抑郁症状的发展轨迹和中年大脑健康状况
Christina S Dintica1, Mohamad Habes2, Pamela J Schreiner3
1Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, California, CA, USA. christina.dintica@ucsf.edu.
Translational psychiatry
|March 30, 2024
概括
成年早期持续的高抑郁症症状与认知能力下降和中年大脑变化有关,这可能表明痴呆风险. 晚期出现的抑郁症可能与白质损伤有关.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 认知老龄化 认知老龄化
背景情况:
- 抑郁症状与认知衰老和痴呆风险有关.
- 了解早期到中年期的抑郁症状轨迹对于澄清它们在认知衰退中的作用至关重要.
研究的目的:
- 从早期到中期成年期识别抑郁症状的不同轨迹.
- 检查这些轨迹与中年人的认知功能和大脑结构的关联.
主要方法:
- 在20年内对3944名参与者 (在基线时26-45岁) 进行了长度研究.
- 增长混合模型 (GMM) 来识别抑郁症状轨迹.
- 中年时进行神经心理测试和脑部MRI (灰质体积,白质超强度).
主要成果:
- 确定了四种抑郁症状轨迹:稳定低,下降,稳定高和增加.
- 持续高和不断增加的症状群体在多个测试中表现较差的认知表现.
- 稳定的高症状与脑内皮层和杏仁体体积的减少相关;增加的症状与更多的白质超强度相关.
结论:
- 年轻人到中年人的抑郁症状轨迹与中年人的明显的认知和大脑结果有关.
- 持续高抑郁症状可能表明痴呆症的风险组.
- 中年期抑郁症状的增加可能与白质损伤有关,这表明潜在的认知障碍途径.
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