在一个纵向的唐氏综合征队列中,常见的心理健康障碍和认知衰退
Mina Idris1, Fedal Saini1, Sarah E Pape1
1Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
BJPsych open
|November 3, 2023
概括
常见的精神障碍 (CMD) 不会对唐氏综合征患者的长期认知或行为结果产生负面影响. 这种人群的认知能力下降可能表明阿尔茨海默病,而不是伴随性精神障碍.
科学领域:
- 神经科学是一个神经科学.
- 遗传学 是一个遗传学.
- 精神病学是一个精神病学.
背景情况:
- 唐氏综合征是导致智力障碍和阿尔茨海默病的主要原因.
- 在一般人群中,常见的精神障碍 (CMD) 与认知能力下降和痴呆风险有关.
- 疾病对唐氏综合征认知结果的影响尚不清楚.
研究的目的:
- 研究CMD对唐氏综合征患者认知能力的影响.
- 为了确定CMD是否与阿尔茨海默病的发展长度相关,在唐氏综合征中的临床症状.
主要方法:
- 一项纵向研究对115名唐氏综合征患者进行了大约3年的随访.
- 27名参与者被诊断出患有心血管疾病;认知和行为结果与患有心血管疾病和没有心血管疾病的人进行了比较.
- 共同变量包括年龄,性别,非脂蛋白E状态和智力障碍程度.
主要成果:
- 在CMD的存在和较差的认知任务表现之间没有发现显著的关联.
- 随着时间的推移,CMD患者和未患CMD患者之间的认知衰退并没有显著差异 (P > 0.05).
结论:
- 一个CMD诊断似乎不会对唐氏综合征患者的长期认知或行为结果产生负面影响.
- 患有稳定或经过治疗的CMD的个体的认知能力下降可能表明阿尔茨海默病.
- 区分CMD和早期阿尔茨海默病对于准确诊断和对唐氏综合征的管理至关重要.
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