精神病に罹患する患者の認知症リスク - デンマークのコーホート研究
Simone Normark1, Marie Kim Wium-Andersen2, Merete Osler2,3
1Psykiatrien Region Sjælland, Roskilde, Denmark.
Acta psychiatrica Scandinavica
|August 22, 2025
まとめ
精神病を持つ人は 認知症を発症するリスクがかなり高いのです このリスクは,特に遅発の精神病や70歳未満の場合に高くなります.
科学分野:
- 神経科学と精神医学
- 疫学と公衆衛生
背景:
- 精神病は複雑な精神疾患です
- 認知症は進行性神経変性疾患です
- 精神病と認知症のリスクとの関連を理解することは公衆衛生にとって極めて重要です
研究 の 目的:
- 精神病と認知症の関連性を調べる
- 精神病の発症時の年齢が 認知症のリスクに影響するかを調べるため
主な方法:
- 精神病患者39,022人,対照患者195,109人を含むデンマークの国立健康登録を利用した.
- 社会人口学的要因とアルコール使用障害を調整したCox比例リスク回帰.
- 精神病の発症年齢 (<45/45歳以上) と追跡年齢 (60-70,70-80,80歳以上) による分層分析
主要な成果:
- 精神病の患者は,すべての追跡年齢において認知症のリスクが高かった.
- 認知症の最も高いリスクは70歳以前に認められた (調整HR4. 44).
- リスクは精神病の発症年齢によって変化し,遅発の精神病でピークに達した (調整HR 5. 16).
結論:
- 精神病は認知症を発症するリスクが高くなります.
- 精神病の発症年齢と追跡時の年齢によって認知症のリスクが影響されます.
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