13 research outputs found
Clustering of indicators of the cognitive status in cardiac surgery patients to assess the risk of postoperative decline
The aim of the study. To determine the informational value of psychometric indicators used for the integral assessment of cognitive status in cardiac patients, andΒ toΒ find those that would help differentiate the individual sensibility to postoperative cognitive dysfunction (POCD).Materials and methods. The clustering methods were analyzed the extended psychometric testing data in 256Β cardiac surgery patients. The psychometric testing carried out 3β5Β days before and on days 7β10 after surgery using the psychophysiological complex program βStatus PFβ.Results. The cluster analysis revealed that the most informative tests for a screening risk assessment of POCD are the testing the speed of response to visual stimuli with feedback of changes in the stimuli exposition according to the individual reaction time and the testing short-term memory (memorized words). While the analysis ofΒ postoperative psychometric indicators, the patients in a modified clustering group were characterized by a deterioration of verbal memory and a decrease of the time reaction to visual stimuli whereas that its observed acceleration in the general βstableβ group.Conclusion. The clustering methods enabled the identification of cardiac surgery patients in the preoperative stage who had less cognitive reserve for recovery after surgery. The changes in the relationship of complex visual and motor response, attention, and memory indicators, which depended on the belonging to the identified clusters, suggest that the preoperative period is characterized by the dedifferentiation of cognitive functions indicating a cognitive deficit
ΠΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ Π² ΡΡΡΡΠΊΡΡΡΠ΅ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ ΡΡΠ½ΠΊΡΠΈΠΉ ΠΈ ΡΡΠ΅Π²ΠΎΠΆΠ½ΠΎΡΡΠΈ Ρ ΠΊΠ°ΡΠ΄ΠΈΠΎΡ ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΡΡΠΈ ΡΡΠ΅Π½ΠΎΠ·ΠΎΠ² ΡΠΎΠ½Π½ΡΡ Π°ΡΡΠ΅ΡΠΈΠΉ
Highlights. The article revealed that severe (more than 50%) carotid artery (CA) stenosis was associated with significant slowdown of the information selection processes, and these patients were characterized by older age and tendency to an increase in trait anxiety compared to the patients without CA stenosis.It was found that the reduced attention and memory was a typical feature of the cognitive status in patients with severe CA stenosis in the early postoperative period of cardiac surgery in comparison with the patients without CA stenosis. At the same time the speed characteristics indicators of the information selection processes in these patients are positively related to state anxiety.Aim. The cardiac surgery patients were studied in order to analyze the postoperative changes in the efficiency of selection information and memory processes depending on the degree of carotid