Pruitt Patrick J, Yu Kexin, Lahna David, Schwartz Daniel, Peltier Scott, Silbert Lisa, Dodge Hiroko
Research Program on Cognition and Neuromodulation Based Interventions, University of Michigan, Ann Arbor, MI 48109, United States.
Department of Neurology, Oregon Health and Science University, Portland, OR 97239, United States.
Soc Cogn Affect Neurosci. 2025 Feb 21;20(1). doi: 10.1093/scan/nsaf017.
Despite having a meaningful impact on the quality of life, emotional well-being is often understudied in older adults in favor of cognitive performance, particularly when examining its association with neurobiological function. Socially isolated older adults have poorer emotional health than their non-isolated peers and are at increased risk of dementia. Characterizing neurobiological correlates of emotional characteristics in this population may help elucidate pathways that link social isolation and dementia risk. In a sample of 50 socially isolated older adults aged 75+ years ("older-old"; 30 with mild cognitive impairment; 20 with unimpaired cognition), we use the National Institutes of Health Toolbox-Emotion Battery to examine associations between emotional characteristics and functional magnetic resonance imaging (fMRI)-derived intrinsic brain network functional connectivity. We found a positive association between the default mode network connectivity and negative affect. Amygdala-ventromedial prefrontal cortex (vmPFC) connectivity was negatively associated with psychological well-being and positively associated with negative affect. These results did not survive correction for multiple comparisons. These findings replicate, in a sample of socially isolated older-old adults, the previous work highlighting the relationship between amygdala-vmPFC connectivity and individual differences in emotional health, with more inverse connectivity associated with better emotional characteristics.
尽管对生活质量有重要影响,但在老年人中,情感幸福感往往不如认知表现那样受到充分研究,尤其是在研究其与神经生物学功能的关联时。与非孤立的同龄人相比,社会孤立的老年人情绪健康状况较差,患痴呆症的风险也更高。确定该人群情感特征的神经生物学相关性,可能有助于阐明将社会孤立与痴呆症风险联系起来的途径。在一个由50名75岁及以上的社会孤立老年人组成的样本中(“高龄老人”;30名患有轻度认知障碍;20名认知未受损),我们使用美国国立卫生研究院工具箱-情感量表来研究情感特征与功能磁共振成像(fMRI)得出的脑内固有网络功能连接之间的关联。我们发现默认模式网络连接与消极情绪之间存在正相关。杏仁核-腹内侧前额叶皮质(vmPFC)连接与心理健康呈负相关,与消极情绪呈正相关。这些结果在多重比较校正后不显著。这些发现在一个社会孤立的高龄老人样本中重复了之前的研究结果,即强调杏仁核-vmPFC连接与情绪健康个体差异之间的关系,连接性越反向,情绪特征越好。