神经精神病学症状表型用于早期发现老年人风险
Fareshte Erani1, Caitlin M Terao2, Shanna Cooper3
1Department of Psychiatry, University of California, San Diego, La Jolla, California, USA.
老年人的早期神经精神症状 (NPS) 模式预测认知能力下降和神经退行风险. 特定的模式,如高激动/焦虑/易发,表明更大的风险和较差的认知.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 精神病学是一个精神病学.
背景情况:
- 神经精神症状 (NPS) 在衰老中很常见.
- 了解早期的NPS模式可以预测认知变化.
- 需要澄清NPS与认知/神经病理变化之间的关联.
研究的目的:
- 在认知不受损的老年人中识别明显的NPS模式.
- 调查这些NPS模式与认知衰退的关联.
- 检查NPS表型与神经病理学之间的联系.
主要方法:
- 从国家阿尔茨海默氏症协调中心对20,599名参与者的潜在类分析.
- 评估进展到轻度认知障碍 (MCI) /痴呆的情况.
- 在已识别的NPS表型中评估认知轨迹和神经病理学.
主要成果:
- 确定了四种NPS表型:低全部,高抑郁,高激动/焦虑/易怒 (hAAI) 和高全部.
- 进展到MCI/痴呆症的风险从低全变异型增加到高全变异型.
- 哈伊群体表现出更大的粉样蛋白和神经质斑块负担和更高的动脉样硬化严重程度.
结论:
- 在没有认知障碍的老年人中确定了数据驱动的NPS表型.
- NPS表型与认知进展和神经病理学有差异性关联.
- 早期的NPS模式,特别是HaaI,可能表明神经退行性疾病风险更高.
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