artery (CA) stenosis (including more than 50%) and the age and the role of the trait anxiety indicator assessed before surgery.Methods. The prospective study included 229 patients undergoing elected coronary artery bypass grafting (CABG) or CABG and carotid endarterectomy (CEE). Each study participant underwent clinical, instrumental and extended psychometric examination before cardiac surgery and at 7-10 days after surgery. The evaluation of the extracranial vessels state was carried out before surgery using color duplex scanning. Based on the results of assessing the extracranial vessels state, all patients were divided into three groups: no stenosis (n = 124), CA stenosis less than 50% (n = 69) and more than 50% (n = 36).Results. It was found out that the patients with CA stenoses more than 50% are characterized by a slower reaction under different conditions of visual stimuli selection and by an older age as compared with patients with no stenoses as well as patients with stenoses less than 50%. In the postoperative period of cardiac surgery in comparison with testing before surgery there was an improvement in the information selection stability (an increase in the number of processed symbols per 4 minute of the Bourdon's test (p<0.00006)) and short-term memory (p = 0.03) only in the group of patients without stenoses. The patients with stenoses of less than 50% had an increase the of the information selection stability but the short-term memory decrease (p<0.05) whereas the group with stenoses more than 50% had a decrease in both the stability of information selection and short-term memory (p<0,05). Additional factors of cognitive deficit in CA stenosis patients were trait anxiety associated with memory impairment and a history of stroke that related to a decrease in the effectiveness of a complex visual-motor reaction.Conclusion. The comprehensive analysis of the cognitive status of cardiac surgery patients with different severity of CA stenosis showed that an increase in the age and stenosis degree is the factor of the reaction time slowdown under different conditions of information selection. To differentiate groups of patients depending on the severity of stenosis in the postoperative period the testing short-term memory and stability of attention is informative. These indicators improve in the group without stenosis but decrease in the group with pronounced stenosis. The trait anxiety and the history of stroke were the additional factors of memory impairment due to CA stenosis.ΠΡΠ½ΠΎΠ²Π½ΡΠ΅ ΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΡ. ΠΠΏΠ΅ΡΠ²ΡΠ΅ ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ, ΡΡΠΎ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΡΠΉ (Π±ΠΎΠ»Π΅Π΅ 50%) ΡΡΠ΅Π½ΠΎΠ· ΡΠΎΠ½Π½ΡΡ
