Associations between anxiety and depression symptoms and cognitive testing and neuroimaging in type 2 diabetes

被引:21
|
作者
Raffield, Laura M. [1 ,2 ,3 ]
Brenes, Gretchen A. [4 ]
Cox, Amanda J. [2 ,3 ,5 ]
Freedman, Barry I. [6 ]
Hugenschmidt, Christina E. [7 ]
Hsu, Fang-Chi [8 ]
Xu, Jianzhao [2 ,3 ]
Wagner, Benjamin C. [9 ]
Williamson, Jeff D. [7 ]
Maldjian, Joseph A. [9 ]
Bowden, Donald W. [2 ,3 ,5 ]
机构
[1] Wake Forest Sch Med, Mol Genet & Genom Program, Winston Salem, NC 27157 USA
[2] Wake Forest Sch Med, Ctr Human Genom, Winston Salem, NC 27157 USA
[3] Wake Forest Sch Med, Ctr Diabet Res, Winston Salem, NC 27157 USA
[4] Wake Forest Sch Med, Dept Psychiat & Behav Med, Winston Salem, NC 27157 USA
[5] Wake Forest Sch Med, Dept Biochem, Winston Salem, NC 27157 USA
[6] Wake Forest Sch Med, Dept Internal Med Nephrol, Winston Salem, NC 27157 USA
[7] Wake Forest Sch Med, Dept Gerontol & Geriatr, Winston Salem, NC 27157 USA
[8] Wake Forest Sch Med, Dept Biostat Sci, Winston Salem, NC 27157 USA
[9] Wake Forest Sch Med, Dept Radiol, Winston Salem, NC 27157 USA
基金
美国国家卫生研究院;
关键词
Type; 2; diabetes; Anxiety; Depression; Cognition; Magnetic resonance imaging; RISK; ADULTS; DISEASE; INFLAMMATION; METAANALYSIS; DYSFUNCTION; DISORDERS; DEMENTIA; MELLITUS; MEN;
D O I
10.1016/j.jdiacomp.2015.09.010
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims: Anxiety, depression, accelerated cognitive decline, and increased risk of dementia are observed in individuals with type 2 diabetes. Anxiety and depression may contribute to lower performance on cognitive tests and differences in neuroimaging observed in individuals with type 2 diabetes. Methods: These relationships were assessed in 655 European Americans with type 2 diabetes from 504 Diabetes Heart Study families. Participants completed cognitive testing, brain magnetic resonance imaging, the Brief Symptom Inventory Anxiety subscale, and the Center for Epidemiologic Studies Depression-10. Results: In analyses adjusted for age, sex, educational attainment, and use of psychotropic medications, individuals with comorbid anxiety and depression symptoms had lower performance on all cognitive testing measures assessed (p <= 0.005). Those with both anxiety and depression also had increased white matter lesion volume (p = 0.015), decreased gray matter cerebral blood flow (p = 4.43 x 10(-6)), decreased gray matter volume (p = 0.002), increased white and gray matter mean diffusivity (p <= 0.001), and decreased white matter fractional anisotropy (p = 7.79 x 10(-4)). These associations were somewhat attenuated upon further adjustment for health status related covariates. Conclusions: Comorbid anxiety and depression symptoms were associated with cognitive performance and brain structure in a European American cohort with type 2 diabetes. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:143 / 149
页数:7
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