,2013.展开更多
The organization of the brain follows a topologi-cal hierarchy that changes dynamically during development.However,it remains unknown whether and how cognitive training administered over multiple years during develop-...The organization of the brain follows a topologi-cal hierarchy that changes dynamically during development.However,it remains unknown whether and how cognitive training administered over multiple years during develop-ment can modify this hierarchical topology.By measuring the brain and behavior of school children who had carried out abacus-based mental calculation(AMC)training for five years(starting from 7 years to 12 years old)in pre-training and post-training,we revealed the reshaping effect of long-term AMC intervention during development on the brain hierarchical topology.We observed the development-induced emergence of the default network,AMC training-promoted shifting,and regional changes in cortical gradi-ents.Moreover,the training-induced gradient changes were located in visual and somatomotor areas in association with the visuospatial/motor-imagery strategy.We found that gradient-based features can predict the math ability within groups.Our findings provide novel insights into the dynamic nature of network recruitment impacted by long-term cognitive training during development.展开更多
Neurotrophins,and growth factors in general,are proteins which exert many actions in central nervous system neurons.Neurotrophins promote the survival and neuronal function of neurons and exert neuroprotective effects...Neurotrophins,and growth factors in general,are proteins which exert many actions in central nervous system neurons.Neurotrophins promote the survival and neuronal function of neurons and exert neuroprotective effects in pathological models of neurodegenerative diseases.In humans several clinical trials based on the use of these proteins have been carried out. Among them, it is worth to mention gene ther- apy especially in Parkinson＇s disease （PD） （Kordower and Bjorklund, 2013）, and a series of experiments using vectors capable of carrying neurotrophins in the selected target re- gion where they can exert their beneficial action （Ghosh et al., 2014）.展开更多
Individual executive function improvement through physical and cognitive training is a research hotspot in physical education and cognitive science.However,few studies have evaluated whether combined physical and cogn...Individual executive function improvement through physical and cognitive training is a research hotspot in physical education and cognitive science.However,few studies have evaluated whether combined physical and cognitive training(CPCT)has greater benefits for executive function performance and cerebral oxygenation in adolescent athletes than cognitive training alone.This study randomly assigned 33 adolescent shooting athletes to a CPCT(n=17)or computerized cognitive training(CCT,n=16)group and compared their executive function after six weeks of training.All subjects were assessed using the 2-back,task-switching,and Stroop tests before and after training.The prefrontal cortex oxygenated hemoglobin(Oxy-Hb)activation level was monitored while executing the three tasks using functional near-infrared spectroscopy.Our results showed that the CPCT and CCT groups similarly improved their updating function as indicated by the 2-back task accuracy.The CPCT group significantly improved the switching function in the task-switching test accuracy,while the CCT group did not.However,both groups did not improve in behavioral performance as indicated by the inhibition function in the Stroop task.Cerebral oxygenation,indicated by the oxy-Hb activation level in the frontal pole area of the prefrontal lobe,significantly improved in the CPCT group during the three cognitive tasks,whereas the CCT group showed no change.These findings indicated that CPCT endowed greater advantages in task-switching in the behavioral performance of the executive function than CCT.Moreover,CPCT was superior to CCT in increasing task-efficient cerebral oxygenation during the activation of the prefrontal cortex in adolescent shooting athletes.展开更多
Computerized cognitive training (CCT) can improve cognition in older adults. However, specific programs for this target group have rarely been developed, and predictors of training success are largely unclear. In a ra...Computerized cognitive training (CCT) can improve cognition in older adults. However, specific programs for this target group have rarely been developed, and predictors of training success are largely unclear. In a randomized controlled pilot trial, we examined effects of a six-week CCT, tailored to the cognitive profile of healthy older adults (EG, n = 21) as compared to a nonspecific CCT (CG, n = 18) matched in frequency and intensity. No interaction effects between Group and Time were found. However, within-group analysis showed significant gains in verbal and non-verbal memory, executive and visuospatial functions and subjective cognitive concerns (SCC) in the EG, while the CG only benefitted in non-verbal memory and set-shifting. Low cognitive performance and lower SCC at baseline were the most consistent predictors of cognitive gains in the EG. Thus, CCTs specifically tailored to older adults seem advantageous compared to non-specific CCT. Further, we conclude that SCC may be related to reduced cognitive plasticity.展开更多
Objective:To study the application of the Montessori education method in cognitive training in patients with Alzheimer’s disease(AD).Methods:40 cases of senile dementia patients who were admitted to our hospital from...Objective:To study the application of the Montessori education method in cognitive training in patients with Alzheimer’s disease(AD).Methods:40 cases of senile dementia patients who were admitted to our hospital from January 2022 to January 2023 were selected and randomly divided into an intervention group and a control group according to the single and double number table method,with 20 cases in each group.The intervention group used the Montessori education method,the principle of which was to implement individualized health interventions based on the individual conditions of the patients,for a period of 6 months;the control group was given conventional treatment and nursing of the disease.The Mini-Mental State Examination(MMSE)was used to compare the effects of the two groups of patients before and after health intervention and conduct statistical analysis.Results:The score of the intervention group was higher than that of the control group,and there was a statistical difference between the two(P<0.05).Conclusion:Implementing the Montessori education method for diagnosed Alzheimer’s patients can effectively improve their cognitive function and delay the progress of further dementia.展开更多
