Department of Neurology and Psychiatry, Division of Geriatric Psychiatry, Saint Louis University, St Louis, MO 63104, USA.
Clin Geriatr Med. 2010 Feb;26(1):57-74. doi: 10.1016/j.cger.2009.12.004.
There is a long history of hormones altering behavior and endocrinopathies playing a role in psychiatric disease. This article highlights the hormonal changes that occur with aging and the effects of these hormonal changes on the brain, concentrating not on the well-known psychiatric manifestations of endocrine diseases, but on the more subtle effects of hormones and metabolic alteration seen in many older persons. The article focuses predominately on the role of hormones in cognition, as dementia and mild cognitive impairment are major problems in the older individual.
激素会改变行为,内分泌疾病也会在精神疾病中发挥作用,这方面有着悠久的历史。本文重点介绍衰老过程中发生的激素变化,以及这些激素变化对大脑的影响,主要关注的不是内分泌疾病的明显精神表现,而是许多老年人中常见的激素和代谢变化的更微妙影响。本文主要关注激素在认知方面的作用,因为痴呆和轻度认知障碍是老年人的主要问题。