抑郁症,炎症和肠道透性:与整个乳腺癌幸存者的主观和客观认知功能之间的关联
Annelise A Madison1,2, Rebecca Andridge1,3, Anthony H Kantaras4
1Institute for Behavioral Medicine Research, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH 43210, USA.
Cancers
|September 9, 2023
概括
患有抑郁症和高度炎症或漏肠的乳腺癌幸存者报告说,他们的注意力和记忆力更差. 然而,抑郁症会影响客观认知功能,无论炎症水平如何.
科学领域:
- 神经科学是一个神经科学.
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 在乳腺癌幸存者中,认知障碍和投诉很常见.
- 慢性炎症和肠道透性 (漏肠) 与认知衰退和抑郁症有关.
- 抑郁症本身就是认知能力下降的脆弱性.
研究的目的:
- 调查抑郁症与高度炎症或肠道透性相结合是否预测乳腺癌幸存者的认知功能.
- 为了区分炎症相关抑郁症与单独抑郁症对认知结果的影响.
主要方法:
- 结合了四项研究中的613名乳腺癌幸存者的数据.
- 测量了肠道透性 (脂聚糖结合蛋白) 和炎症 (CRP,IL-6,TNF-α).
- 评估抑郁症状 (CES-D),主观认知 (科利,BCPT尺度) 和客观认知功能 (各种测试).
主要成果:
- 与高度炎症或漏肠相关的抑郁症与较差的主观焦点和记忆有关.
- 在不顾炎症水平的抑郁幸存者中观察到客观认知缺陷.
- 具体的缺陷包括语言流性,注意力,学习,记忆和工作记忆的减少.
结论:
- 乳腺癌幸存者的抑郁症与认知困难有关,无论炎症如何.
- 虽然炎症/肠漏可能会恶化认知问题,但客观缺陷似乎是抑郁症驱动的.
- 需要进一步的研究来了解抑郁症,炎症和癌症后治疗认知功能之间的相互作用.
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