Objective:To observe the clinical efficacy of acupuncture combined with cognitive training in treating mild-tomoderate poststroke cognitive impairment and the impact on cognitive function and cerebral blood flow.Metho...Objective:To observe the clinical efficacy of acupuncture combined with cognitive training in treating mild-tomoderate poststroke cognitive impairment and the impact on cognitive function and cerebral blood flow.Methods:Eighty-eight participants with mild-to-moderate cognitive impairment after a stroke were allocated to an observation group and a control group using the random number table method,each consisting of 44 cases.The two groups received the same conventional symptomatic treatment.In addition,the control group was intervened by cognitive training,and the observation group by cognitive training and Tong Du Xing Shen(unblocking the Governor Vessel and awakening the mind)acupuncture.The intervention lasted 4 weeks in both groups.By the end of the intervention,the two groups were observed for clinical efficacy and the improvements in the symptom score of traditional Chinese medicine(TCM),cognitive function[mini-mental state examination(MMSE)and Montreal cognitive assessment(MoCA)],cerebral blood flow velocities[cerebral vascular resistance index(RI),arterial blood flow mean velocity(Vm),and arterial systolic velocity(Vs)],and serum biomarkers of neurological deficit[neuron-specific enolase(NSE)and S100βprotein(S100β)].Results:During the observation,each group had 2 eliminated cases.After the intervention,the observation group achieved a total effective rate of 90.5%,higher than that in the control group,which was 73.8%(P<0.05);increases were found in the MMSE and MoCA scores in both groups(P<0.05),and the observation group was higher than the control group(P<0.05);in contrast,decreases were found in the levels of RI and serum NSE and S100β(P<0.05),and the observation group was lower than the control group(P<0.05);the Vs and Vm levels increased in both groups(P<0.05)and were higher in the observation group than in the control group(P<0.05).Conclusion:Tong Du Xing Shen acupuncture plus cognitive training is effective in treating mild-to-moderate poststroke cognitive impairment and can enhance the patient’s cognitive function;improving cerebral blood circulation and reducing cerebral nerve damage may be involved in the mechanism.展开更多
Previous efforts to boost the performance of brain-computer interfaces (BCIs) have predominantly focused on optimizing algorithms for decoding brain signals. However, the untapped potential of leveraging brain plastic...Previous efforts to boost the performance of brain-computer interfaces (BCIs) have predominantly focused on optimizing algorithms for decoding brain signals. However, the untapped potential of leveraging brain plasticity for optimization remains underexplored. In this study, we enhanced the temporal resolution of the human brain in discriminating visual stimuli by eliminating the attentional blink (AB) through color-salient cognitive training, and we confirmed that the mechanism was an attention-based improvement. Using the rapid serial visual presentation (RSVP)-based BCI, we evaluated the behavioral and electroencephalogram (EEG) decoding performance of subjects before and after cognitive training in high target percentage (with AB) and low target percentage (without AB) surveillance tasks, respectively. The results consistently demonstrated significant improvements in the trained subjects. Further analysis indicated that this improvement was attributed to the cognitively trained brain producing more discriminative EEG. Our work highlights the feasibility of cognitive training as a means of brain enhancement to boost BCI performance.展开更多
The purpose of this study is to explore the application and effect of behavioral cognitive training in group psychological counseling in the workplace.Based on the explanation of behavioral cognition theory,combined w...The purpose of this study is to explore the application and effect of behavioral cognitive training in group psychological counseling in the workplace.Based on the explanation of behavioral cognition theory,combined with the psychological characteristics and needs of the workplace population,the paper designs and implements a targeted group psychological counseling program,and analyzes the effects of counseling with a variety of evaluation methods.The results show that behavioral cognitive training has a significant effect,which provides a theoretical basis and practical reference for workplace mental health intervention.展开更多
BACKGROUND The severe physical and psychological impact of pain on the physical and mental health of women during labor leads to increased risks and complications during childbirth,presenting a major public health con...BACKGROUND The severe physical and psychological impact of pain on the physical and mental health of women during labor leads to increased risks and complications during childbirth,presenting a major public health concern.Some studies have shown that cognitive behavioral therapy(CBT)has a positive effect on maternal psychology during delivery,reducing stress and shortening labor time.Thus,CBT training for mothers and delivery room staff may be beneficial in minimizing complications and adverse effects during natural birth.AIM To investigate the clinical effects of CBT training and psychological care during delivery,and their therapeutic effects on women in labor.METHODS This study used a retrospective analysis and included 140 mothers admitted to the maternity ward between January 2021 and January 2023.The study subjects were randomized into two groups:control(n=70)and observation(n=70).Routine care,CBT training,and psychological care were provided to mothers in both groups.Psychological status scores,delivery time,and satisfaction with care pre-and post-delivery were compared,and the incidence of complications after receiving care was analyzed between the two groups.RESULTS Although the psychological state of both groups improved significantly in the late stages of labor,the psychological state scores of the mothers in the observation group were significantly lower than those of the mothers in the control group(P<0.05).The duration of labor and incidence of complications in the observation group were significantly lower than those in the control group(P<0.05).The mothers in the observation group were significantly more satisfied with nursing care during the course of labor than those in the control group(P<0.05).CONCLUSION CBT training and psychological care for mothers in the midwifery process can effectively improve anxiety and depression,shorten labor duration,reduce postnatal complications,and improve nursing satisfaction and nurse-patient relationships.Its clinical application is effective and has popularization value,providing a new way to protect maternal mental health.展开更多