Π°ΡΡΠ΅ΡΠΈΠΉ (Π‘Π) ΠΏΡΠΈΠ²ΠΎΠ΄ΠΈΡ ΠΊ Π·Π½Π°ΡΠΈΠΌΠΎΠΌΡ Π·Π°ΠΌΠ΅Π΄Π»Π΅Π½ΠΈΡ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΡΠ΅Π°ΠΊΡΠΈΠΈ ΠΏΡΠΈ ΡΠ΅Π»Π΅ΠΊΡΠΈΠΈ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΈ ΠΈ ΡΡΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΡ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΠ·ΡΡΡΡΡ ΡΡΠ°ΡΡΠΈΠΌ Π²ΠΎΠ·ΡΠ°ΡΡΠΎΠΌ ΠΈ ΡΠ΅Π½Π΄Π΅Π½ΡΠΈΠ΅ΠΉ ΠΊ ΡΠΎΡΡΡ Π»ΠΈΡΠ½ΠΎΡΡΠ½ΠΎΠΉ ΡΡΠ΅Π²ΠΎΠΆΠ½ΠΎΡΡΠΈ ΠΏΠΎ ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ Ρ Π±ΠΎΠ»ΡΠ½ΡΠΌΠΈ Ρ ΠΎΡΡΡΡΡΡΠ²ΠΈΠ΅ΠΌ ΡΡΠ΅Π½ΠΎΠ·ΠΎΠ² Π‘Π.ΠΠ±Π½Π°ΡΡΠΆΠ΅Π½ΠΎ, ΡΡΠΎ ΠΎΡΠ»ΠΈΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠΉ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΡΡ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΠΎΠ³ΠΎ ΡΡΠ°ΡΡΡΠ° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΡΠΌΠΈ ΡΡΠ΅Π½ΠΎΠ·Π°ΠΌΠΈ Π‘Π Π² ΡΠ°Π½Π½Π΅ΠΌ ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ ΠΊΠ°ΡΠ΄ΠΈΠΎΡ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π° ΡΠ»ΡΠΆΠ°Ρ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΠΎΠ±ΡΠ΅ΠΌΠ° Π²Π½ΠΈΠΌΠ°Π½ΠΈΡ ΠΈ ΡΡ
ΡΠ΄ΡΠ΅Π½ΠΈΠ΅ ΠΏΠ°ΠΌΡΡΠΈ Π² ΡΡΠ°Π²Π½Π΅Π½ΠΈΠΈ Ρ Π±ΠΎΠ»ΡΠ½ΡΠΌΠΈ Ρ ΠΎΡΡΡΡΡΡΠ²ΠΈΠ΅ΠΌ ΡΡΠ΅Π½ΠΎΠ·ΠΎΠ² Π‘Π, ΠΏΡΠΈ ΡΡΠΎΠΌ ΡΠΊΠΎΡΠΎΡΡΠ½ΡΠ΅ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ ΡΠ΅Π»Π΅ΠΊΡΠΈΠΈ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΈ ΠΏΠΎΠ»ΠΎΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎ ΡΠ²ΡΠ·Π°Π½Ρ Ρ Π»ΠΈΡΠ½ΠΎΡΡΠ½ΠΎΠΉ ΡΡΠ΅Π²ΠΎΠΆΠ½ΠΎΡΡΡΡ.Π¦Π΅Π»Ρ. ΠΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°ΡΡ ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΡΠ΅ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΡΠ΅Π»Π΅ΠΊΡΠΈΠΈ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΈ ΠΈ ΠΏΠ°ΠΌΡΡΠΈ Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΡΡΠ΅ΠΏΠ΅Π½ΠΈ ΡΡΠ΅Π½ΠΎΠ·Π° ΡΠΎΠ½Π½ΡΡ
Π°ΡΡΠ΅ΡΠΈΠΉ (Π‘Π) (Π±ΠΎΠ»Π΅Π΅ 50%) ΠΈ Π²ΠΎΠ·ΡΠ°ΡΡΠ° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΈ Π²ΡΡΡΠ½ΠΈΡΡ ΡΠΎΠ»Ρ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ Π»ΠΈΡΠ½ΠΎΡΡΠ½ΠΎΠΉ ΡΡΠ΅Π²ΠΎΠΆΠ½ΠΎΡΡΠΈ, ΠΈΠ·ΠΌΠ΅ΡΠ΅Π½Π½ΠΎΠ³ΠΎ Π΄ΠΎ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π°.ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. Π ΠΏΡΠΎΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π²ΠΊΠ»ΡΡΠ΅Π½Ρ 229 Π±ΠΎΠ»ΡΠ½ΡΡ
, ΠΏΠ΅ΡΠ΅Π½Π΅ΡΡΠΈΡ
ΠΈΠ·ΠΎΠ»ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ΅ ΠΊΠΎΡΠΎΠ½Π°ΡΠ½ΠΎΠ΅ ΡΡΠ½ΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ (ΠΠ¨) Π»ΠΈΠ±ΠΎ ΠΠ¨ Π² ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΠΈ Ρ ΠΊΠ°ΡΠΎΡΠΈΠ΄Π½ΠΎΠΉ ΡΠ½Π΄Π°ΡΡΠ΅ΡΡΠΊΡΠΎΠΌΠΈΠ΅ΠΉ. ΠΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ΅, ΠΈΠ½ΡΡΡΡΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠ΅ ΠΈ ΡΠ°ΡΡΠΈΡΠ΅Π½Π½ΠΎΠ΅ ΠΏΡΠΈΡ
ΠΎΠΌΠ΅ΡΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΎ Π΄ΠΎ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π° ΠΈ Π½Π° 7-10-Π΅ ΡΡΡ ΠΏΠΎΡΠ»Π΅ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ. ΠΡΠ΅Π½ΠΊΠ° ΡΠΎΡΡΠΎΡΠ½ΠΈΡ ΡΠΊΡΡΡΠ°ΠΊΡΠ°Π½ΠΈΠ°Π»ΡΠ½ΡΡ
