在压力下:对血压变化与抑郁症和焦虑症之间的关联进行了系统审查
Yuvthi Lutchman1, Rajiv Mahajan2,3, Suzanne M Cosh1
1School of Psychology, The University of New England, Australia.
Cerebral circulation - cognition and behavior
|July 8, 2024
概括
血压变化 (BPV) 影响大脑健康,但其与抑郁和焦虑的联系尚不清楚. 研究表明,抑郁症的结果各不相同,焦虑症的证据较弱,这表明BPVV.
科学领域:
- 神经科学和心血管健康
- 精神病学和心理健康研究研究
背景情况:
- 血压变化 (BPV) 与大脑结构和脑血管问题有关,可能影响认知功能和情绪障碍.
- 由于研究方法不一致,BPV,抑郁和焦虑之间的确切关系仍然不太清楚.
研究的目的:
- 系统地审查和澄清成人血压变化和抑郁/焦虑之间的关联.
- 了解将BPV与认知健康和心理健康联系在一起的机制.
主要方法:
- 在Embase,PubMed,PsycINFO和Web of Science进行了系统的文献搜索,截至2024年1月.
- 包括的研究评估了BPV (节奏到节奏,24小时,访问到访问) 并报告了标准化的抑郁/焦虑评估.
- 分析侧重于线性关联或平均差异;因异质性而排除元分析.
主要成果:
- 14篇文章 (N=5055) 符合纳入标准,但方法异质性阻止了元分析.
- 抑郁症研究产生了不同的结果,与方向,强度和BPV指标的不一致的关联.
- 来自三项研究的有限证据表明,缩变化系数和焦虑之间存在弱线性关联.
结论:
- BPV与对认知至关重要的大脑结构之间的关系似乎独立于抑郁症.
- BPV可能只适度涉及焦虑,目前的证据很弱和不一致.
- 需要进一步的研究来阐明BPV,认知功能和心理健康之间的复杂相互作用.
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