精神分裂症患者的言语学习和记忆障碍与心血管危险因素有关吗?横断面研究。

Cardiovascular psychiatry and neurology Pub Date : 2012-01-01 Epub Date: 2012-11-19 DOI:10.1155/2012/204043
Christophe Lancon, Daniel Dassa, Jessica Fernandez, Raphaelle Richieri, Romain Padovani, Laurent Boyer
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引用次数: 11

摘要

目标。本研究的目的是评估精神分裂症患者心血管危险因素与语言学习和记忆的关系。方法和设计。横断面研究。入选标准。根据DSM-IV-TR标准诊断精神分裂症。数据收集。社会人口学信息、临床特征、人体测量、血液测试和使用加州语言学习测试(CVLT)的情景记忆。分析。使用多元线性回归进行多变量分析,以确定与语言学习和记忆潜在相关的变量。结果。168名门诊患者参与了我们的研究。在言语学习、短期和长期记忆的测量中发现代谢综合征(MetS)与记忆障碍之间存在关联。在代谢代谢的不同成分中,高甘油三酯、腹部肥胖和低高密度脂蛋白胆固醇是与记忆障碍相关的唯一因素。酒精依赖或滥用与更高的遗忘率有关。结论。我们的研究结果表明,MetS和饮酒可能与精神分裂症患者的记忆障碍有关。这些发现为心血管危险因素和认知障碍的相互依赖性提供了重要的见解,并支持了治疗和预防精神分裂症患者认知障碍的新策略。
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Are cardiovascular risk factors associated with verbal learning and memory impairment in patients with schizophrenia? A cross-sectional study.

Objective. The aim of this study is to assess the relationships of cardiovascular risk factors with verbal learning and memory in patients with schizophrenia. Methods and Design. cross-sectional study. Inclusion Criteria. Diagnosis of schizophrenia according to the DSM-IV-TR criteria. Data Collection. Sociodemographic information, clinical characteristics, anthropometric measurements, blood tests, and episodic memory using the California Verbal Learning Test (CVLT). Analysis. A multivariate analysis using multiple linear regressions was performed to determine variables that are potentially associated with verbal learning and memory. Results. One hundred and sixty-eight outpatients participated in our study. An association was found between the metabolic syndrome (MetS) and memory impairment on measures of verbal learning, and short- and long-term memory. Among the different components of MeTS, hypertriglycerides, abdominal obesity, and low HDL cholesterol were the only factors associated with memory impairment. Alcohol dependence or abuse was associated with a higher rate of forgetting. Conclusion. Our findings suggest that MetS and alcohol use may be linked with memory impairment in schizophrenia. These findings provide important insights into the interdependencies of cardiovascular risk factors and cognitive disorders and support novel strategies for treating and preventing cognitive disorders in patients with schizophrenia.

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