Objective: To analyze the clinical value of cognitive function training combined with daily life ability training in patients with Alzheimer's disease (AD). Methods: 64 patients with AD were selected, and the admi...Objective: To analyze the clinical value of cognitive function training combined with daily life ability training in patients with Alzheimer's disease (AD). Methods: 64 patients with AD were selected, and the admission period was from January 2018 to January 2020. All patients were randomly divided into experimental group and control group, with 32 cases in each group. The therapeutic effects of the two groups were compared. Results: after intervention, the scores of MOCA and life ability of the two groups were increased compared with those before intervention, the experimental group increased significantly (P < 0.05). Compared with the control group, the MMSE score of the experimental group was significantly higher (P < 0.05). Conclusion: cognitive function training combined with activities of daily living training intervention for AD patients significantly improved their cognitive function and intellectual state and promoted their physical rehabilitation.展开更多
BACKGROUND People suffering from chronic mental illness are sensitive to stressful stimuli,lack coping skills,and have low self-esteem due to problems such as social situations.They also experience depression,isolatio...BACKGROUND People suffering from chronic mental illness are sensitive to stressful stimuli,lack coping skills,and have low self-esteem due to problems such as social situations.They also experience depression,isolation,fear,and frustration.Due to cognitive dysfunction,people suffering from chronic mental illness have inadequate cognitive processes that lead to distorted thinking.AIM To confirm the effectiveness of cognitive rehabilitation therapy in improving cognitive function and alleviating behavioral and psychological symptoms in patients with chronic mental illness,and to identify the cognitive function that had the main effect.METHODS The quality of the studies was evaluated using the Assessment of Multiple Systematic Reviews criteria,and data published from 2011 to December 2022 were searched using PubMed,Cochrane,RISS,KISS,and DBpia.The keywords used in the search were“mental illness,”“cognitive rehabilitation,”“cognition,”and“mental.”A meta-analysis was conducted on the 12 selected papers.RESULTS The level of evidence for the 12 documents was that of a randomized experimental study.Intervention types in cognitive rehabilitation can be divided into cognitive behavior,cognitive training,cognitive rehabilitation,and computerized cognitive programs.Most of the studies were on schizophrenia,and the measurement areas were cognitive functions(e.g.,concentration,memory,and executive function)as well as depression,sociability,and quality of life.As a result of the meta-analysis of each variable,the effect size for cognitive rehabilitation treatment was in the following order:Sociability,memory,concentration,executive function,quality of life,and depression.Particularly,sociability and memory exhibited significant effects.CONCLUSION Cognitive rehabilitation aids cognitive function and sociability in patients with chronic mental illness and can be used as evidence for cognitive rehabilitation in mental health and occupational therapy.展开更多
The effectiveness of training prefrontal lobe function for suppressing cognitive decline or improving cognitive function has been reported. Some epidemiological studies suggested that gardening activities can contribu...The effectiveness of training prefrontal lobe function for suppressing cognitive decline or improving cognitive function has been reported. Some epidemiological studies suggested that gardening activities can contribute to suppression of cognitive decline. In our previous studies using functional Near-Infrared Spectroscopy (fNIRS), we reported the possibility of frontal pole (FP) activation of healthy older adults during gardening activities in the quasi-laboratory setting. The objective of this study was to examine the impacts of a three-month continual practice of the watering task in the actual gardening settings on the FP activation of healthy older adults. The participants were 18 right-handed healthy older adults without a diagnosis of mild cognitive impairment or dementia (M = 71.7 years ± SD 5.0, range: 63 - 84 years) who lived independently at home. We asked the participants to continue watering at home for three months in the same way as the research task in the fNIRS measurement. After a three-month intervention, the participants’ task performance improved compared with that of pre-intervention. In addition, the Oxy-Hb values in the right lateral FP during the third trial in the post-intervention measurement were significantly greater compared with the pre-intervention measurement. This study suggested that even a gardening activity with a small number of processes such as watering, if the activity is continued for a certain period of time, can suppress the decline of the FP activation of healthy older adults. Combination of various gardening activities has the potential to be a further cognitive training for activating the FP.展开更多
This study reviewed the clinical characteristics of adolescent bipolar disorder,the shortcomings of traditional treatment models in a systematical manner,analyzed the application status of virtual reality(VR)technolog...This study reviewed the clinical characteristics of adolescent bipolar disorder,the shortcomings of traditional treatment models in a systematical manner,analyzed the application status of virtual reality(VR)technology in mental and psychological diseases,and explored the potential mechanism of VR intervention for adolescent bipolar disorder patients,especially the value of PET/CT in the evaluation of brain energy metabolism.Studies have shown that VR treatment may optimize the neurological function of patients with bipolar disorder by enhancing the prefrontal-limbic system network,regulating the reward circuit and improving the executive function,and show positive changes in the metabolism of key brain areas at the PET/CT imaging level.展开更多
