痴呆症的早期表现在一个多元化的人口中
Sedigheh Zabihi1,2, Jonathan P Bestwick1, Mark Jitlal1
1Centre for Preventive Neurology, Wolfson Institute of Population Health, Queen Mary University of London, London, UK.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|February 26, 2025
概括
识别非认知性痴呆症的症状,如抑郁症和焦虑症,在诊断前长达十年的时间内很常见,可以改善早期检测,特别是在多样化的群体中. 这有助于公平的痴呆症诊断.
科学领域:
- 神经学 神经学
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
背景情况:
- 痴呆症诊断的不平等可能源于对非认知症状的认知不足.
- 社会文化因素可以影响寻求帮助的认知衰退行为.
研究的目的:
- 调查预诊断初级保健陈述与随后的痴呆症诊断之间的关联.
- 识别痴呆症前的早期认知和非认知症状.
主要方法:
- 嵌套病例控制研究使用电子医疗记录.
- 来自英国东伦敦的初级保健数据的分析.
- 包括4137个痴呆病例和15754个匹配的对照.
主要成果:
- 除了记忆问题,抑郁,焦虑,失眠和便秘是常见的预诊症状.
- 精神和自主症状在诊断前多达10年出现.
- 自主预诊断症状在南亚人群中更为普遍.
结论:
- 在不同的人群中,在痴呆症的前期阶段,非认知症状是显著的.
- 通过认知不同种族的先诊断症状表现,可以改善痴呆症诊断的准入.
- 早期识别各种痴呆症症状对于公平的护理至关重要.
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