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Improvement in verbal learning over the first year of antipsychotic treatment is associated with serum HDL levels in a cohort of first episode psychosis patients.在首发精神病患者队列中,抗精神病药物治疗第一年的言语学习能力改善与血清高密度脂蛋白水平相关。
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本文引用的文献

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The Underlying Mechanisms for Olanzapine-induced Hypertriglyceridemia.奥氮平所致高甘油三酯血症的潜在机制。
J Clin Med Res. 2012 Jun;4(3):206-8. doi: 10.4021/jocmr802w. Epub 2012 May 15.
2
Inflammatory markers in antipsychotic-naïve patients with nonaffective psychosis and deficit vs. nondeficit features.抗精神病药物治疗初发的非情感性精神病患者中伴有和不伴有缺陷症状的炎症标志物。
Psychiatry Res. 2012 Jul 30;198(2):212-5. doi: 10.1016/j.psychres.2011.08.014. Epub 2012 Mar 8.
3
Magnitude of impact of executive functioning and IQ on episodic memory in Schizophrenia.执行功能和智商对精神分裂症情景记忆影响的大小。
Biol Psychiatry. 2012 Mar 15;71(6):545-51. doi: 10.1016/j.biopsych.2011.11.021. Epub 2012 Jan 23.
4
Prevalence of metabolic syndrome and metabolic abnormalities in schizophrenia and related disorders--a systematic review and meta-analysis.代谢综合征及代谢异常在精神分裂症及相关障碍中的流行情况——一项系统回顾和荟萃分析。
Schizophr Bull. 2013 Mar;39(2):306-18. doi: 10.1093/schbul/sbr148. Epub 2011 Dec 29.
5
Relationship between measures of inhibitory processes in patients with schizophrenia: role of substance abuse disorders.精神分裂症患者抑制过程测量值之间的关系:物质滥用障碍的作用。
Psychiatry Res. 2011 Dec 30;190(2-3):187-92. doi: 10.1016/j.psychres.2011.06.002. Epub 2011 Jun 24.
6
Alcohol use disorders contribute to hippocampal and subcortical shape differences in schizophrenia.酒精使用障碍导致精神分裂症患者海马体和皮质下结构的形态差异。
Schizophr Res. 2011 Sep;131(1-3):174-83. doi: 10.1016/j.schres.2011.05.014. Epub 2011 Jun 12.
7
Schizophrenia and tobacco smoking comorbidity: nAChR agonists in the treatment of schizophrenia-associated cognitive deficits.精神分裂症与吸烟共病:烟碱型乙酰胆碱受体激动剂治疗与精神分裂症相关的认知缺陷。
Neuropharmacology. 2012 Mar;62(3):1564-73. doi: 10.1016/j.neuropharm.2011.01.044. Epub 2011 Feb 1.
8
Linkage of cognitive impairments with metabolic disorders in schizophrenia.精神分裂症中认知障碍与代谢紊乱的关联。
Am J Psychiatry. 2010 Oct;167(10):1155-7. doi: 10.1176/appi.ajp.2010.10060838.
9
Metabolic syndrome with the atypical antipsychotics.代谢综合征与非典型抗精神病药物。
Curr Opin Endocrinol Diabetes Obes. 2010 Oct;17(5):460-6. doi: 10.1097/MED.0b013e32833de61c.
10
The effects of hypertension and body mass index on cognition in schizophrenia.高血压和体重指数对精神分裂症认知的影响。
Am J Psychiatry. 2010 Oct;167(10):1232-9. doi: 10.1176/appi.ajp.2010.09091328. Epub 2010 Jul 15.

心血管危险因素与精神分裂症患者的言语学习和记忆障碍有关吗?一项横断面研究。

Are cardiovascular risk factors associated with verbal learning and memory impairment in patients with schizophrenia? A cross-sectional study.

作者信息

Lancon Christophe, Dassa Daniel, Fernandez Jessica, Richieri Raphaelle, Padovani Romain, Boyer Laurent

机构信息

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.

出版信息

Cardiovasc Psychiatry Neurol. 2012;2012:204043. doi: 10.1155/2012/204043. Epub 2012 Nov 19.

DOI:10.1155/2012/204043
PMID:23227310
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3512211/
Abstract

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.

摘要

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。