Alzheimer's disease(AD) is the most common form of dementia in elderly with major symptoms of a general term for memory loss and other intellectual abilities impairment which are serious enough to interfere with d...Alzheimer's disease(AD) is the most common form of dementia in elderly with major symptoms of a general term for memory loss and other intellectual abilities impairment which are serious enough to interfere with daily life.While there is no treatment can prevent and revise the cognitive function impairment in AD,physical activity becomes a potential beneficia intervention for AD.Multiple evidences suggested that exercise in general plays beneficia roles in improving brain function.Most common mechanisms of exercise-induced enhancement of brain function are including alteration of neurogenesis,neuron plasticity,neuronal signaling and receptors,as well as neuronal networks.This mini review includes most recent clinical studies and focuses on the effects of physical exercise,cognitive stimulation,and combination of both physical and cognitive training on protection and rescue cognitive decline in people with AD.展开更多
The aim of the study was to assess the neurophysiological and behavioural effects of a stroke rehabilitation involving Treatment As Usual (TAU) combined with Social Cognitive Training (SCT) in a right-handed patient s...The aim of the study was to assess the neurophysiological and behavioural effects of a stroke rehabilitation involving Treatment As Usual (TAU) combined with Social Cognitive Training (SCT) in a right-handed patient suffered from tuberothalamic infarct compared to healthy controls (HCs) (n = 13). Methods: Both HCs and the patient were assessed by means of the following measures: Penn Emotion Perception Battery (ER40, EmoDiff40, PEAT40, PFMT), Reading the Mind in the Eyes Test, and Toronto Alexithymia Scale alongside clinical scales (Mini Mental State Examination, The State-Trait Anxiety Inventory, and Hamilton Depression Scale). The SCT was delivered individually for 60 minutes weekly in a 12-week program (12 sessions). The subject participated twice in a fMRI scanning session including the event-related task of implicit processing of 100% fearful expressions to detect physiological changes after TAU plus SCT and compared them with HCS who underwent the same assessment once. Results: Compared with HCs, the patient before therapy revealed lower scores in emotion recognition;particularly perception of anger was affected alongside worse performance on both emotion discrimination and acuity tests. After therapy, B.D. showed improvement in emotional processing. B.D. had less post-therapy activation maps compared with pretherapy ones and more significantly activated pre-and post-central gyrus and right cerebellum in response to fearful faces. Interestingly, no amygdala was significantly activated as the response to fearful stimuli before or after therapy was completed. Conclusions: Further research was needed to increase understanding about efficacy of SCT and the theory of neuroplasticity, thus helping rehabilitation programs.展开更多
基金Baoding Science and Technology Plan Project(Project No.:2541ZF307)。
文摘Objective:To analyze the clinical effect of sensory integration training combined with cognitive training in the rehabilitation treatment of children with mental retardation.Methods:A total of 120 children with mental retardation who received rehabilitation intervention in our hospital from January 2022 to December 2025 were selected and divided into a control group and an experimental group,with 60 children in each group.The control group adopted a conventional rehabilitation training program;the experimental group adopted a combined sensory integration training and cognitive training program.The sensory integration ability,cognitive function,and daily living skills of children in the two groups were compared.Results:The sensory integration ability score of the experimental group(85.3±6.2)was significantly higher than that of the control group(72.1±7.5)(p<0.05);the cognitive function score(88.7±5.8)was significantly improved compared with that of the control group(76.4±6.9)(p<0.05);the daily living skills score(90.2±4.7)was significantly higher than that of the control group(80.5±5.3)(p<0.05).The social interaction ability of the experimental group reached 92.5%,which was significantly higher than that of the control group(81.3%)(p<0.05).Conclusion:Sensory integration training combined with cognitive training demonstrates favorable outcomes in the rehabilitation treatment of children with mental retardation,exhibiting a notable neurofunctional remodeling effect.It can optimize the multidimensional rehabilitation process,effectively enhance the comprehensive developmental potential of children,and hold significant clinical application value.
基金supported by a grant from University of Social Welfare and Rehabilitation Sciences for the research expenses.
文摘Background Schizophrenia is characterised by pervasive cognitive deficits that significantly impair daily functioning and quality of life.Pharmacological treatments have limited efficacy in addressing these deficits,highlighting the need for adjunctive interventions like computerised cognitive training(CCT).Aims This study aimed to evaluate the effects of a 30-session CCT programme on mental well-being and cognitive performance in individuals with schizophrenia.Additionally,it assessed the usability and acceptability of CCT in this population.Methods A double-blind,randomised clinical trial was conducted with 54 participants assigned to intervention and control groups.Cognitive and mental health outcomes were assessed using validated tools such as the Depression Anxiety Stress Scale 21,the Warwick-Edinburgh Mental Wellbeing Scale and the Cambridge Neuropsychological Test Automated Battery.Usability was measured with the System Usability Scale(SUS).Assessments were conducted at baseline,post-intervention and 3 months post-follow-up.Results The CCT intervention significantly improved mental well-being,reduced stress and enhanced working memory(paired associate learning,spatial working memory and spatial span)compared with controls.However,no significant effects were observed for anxiety,depression or executive function.Usability scores were high(SUS=83.51),and compliance rates were strong(92.7%),indicating favourable participant engagement.Conclusion CCT demonstrated potential as an adjunctive treatment for schizophrenia,with significant improvements in targeted cognitive and mental health domains.The high usability and compliance rates support its feasibility for broader implementation.Further research is needed to optimise protocols and explore long-term benefits.CCT offers a promising approach to addressing mental health and cognitive challenges in schizophrenia,particularly for stress and working memory.Its usability and acceptability suggest it could be seamlessly integrated into clinical practice.
