Lamar Melissa, Arfanakis Konstantinos, Kapasi Alifiya, Han S Duke, Bennett David A, Yu Lei, Boyle Patricia A
Rush Alzheimer's Disease Center, Rush University Medical Center, 1750 W Harrison Street, Suite 1000, Chicago, IL, 60612, USA.
Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.
Brain Imaging Behav. 2024 Dec;18(6):1491-1498. doi: 10.1007/s11682-024-00944-0. Epub 2024 Sep 30.
Older adults with greater scam susceptibility are at greater risk for mild cognitive impairment and incident Alzheimer's dementia, regardless of baseline cognition. This, combined with documented associations between scam susceptibility and beta amyloid at death suggests that scam susceptibility may be an earlier indicator of pathological aging than cognition. Little, however, is known about whether in vivo neuroimaging markers of early-stage risk for Alzheimer's dementia are also related to scam susceptibility; such knowledge will inform upon the associations of neurodegenerative processes with scam susceptibility and may help identify vulnerable individuals. Participants were 472 community-based adults without dementia (age ~ 81y; 75% women) from the Rush Memory and Aging Project. Baseline 3T MRI T1-weighted structural and T2-weighted FLAIR data were used to assess the cortical thickness 'signature' of Alzheimer's disease (AD-CT) and white matter hyperintensity (WMH) burden, respectively. Scam susceptibility was measured using a questionnaire that assessed behaviors associated with vulnerability to fraud and scams. Demographically-adjusted linear effects regression models determined the relationship of each neuroimaging measure, first separately and then combined, with scam susceptibility. Reduced AD-CT was associated with higher levels of scam susceptibility (estimate=-0.10, standard error = 0.03, p = 0.002). WMH burden was not associated with scam susceptibility either alone or when combined in the same model as AD-CT (p-values ≥ 0.14). Results for AD-CT persisted after the inclusion of WMH burden. AD-CT was associated with scam susceptibility in older adults without dementia possibly signaling an in vivo profile of this behavior.
无论基线认知水平如何,更容易遭受诈骗的老年人患轻度认知障碍和新发阿尔茨海默病痴呆症的风险更高。这一点,再加上已记录的死亡时诈骗易感性与β淀粉样蛋白之间的关联,表明诈骗易感性可能是比认知更早期的病理性衰老指标。然而,关于阿尔茨海默病痴呆症早期风险的体内神经影像学标志物是否也与诈骗易感性相关,我们知之甚少;此类知识将为神经退行性过程与诈骗易感性之间的关联提供信息,并可能有助于识别易受伤害的个体。研究参与者为来自拉什记忆与衰老项目的472名无痴呆的社区成年人(年龄约81岁;75%为女性)。基线3T磁共振成像T1加权结构数据和T2加权液体衰减反转恢复序列数据分别用于评估阿尔茨海默病的皮质厚度“特征”(AD-CT)和白质高信号(WMH)负担。使用一份问卷来测量诈骗易感性,该问卷评估了与易受欺诈和诈骗相关的行为。经人口统计学调整的线性效应回归模型确定了每项神经影像学测量指标分别以及合并后与诈骗易感性的关系。AD-CT降低与更高水平的诈骗易感性相关(估计值=-0.10,标准误=0.03,p=0.002)。WMH负担单独或与AD-CT在同一模型中合并时均与诈骗易感性无关(p值≥0.14)。纳入WMH负担后,AD-CT的结果依然存在。AD-CT与无痴呆老年人的诈骗易感性相关,这可能标志着这种行为的一种体内特征。