“大多数人都认为阿尔茨海默氏症主要是记忆方面的毛病,不过我们从多年的研究中的确得知,这种病症初发时,也可能从行为开始出问题。”
Under the proposal, mild behavioral impairment (M.B.I.) would be a clinical designation preceding mild cognitive impairment (M.C.I.), a diagnosis created more than a decade ago to describe people experiencing some cognitive problems but who can still perform most daily functions.
这份提案指出,临床上应该先进行轻度行为障碍诊断,再进行轻度认知障碍(mild cognitive impairment, M.C.I.)诊断。轻度认知障碍是十多年前创造出来的诊断类别,用来描述有些人有点认知问题,但日常生活功能大抵正常。
Dr. Zahinoor Ismail, a neuropsychiatrist at the University of Calgary and member of the group proposing the new diagnosis, said studies and anecdotes suggested that emotional and behavioral changes were “a stealth symptom,” part of the dementia disease process, not separate from it.
札希努‧伊斯梅尔(Zahinoor Ismail)博士是加拿大卡尔加里大学(University of Calgary)的神经心理学家,也是提出这个新诊断类别的研究团队成员。他表示,各项研究与生活轶事都表明,情绪与行为的转变是”神不知鬼不觉的征候”,属于失智症发展过程,不应与失智症分开视之。
Whatever is eroding memory and thinking skills in the dementia process may also affect the brain’s systems of emotional regulation and self-control, he said.
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