基金supported by the Department of Health,Heilongjiang Province,China
文摘Objective We investigated the feasibility and efficacy of cognitive training for older adults in rura settings and with low education levels, who have mild cognitive impairment （MCl）. Methods Forty-five older adults （ages 〉65 years） with MCI were assigned to treatment or control groups, at a 2：1 ratio. Cognitive training occurred in the treatment group for 2 months. The cognitive abilities of the participants were assessed at pre-training, metaphase, and post-training time points, using the Mini-Mental State Examination （MMSE）, Montreal Cognitive Assessment （MoCA）, Loewenstein Occupational Therapy Cognitive Assessment （LOTCA）, and Hamilton Depression Scale （HAM-D）. Results Following training, cognitive abilities improved in the treatment group, based on the total scores of all 4 measures, as well as specifically on the MoCA and LOTCA. There were differences in the main effects of group and time point on some subscales, but these differences had little, if any, effect on the overall analyses. Conclusion The present study demonstrated that cognitive training has beneficial effects on attention, language, orientation, visual perception, organization of visual movement, and logical questioning in patients with MCI. Furthermore, the observed effects are long-term changes.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.62276229 and 32071096).
文摘The human brain is highly plastic.Cognitive training is usually used to modify functional connectivity of brain networks.Moreover,the structures of brain networks may determine its dynamic behavior which is related to human cognitive abilities.To study the effect of functional connectivity on the brain dynamics,the dynamic model based on functional connections of the brain and the Hindmarsh–Rose model is utilized in this work.The resting-state fMRI data from the experimental group undergoing abacus-based mental calculation(AMC)training and from the control group are used to construct the functional brain networks.The dynamic behavior of brain at the resting and task states for the AMC group and the control group are simulated with the above-mentioned dynamic model.In the resting state,there are the differences of brain activation between the AMC group and the control group,and more brain regions are inspired in the AMC group.A stimulus with sinusoidal signals to brain networks is introduced to simulate the brain dynamics in the task states.The dynamic characteristics are extracted by the excitation rates,the response intensities and the state distributions.The change in the functional connectivity of brain networks with the AMC training would in turn improve the brain response to external stimulus,and make the brain more efficient in processing tasks.
文摘Cognitive impairments are commonly observed in patients with multiple sclerosis and are associated with lower levels of quality of life.No consensus has been reached on how to tackle effectively cognitive decline in this clinical population non-pharmacologically.This exploratory case-control study aims to investigate the effectiveness of a hypothesis-based cognitive training designed to target multiple domains by promoting the synchronous co-activation of different brain areas and thereby improve cognition and induce changes in functional connectivity in patients with relapsing-remitting multiple sclerosis.Forty-five patients(36 females and 9 males,mean age 44.62±8.80 years)with clinically stable relapsing-remitting multiple sclerosis were assigned to either a standard cognitive training or to control groups(sham training and nonactive control).The standard training included twenty sessions of computerized exercises involving various cognitive functions supported by distinct brain networks.The sham training was a modified version of the standard training that comprised the same exercises and number of sessions but with increased processing speed load.The non-active control group received no cognitive training.All patients underwent comprehensive neuropsychological and magnetic resonance imaging assessments at baseline and after 5 weeks.Cognitive and resting-state magnetic resonance imaging data were analyzed using repeated measures models.At reassessment,the standard training group showed significant cognitive improvements compared to both control groups in memory tasks not specifically targeted by the training:the Buschke Selective Reminding Test and the Semantic Fluency test.The standard training group showed reductions in functional connectivity of the salience network,in the anterior cingulate cortex,associated with improvements on the Buschke Selective Reminding Test.No changes were observed in the sham training group.These findings suggest that multi-domain training that stimulates multiple brain areas synchronously may improve cognition in people with relapsing-remitting multiple sclerosis if sufficient time to process training material is allowed.The associated reduction in functional connectivity of the salience network suggests that training-induced neuroplastic functional reorganization may be the mechanism supporting performance gains.This study was approved by the Regional Ethics Committee of Yorkshire and Humber(approval No.12/YH/0474)on November 20,2013.
基金supported by the National Natural Science Foundation of China(32071096 and 31270026)the National Social Science Foundation(17ZDA323)+3 种基金the STI 2030-Major Projects(2021ZD0200500)the Hong Kong Baptist University Research Committee Interdisciplinary Research Matching Scheme 2018/19(IRMS/18-19/SCI01)the Recruitment Program of Global Experts of Zhejiang Provincethe Start-up Funds for Leading Talents at Beijing Normal University and the National Basic Science Data Center“Chinese Data-sharing Warehouse for In-vivo Imaging Brain”(NBSDC-DB-15).
