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轻度认知功能障碍(MCI)是介于正常认知功能和痴呆之间的一种过渡状态。抑郁症经常与MCI同时发生,每一种都会增加发展另一种的风险。(192-196)认知丧失可能是一种应激源(就像任何慢性和潜在的进行性医学疾病一样),与一系列与抑郁风险增加有关的心理社会因素有关。(197199)一旦老年人发展为重度抑郁症,多种病理机制(即,血管、神经变性、应激激素毒性(200-201)可能由神经炎症介导,增加认知能力下降的风险(在抑郁症的情况下,进展为痴呆的风险增加一倍)。(二百零二)
英文摘要
Mild cognitive impairment (MCI) is a transitional state between normal cognitive function and dementia. Depression frequently co-occurs with MCI and each increases the risk of developing the other.(192-196) Cognitive loss may act as a stressor (much like any chronic and potentially progressive medical illness), associated with a constellation of psychosocial factors that have been linked to increased depression risk.(197199) Once older adults develop major depression, multiple pathologic mechanisms (i.e., vascular, neurodegenerative, stress hormone toxicity(200-201) likely mediated by neuroinflammation, increase the risk of cognitive decline (in the case of depression risk of progression to dementia is doubled).(202)
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Major Depression and Molecular Senescence: The Role of Sleep
3/5 Neurocognitive and neuroimaging biomarkers: predicting progression towards dementia in patients with treatment resistant late-life depression
3/5 Neurocognitive and neuroimaging biomarkers: predicting progression towards dementia in patients with treatment resistant late-life depression
3/5 Neurocognitive and neuroimaging biomarkers: predicting progression towards dementia in patients with treatment resistant late-life depression
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