心理痛苦与随后的认知衰退和痴呆症的纵向关联:一个多队列研究
Jean Stafford1,2, Serhiy Dekhtyar3, Tom C Russ4,5
1Advanced Care Research Centre, Usher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.
概括
心理困扰与认知功能下降和晚年痴呆症风险增加有关. 这凸显了解决心理健康对认知健康的重要性.
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.
- 流行病学 流行病学
背景情况:
- 心理压力与认知障碍有关,但因果关系尚不清楚.
- 潜在的解释包括因果关系,临床前痴呆症或共同的潜在因素.
研究的目的:
- 调查心理困扰与随后的认知功能和痴呆风险之间的关联.
- 检查痛苦的严重程度,持久性和评估时的年龄如何影响这些关联.
主要方法:
- 利用了来自英国五项纵向研究的数据,其中包括24,564名参与者.
- 使用线性和混合效应模型用于认知和痴呆症的逻辑回归.
- 进行了两阶段的个人参与者数据元分析,以结合研究估计.
主要成果:
- 较高的基线心理痛苦与较低的后续认知水平相关 (β = -0.03) 和痴呆风险增加 (OR = 1.1).
- 观察到临床上显著的,持续的和间歇性痛苦的关联.
- 在55至75岁之间评估的痛苦中,痴呆的风险增加,但不是45至54岁之间.
结论:
- 心理困扰与以后的认知结果有关,包括痴呆症.
- 研究结果表明,在痴呆症预防策略中,心理困扰评估的可能性很大.
- 识别心理困扰的个体可能有助于识别认知能力下降的高风险群体.
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