文摘The organization of the brain follows a topologi-cal hierarchy that changes dynamically during development.However,it remains unknown whether and how cognitive training administered over multiple years during develop-ment can modify this hierarchical topology.By measuring the brain and behavior of school children who had carried out abacus-based mental calculation(AMC)training for five years(starting from 7 years to 12 years old)in pre-training and post-training,we revealed the reshaping effect of long-term AMC intervention during development on the brain hierarchical topology.We observed the development-induced emergence of the default network,AMC training-promoted shifting,and regional changes in cortical gradi-ents.Moreover,the training-induced gradient changes were located in visual and somatomotor areas in association with the visuospatial/motor-imagery strategy.We found that gradient-based features can predict the math ability within groups.Our findings provide novel insights into the dynamic nature of network recruitment impacted by long-term cognitive training during development.
文摘Neurotrophins,and growth factors in general,are proteins which exert many actions in central nervous system neurons.Neurotrophins promote the survival and neuronal function of neurons and exert neuroprotective effects in pathological models of neurodegenerative diseases.In humans several clinical trials based on the use of these proteins have been carried out. Among them, it is worth to mention gene ther- apy especially in Parkinson＇s disease （PD） （Kordower and Bjorklund, 2013）, and a series of experiments using vectors capable of carrying neurotrophins in the selected target re- gion where they can exert their beneficial action （Ghosh et al., 2014）.
文摘Individual executive function improvement through physical and cognitive training is a research hotspot in physical education and cognitive science.However,few studies have evaluated whether combined physical and cognitive training(CPCT)has greater benefits for executive function performance and cerebral oxygenation in adolescent athletes than cognitive training alone.This study randomly assigned 33 adolescent shooting athletes to a CPCT(n=17)or computerized cognitive training(CCT,n=16)group and compared their executive function after six weeks of training.All subjects were assessed using the 2-back,task-switching,and Stroop tests before and after training.The prefrontal cortex oxygenated hemoglobin(Oxy-Hb)activation level was monitored while executing the three tasks using functional near-infrared spectroscopy.Our results showed that the CPCT and CCT groups similarly improved their updating function as indicated by the 2-back task accuracy.The CPCT group significantly improved the switching function in the task-switching test accuracy,while the CCT group did not.However,both groups did not improve in behavioral performance as indicated by the inhibition function in the Stroop task.Cerebral oxygenation,indicated by the oxy-Hb activation level in the frontal pole area of the prefrontal lobe,significantly improved in the CPCT group during the three cognitive tasks,whereas the CCT group showed no change.These findings indicated that CPCT endowed greater advantages in task-switching in the behavioral performance of the executive function than CCT.Moreover,CPCT was superior to CCT in increasing task-efficient cerebral oxygenation during the activation of the prefrontal cortex in adolescent shooting athletes.
基金supported by the Federal Ministry of Education and Research under Grant 16SV5917.
文摘Computerized cognitive training (CCT) can improve cognition in older adults. However, specific programs for this target group have rarely been developed, and predictors of training success are largely unclear. In a randomized controlled pilot trial, we examined effects of a six-week CCT, tailored to the cognitive profile of healthy older adults (EG, n = 21) as compared to a nonspecific CCT (CG, n = 18) matched in frequency and intensity. No interaction effects between Group and Time were found. However, within-group analysis showed significant gains in verbal and non-verbal memory, executive and visuospatial functions and subjective cognitive concerns (SCC) in the EG, while the CG only benefitted in non-verbal memory and set-shifting. Low cognitive performance and lower SCC at baseline were the most consistent predictors of cognitive gains in the EG. Thus, CCTs specifically tailored to older adults seem advantageous compared to non-specific CCT. Further, we conclude that SCC may be related to reduced cognitive plasticity.
文摘Objective:To study the application of the Montessori education method in cognitive training in patients with Alzheimer’s disease(AD).Methods:40 cases of senile dementia patients who were admitted to our hospital from January 2022 to January 2023 were selected and randomly divided into an intervention group and a control group according to the single and double number table method,with 20 cases in each group.The intervention group used the Montessori education method,the principle of which was to implement individualized health interventions based on the individual conditions of the patients,for a period of 6 months;the control group was given conventional treatment and nursing of the disease.The Mini-Mental State Examination(MMSE)was used to compare the effects of the two groups of patients before and after health intervention and conduct statistical analysis.Results:The score of the intervention group was higher than that of the control group,and there was a statistical difference between the two(P<0.05).Conclusion:Implementing the Montessori education method for diagnosed Alzheimer’s patients can effectively improve their cognitive function and delay the progress of further dementia.
文摘Objective:To observe the clinical efficacy of acupuncture combined with cognitive training in treating mild-tomoderate poststroke cognitive impairment and the impact on cognitive function and cerebral blood flow.Methods:Eighty-eight participants with mild-to-moderate cognitive impairment after a stroke were allocated to an observation group and a control group using the random number table method,each consisting of 44 cases.The two groups received the same conventional symptomatic treatment.In addition,the control group was intervened by cognitive training,and the observation group by cognitive training and Tong Du Xing Shen(unblocking the Governor Vessel and awakening the mind)acupuncture.The intervention lasted 4 weeks in both groups.By the end of the intervention,the two groups were observed for clinical efficacy and the improvements in the symptom score of traditional Chinese medicine(TCM),cognitive function[mini-mental state examination(MMSE)and Montreal cognitive assessment(MoCA)],cerebral blood flow velocities[cerebral vascular resistance index(RI),arterial blood flow mean velocity(Vm),and arterial systolic velocity(Vs)],and serum biomarkers of neurological deficit[neuron-specific enolase(NSE)and S100βprotein(S100β)].Results:During the observation,each group had 2 eliminated cases.After the intervention,the observation group achieved a total effective rate of 90.5%,higher than that in the control group,which was 73.8%(P<0.05);increases were found in the MMSE and MoCA scores in both groups(P<0.05),and the observation group was higher than the control group(P<0.05);in contrast,decreases were found in the levels of RI and serum NSE and S100β(P<0.05),and the observation group was lower than the control group(P<0.05);the Vs and Vm levels increased in both groups(P<0.05)and were higher in the observation group than in the control group(P<0.05).Conclusion:Tong Du Xing Shen acupuncture plus cognitive training is effective in treating mild-to-moderate poststroke cognitive impairment and can enhance the patient’s cognitive function;improving cerebral blood circulation and reducing cerebral nerve damage may be involved in the mechanism.
