Lancon Christophe, Dassa Daniel, Fernandez Jessica, Richieri Raphaelle, Padovani Romain, Boyer Laurent
EA 3279-Public Health, Chronic Disease, and Quality of Life Research Unit, Aix-Marseille University, 13005 Marseille, France ; Department of Psychiatry, Sainte-Marguerite University Hospital, 13009 Marseille, France ; Department of Addiction, Sainte-Marguerite University Hospital, 13009 Marseille, France.
Cardiovasc Psychiatry Neurol. 2012;2012:204043. doi: 10.1155/2012/204043. Epub 2012 Nov 19.
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.
目的。本研究旨在评估精神分裂症患者心血管危险因素与言语学习和记忆之间的关系。方法与设计。横断面研究。纳入标准。根据《精神疾病诊断与统计手册》第四版修订版(DSM-IV-TR)标准诊断为精神分裂症。数据收集。社会人口统计学信息、临床特征、人体测量、血液检查以及使用加利福尼亚言语学习测验(CVLT)进行情景记忆测试。分析。采用多元线性回归进行多变量分析,以确定可能与言语学习和记忆相关的变量。结果。168名门诊患者参与了我们的研究。在言语学习、短期和长期记忆测量中,发现代谢综合征(MetS)与记忆损害之间存在关联。在MetS的不同组成部分中,高甘油三酯、腹部肥胖和低高密度脂蛋白胆固醇是与记忆损害相关的唯一因素。酒精依赖或滥用与较高的遗忘率相关。结论。我们的研究结果表明,MetS和酒精使用可能与精神分裂症患者的记忆损害有关。这些发现为心血管危险因素与认知障碍之间的相互依存关系提供了重要见解,并支持治疗和预防精神分裂症患者认知障碍的新策略。