ΡΠΎΡΡΠ΄ΠΎΠ² ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π° Π΄ΠΎ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΡΠ²Π΅ΡΠ½ΠΎΠ³ΠΎ Π΄ΡΠΏΠ»Π΅ΠΊΡΠ½ΠΎΠ³ΠΎ ΡΠΊΠ°Π½ΠΈΡΠΎΠ²Π°Π½ΠΈΡ. ΠΠΎ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ°ΠΌ ΡΡΠΎΠΉ ΠΎΡΠ΅Π½ΠΊΠΈ ΡΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½Ρ ΡΡΠΈ Π³ΡΡΠΏΠΏΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ²: ΠΎΡΡΡΡΡΡΠ²ΠΈΠ΅ ΡΡΠ΅Π½ΠΎΠ·Π° Π‘Π (n = 124), ΡΡΠ΅Π½ΠΎΠ· Π‘Π ΠΌΠ΅Π½Π΅Π΅ 50% (n = 69) ΠΈ Π±ΠΎΠ»Π΅Π΅ 50% (n = 36).Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠΎΠ»ΡΠ½ΡΠ΅ ΡΠΎ ΡΡΠ΅Π½ΠΎΠ·Π°ΠΌΠΈ Π‘Π Π±ΠΎΠ»Π΅Π΅ 50% ΠΎΡΠ»ΠΈΡΠ°ΡΡΡΡ ΠΎΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΠΎΡΡΡΡΡΡΠ²ΠΈΠ΅ΠΌ ΡΡΠ΅Π½ΠΎΠ·ΠΎΠ² ΠΈ ΡΡΠ΅Π½ΠΎΠ·Π°ΠΌΠΈ ΠΌΠ΅Π½Π΅Π΅ 50% Π±ΠΎΠ»Π΅Π΅ ΠΌΠ΅Π΄Π»Π΅Π½Π½ΠΎΠΉ ΡΠ΅Π°ΠΊΡΠΈΠ΅ΠΉ Π² ΡΠ°Π·Π½ΡΡ
ΡΡΠ»ΠΎΠ²ΠΈΡΡ
ΡΠ΅Π»Π΅ΠΊΡΠΈΠΈ Π·ΡΠΈΡΠ΅Π»ΡΠ½ΡΡ
ΡΡΠΈΠΌΡΠ»ΠΎΠ² ΠΈ ΡΡΠ°ΡΡΠΈΠΌ Π²ΠΎΠ·ΡΠ°ΡΡΠΎΠΌ. Π ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ ΠΊΠ°ΡΠ΄ΠΈΠΎΡ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ² ΡΠΎΠ»ΡΠΊΠΎ Π² Π³ΡΡΠΏΠΏΠ΅ Π»ΠΈΡ Π±Π΅Π· ΡΡΠ΅Π½ΠΎΠ·ΠΎΠ² ΠΎΡΠΌΠ΅ΡΠ΅Π½ΠΎ ΡΠ»ΡΡΡΠ΅Π½ΠΈΠ΅ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ ΡΠ΅Π»Π΅ΠΊΡΠΈΠΈ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΈ (ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠ΅ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π° ΠΎΠ±ΡΠ°Π±Π°ΡΡΠ²Π°Π΅ΠΌΡΡ
Π·Π° 4 ΠΌΠΈΠ½ΡΡΡ ΡΠΈΠΌΠ²ΠΎΠ»ΠΎΠ² ΡΠ΅ΡΡΠ° ΠΊΠΎΡΡΠ΅ΠΊΡΡΡΠ½ΠΎΠΉ ΠΏΡΠΎΠ±Ρ ΠΡΡΠ΄ΠΎΠ½Π°; p<0,00006) ΠΈ ΠΊΡΠ°ΡΠΊΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΏΠ°ΠΌΡΡΠΈ (Ρ = 0,03) Π² ΡΡΠ°Π²Π½Π΅Π½ΠΈΠΈ Ρ ΡΠ΅ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Π΄ΠΎ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ. Π£ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΠΎ ΡΡΠ΅Π½ΠΎΠ·Π°ΠΌΠΈ ΠΌΠ΅Π½Π΅Π΅ 50% Π½Π°ΡΡΠ΄Ρ Ρ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΠ΅ΠΌ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ ΡΠ΅Π»Π΅ΠΊΡΠΈΠΈ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΈ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ ΠΊΡΠ°ΡΠΊΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΏΠ°ΠΌΡΡΠΈ ΡΠ½ΠΈΠΆΠ°Π»ΠΈΡΡ (Ρ<0,05), Π° Π² Π³ΡΡΠΏΠΏΠ΅ ΡΠΎ ΡΡΠ΅Π½ΠΎΠ·Π°ΠΌΠΈ Π±ΠΎΠ»Π΅Π΅ 50% ΠΎΡΠΌΠ΅ΡΠ΅Π½ΠΎ ΠΊΠ°ΠΊ ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΠ΅ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ ΡΠ΅Π»Π΅ΠΊΡΠΈΠΈ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΈ, ΡΠ°ΠΊ ΠΈ ΠΊΡΠ°ΡΠΊΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΏΠ°ΠΌΡΡΠΈ (Ρ<0,05). ΠΠΎΠΏΠΎΠ»Π½ΠΈΡΠ΅Π»ΡΠ½ΡΠΌΠΈ ΡΠ°ΠΊΡΠΎΡΠ°ΠΌΠΈ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π΄Π΅ΡΠΈΡΠΈΡΠ° ΠΏΡΠΈ ΡΡΠ΅Π½ΠΎΠ·Π΅ Π‘Π Π²ΡΡΡΡΠΏΠ°ΡΡ Π»ΠΈΡΠ½ΠΎΡΡΠ½Π°Ρ ΡΡΠ΅Π²ΠΎΠΆΠ½ΠΎΡΡΡ, ΡΠ²ΡΠ·Π°Π½Π½Π°Ρ Ρ ΡΡ
ΡΠ΄ΡΠ΅Π½ΠΈΠ΅ΠΌ ΠΏΠ°ΠΌΡΡΠΈ, ΠΈ Π½Π°Π»ΠΈΡΠΈΠ΅ ΠΠΠΠ Π² Π°Π½Π°ΠΌΠ½Π΅Π·Π΅, Π°ΡΡΠΎΡΠΈΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ΅ ΡΠΎ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΡΠ»ΠΎΠΆΠ½ΠΎΠΉ Π·ΡΠΈΡΠ΅Π»ΡΠ½ΠΎ-ΠΌΠΎΡΠΎΡΠ½ΠΎΠΉ ΡΠ΅Π°ΠΊΡΠΈΠΈ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. Π ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ΅ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΠΎΠ³ΠΎ Π°Π½Π°Π»ΠΈΠ·Π° ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΠΎΠ³ΠΎ ΡΡΠ°ΡΡΡΠ° ΠΊΠ°ΡΠ΄ΠΈΠΎΡ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΡΠ°Π·Π½ΠΎΠΉ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΡΡΡΡ ΡΡΠ΅Π½ΠΎΠ·ΠΎΠ² Π‘Π ΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΎ, ΡΡΠΎ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠ΅ Π²ΠΎΠ·ΡΠ°ΡΡΠ° ΠΈ ΡΡΠ΅ΠΏΠ΅Π½ΠΈ ΡΡΠ΅Π½ΠΎΠ·Π° ΡΠ»ΡΠΆΠΈΡ ΡΠ°ΠΊΡΠΎΡΠΎΠΌ Π·Π°ΠΌΠ΅Π΄Π»Π΅Π½ΠΈΡ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΎΡΠ²Π΅ΡΠ° Π² ΡΠ°Π·Π½ΡΡ
ΡΡΠ»ΠΎΠ²ΠΈΡΡ
ΡΠ΅Π»Π΅ΠΊΡΠΈΠΈ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΈ. ΠΠ»Ρ Π΄ΠΈΡΡΠ΅ΡΠ΅Π½ΡΠΈΠ°ΡΠΈΠΈ Π³ΡΡΠΏΠΏ Π±ΠΎΠ»ΡΠ½ΡΡ
Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΡΡΠΈ ΡΡΠ΅Π½ΠΎΠ·Π° Π² ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠ²Π½ΠΎ ΡΠ΅ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΊΡΠ°ΡΠΊΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΏΠ°ΠΌΡΡΠΈ ΠΈ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ Π²Π½ΠΈΠΌΠ°Π½ΠΈΡ, ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ ΠΊΠΎΡΠΎΡΠΎΠ³ΠΎ ΡΠ»ΡΡΡΠ°Π΅ΡΡΡ Π² Π³ΡΡΠΏΠΏΠ΅ Π±Π΅Π· ΡΡΠ΅Π½ΠΎΠ·Π°, Π½ΠΎ ΡΠ½ΠΈΠΆΠ°Π΅ΡΡΡ Π² Π³ΡΡΠΏΠΏΠ΅ Ρ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΡΠΌ ΡΡΠ΅Π½ΠΎΠ·ΠΎΠΌ
Gender and creativity: An overview of psychological and neuroscientific literature
The topic of gender differences in creativity is one that generates substantial scientific and public interest, but also courts considerable controversy. Owing to the heterogeneous nature of the findings associated with this line of research, the general picture often appears puzzling or obscure. This article presents a selective overview of psychological and neuroscientific literature that has a relevant bearing on the theme of gender and creativity. Topics that are explored include the definition and methods of assessing creativity, a summary of behavioral investigations on gender in relation to creativity, postulations that have been put forward to understand gender differences in creative achievement, gender-based differences in the structure and function of the brain, gender-related differences in behavioral performance on tasks of normative cognition, and neuroscientific studies of gender and creativity. The article ends with a detailed discussion of the idea that differences between men and women in creative cognition are best explained with reference to the gender-dependent adopted strategies or cognitive style when faced with generative tasks
Plasticity of brain functional systems as a compensator resource in normal and pathological aging associated with atherosclerosis
The analytical review address to the influence of atherosclerotic vascular changes in the development of age-related cognitive decline, the role of the cognitive reserve as a factor in the compensating of the brain changes associated with normal and pathological aging, and the reorganization of the brain functional systems in vascular cognitive impairment, reflected in the rhythmic activity of biopotentials