基金supported by the National Natural Science Foundation of China (U19B2030, 61976167, 62301405, 62101416)the Natural Science Basic Research Program of Shaanxi, China (2022JQ-708)Fundamental Research Funds for the Central Universities, China.
文摘Previous efforts to boost the performance of brain-computer interfaces (BCIs) have predominantly focused on optimizing algorithms for decoding brain signals. However, the untapped potential of leveraging brain plasticity for optimization remains underexplored. In this study, we enhanced the temporal resolution of the human brain in discriminating visual stimuli by eliminating the attentional blink (AB) through color-salient cognitive training, and we confirmed that the mechanism was an attention-based improvement. Using the rapid serial visual presentation (RSVP)-based BCI, we evaluated the behavioral and electroencephalogram (EEG) decoding performance of subjects before and after cognitive training in high target percentage (with AB) and low target percentage (without AB) surveillance tasks, respectively. The results consistently demonstrated significant improvements in the trained subjects. Further analysis indicated that this improvement was attributed to the cognitively trained brain producing more discriminative EEG. Our work highlights the feasibility of cognitive training as a means of brain enhancement to boost BCI performance.
文摘The purpose of this study is to explore the application and effect of behavioral cognitive training in group psychological counseling in the workplace.Based on the explanation of behavioral cognition theory,combined with the psychological characteristics and needs of the workplace population,the paper designs and implements a targeted group psychological counseling program,and analyzes the effects of counseling with a variety of evaluation methods.The results show that behavioral cognitive training has a significant effect,which provides a theoretical basis and practical reference for workplace mental health intervention.
基金The study was reviewed and approved by the Institutional Review Board of Dushu Lake Hospital Affiliated to Soochow University.
文摘BACKGROUND The severe physical and psychological impact of pain on the physical and mental health of women during labor leads to increased risks and complications during childbirth,presenting a major public health concern.Some studies have shown that cognitive behavioral therapy(CBT)has a positive effect on maternal psychology during delivery,reducing stress and shortening labor time.Thus,CBT training for mothers and delivery room staff may be beneficial in minimizing complications and adverse effects during natural birth.AIM To investigate the clinical effects of CBT training and psychological care during delivery,and their therapeutic effects on women in labor.METHODS This study used a retrospective analysis and included 140 mothers admitted to the maternity ward between January 2021 and January 2023.The study subjects were randomized into two groups:control(n=70)and observation(n=70).Routine care,CBT training,and psychological care were provided to mothers in both groups.Psychological status scores,delivery time,and satisfaction with care pre-and post-delivery were compared,and the incidence of complications after receiving care was analyzed between the two groups.RESULTS Although the psychological state of both groups improved significantly in the late stages of labor,the psychological state scores of the mothers in the observation group were significantly lower than those of the mothers in the control group(P<0.05).The duration of labor and incidence of complications in the observation group were significantly lower than those in the control group(P<0.05).The mothers in the observation group were significantly more satisfied with nursing care during the course of labor than those in the control group(P<0.05).CONCLUSION CBT training and psychological care for mothers in the midwifery process can effectively improve anxiety and depression,shorten labor duration,reduce postnatal complications,and improve nursing satisfaction and nurse-patient relationships.Its clinical application is effective and has popularization value,providing a new way to protect maternal mental health.
文摘Objective: To analyze the clinical value of cognitive function training combined with daily life ability training in patients with Alzheimer's disease (AD). Methods: 64 patients with AD were selected, and the admission period was from January 2018 to January 2020. All patients were randomly divided into experimental group and control group, with 32 cases in each group. The therapeutic effects of the two groups were compared. Results: after intervention, the scores of MOCA and life ability of the two groups were increased compared with those before intervention, the experimental group increased significantly (P < 0.05). Compared with the control group, the MMSE score of the experimental group was significantly higher (P < 0.05). Conclusion: cognitive function training combined with activities of daily living training intervention for AD patients significantly improved their cognitive function and intellectual state and promoted their physical rehabilitation.
