Department of Psychiatry, University Cologne, Cologne, Germany.
German Center for neurodegenerative Diseases (DZNE), Bonn, Germany.
J Neural Transm (Vienna). 2019 Sep;126(9):1155-1161. doi: 10.1007/s00702-019-01988-z. Epub 2019 Feb 20.
Alzheimer's disease (AD) is the leading cause of dementia worldwide. Due to demographic change in higher income countries and rising life expectancy in middle- and low-income countries, the prevalence of AD will increase significantly in the coming years. In the search for effective AD prevention, the role of stress in the development of AD has come into focus. There is increasing evidence that chronic exposure to stress is a risk factor for AD and may also adversely affect the course of the disease. In our review, we present the current literature on the association of specific personality traits and the risk of developing AD. We also report on findings on dementia risk in patients with posttraumatic stress disorder. Furthermore, we describe the role of anxiety symptoms in AD and give a brief overview over the biological mechanisms behind the association of stress and AD.
阿尔茨海默病(AD)是全球范围内导致痴呆的主要原因。由于高收入国家的人口结构变化以及中低收入国家预期寿命的提高,AD 的患病率在未来几年将显著增加。在寻找有效的 AD 预防方法的过程中,压力在 AD 发展中的作用成为了焦点。越来越多的证据表明,慢性暴露于压力是 AD 的一个风险因素,也可能对疾病的进程产生不利影响。在我们的综述中,我们呈现了关于特定人格特质与 AD 发病风险之间关联的现有文献。我们还报告了创伤后应激障碍患者的痴呆风险发现。此外,我们描述了焦虑症状在 AD 中的作用,并简要概述了压力与 AD 之间关联的生物学机制。