文摘BACKGROUND People suffering from chronic mental illness are sensitive to stressful stimuli,lack coping skills,and have low self-esteem due to problems such as social situations.They also experience depression,isolation,fear,and frustration.Due to cognitive dysfunction,people suffering from chronic mental illness have inadequate cognitive processes that lead to distorted thinking.AIM To confirm the effectiveness of cognitive rehabilitation therapy in improving cognitive function and alleviating behavioral and psychological symptoms in patients with chronic mental illness,and to identify the cognitive function that had the main effect.METHODS The quality of the studies was evaluated using the Assessment of Multiple Systematic Reviews criteria,and data published from 2011 to December 2022 were searched using PubMed,Cochrane,RISS,KISS,and DBpia.The keywords used in the search were“mental illness,”“cognitive rehabilitation,”“cognition,”and“mental.”A meta-analysis was conducted on the 12 selected papers.RESULTS The level of evidence for the 12 documents was that of a randomized experimental study.Intervention types in cognitive rehabilitation can be divided into cognitive behavior,cognitive training,cognitive rehabilitation,and computerized cognitive programs.Most of the studies were on schizophrenia,and the measurement areas were cognitive functions(e.g.,concentration,memory,and executive function)as well as depression,sociability,and quality of life.As a result of the meta-analysis of each variable,the effect size for cognitive rehabilitation treatment was in the following order:Sociability,memory,concentration,executive function,quality of life,and depression.Particularly,sociability and memory exhibited significant effects.CONCLUSION Cognitive rehabilitation aids cognitive function and sociability in patients with chronic mental illness and can be used as evidence for cognitive rehabilitation in mental health and occupational therapy.
文摘The effectiveness of training prefrontal lobe function for suppressing cognitive decline or improving cognitive function has been reported. Some epidemiological studies suggested that gardening activities can contribute to suppression of cognitive decline. In our previous studies using functional Near-Infrared Spectroscopy (fNIRS), we reported the possibility of frontal pole (FP) activation of healthy older adults during gardening activities in the quasi-laboratory setting. The objective of this study was to examine the impacts of a three-month continual practice of the watering task in the actual gardening settings on the FP activation of healthy older adults. The participants were 18 right-handed healthy older adults without a diagnosis of mild cognitive impairment or dementia (M = 71.7 years ± SD 5.0, range: 63 - 84 years) who lived independently at home. We asked the participants to continue watering at home for three months in the same way as the research task in the fNIRS measurement. After a three-month intervention, the participants’ task performance improved compared with that of pre-intervention. In addition, the Oxy-Hb values in the right lateral FP during the third trial in the post-intervention measurement were significantly greater compared with the pre-intervention measurement. This study suggested that even a gardening activity with a small number of processes such as watering, if the activity is continued for a certain period of time, can suppress the decline of the FP activation of healthy older adults. Combination of various gardening activities has the potential to be a further cognitive training for activating the FP.
文摘This study reviewed the clinical characteristics of adolescent bipolar disorder,the shortcomings of traditional treatment models in a systematical manner,analyzed the application status of virtual reality(VR)technology in mental and psychological diseases,and explored the potential mechanism of VR intervention for adolescent bipolar disorder patients,especially the value of PET/CT in the evaluation of brain energy metabolism.Studies have shown that VR treatment may optimize the neurological function of patients with bipolar disorder by enhancing the prefrontal-limbic system network,regulating the reward circuit and improving the executive function,and show positive changes in the metabolism of key brain areas at the PET/CT imaging level.
文摘Alzheimer's disease(AD) is the most common form of dementia in elderly with major symptoms of a general term for memory loss and other intellectual abilities impairment which are serious enough to interfere with daily life.While there is no treatment can prevent and revise the cognitive function impairment in AD,physical activity becomes a potential beneficia intervention for AD.Multiple evidences suggested that exercise in general plays beneficia roles in improving brain function.Most common mechanisms of exercise-induced enhancement of brain function are including alteration of neurogenesis,neuron plasticity,neuronal signaling and receptors,as well as neuronal networks.This mini review includes most recent clinical studies and focuses on the effects of physical exercise,cognitive stimulation,and combination of both physical and cognitive training on protection and rescue cognitive decline in people with AD.
文摘The aim of the study was to assess the neurophysiological and behavioural effects of a stroke rehabilitation involving Treatment As Usual (TAU) combined with Social Cognitive Training (SCT) in a right-handed patient suffered from tuberothalamic infarct compared to healthy controls (HCs) (n = 13). Methods: Both HCs and the patient were assessed by means of the following measures: Penn Emotion Perception Battery (ER40, EmoDiff40, PEAT40, PFMT), Reading the Mind in the Eyes Test, and Toronto Alexithymia Scale alongside clinical scales (Mini Mental State Examination, The State-Trait Anxiety Inventory, and Hamilton Depression Scale). The SCT was delivered individually for 60 minutes weekly in a 12-week program (12 sessions). The subject participated twice in a fMRI scanning session including the event-related task of implicit processing of 100% fearful expressions to detect physiological changes after TAU plus SCT and compared them with HCS who underwent the same assessment once. Results: Compared with HCs, the patient before therapy revealed lower scores in emotion recognition;particularly perception of anger was affected alongside worse performance on both emotion discrimination and acuity tests. After therapy, B.D. showed improvement in emotional processing. B.D. had less post-therapy activation maps compared with pretherapy ones and more significantly activated pre-and post-central gyrus and right cerebellum in response to fearful faces. Interestingly, no amygdala was significantly activated as the response to fearful stimuli before or after therapy was completed. Conclusions: Further research was needed to increase understanding about efficacy of SCT and the theory of neuroplasticity, thus helping rehabilitation programs.
