Neuropsychiatric symptoms and lifelong mental activities in cerebral amyloid angiopathy – a cross-sectional study Article Swipe
Marc Dörner
,
Anthony Tyndall
,
Nicolin Hainc
,
Roland von Känel
,
Katja Neumann
,
Sebastian Euler
,
Frank Schreiber
,
Philipp Arndt
,
Erelle Fuchs
,
Cornelia Garz
,
Wenzel Glanz
,
Michaela Butryn
,
Jan Ben Schulze
,
Sarah Lavinia Florence Schiebler
,
Anna-Charlotte John
,
A. Hildebrand
,
Andreas B. Hofmann
,
Lena Machetanz
,
Johannes Kirchebner
,
Paweł Tacik
,
Alexander Grimm
,
Robin Jansen
,
Marc Pawlitzki
,
Solveig Henneicke
,
José Bernal
,
Valentina Perosa
,
Emrah Düzel
,
Sven G. Meuth
,
Stefan Vielhaber
,
Hendrik Mattern
,
Stefanie Schreiber
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s13195-024-01519-3
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s13195-024-01519-3
Background While several studies in cerebral amyloid angiopathy (CAA) focus on cognitive function, data on neuropsychiatric symptoms (NPS) and lifelong mental activities in these patients are scarce. Since NPS are associated with functional impairment, faster cognitive decline and faster progression to death, replication studies in more diverse settings and samples are warranted. Methods We prospectively recruited n = 69 CAA patients and n = 18 cognitively normal controls (NC). The number and severity of NPS were assessed using the Alzheimer’s Disease (AD) Assessment Scale’s (ADAS) noncognitive subscale. We applied different regression models exploring associations between NPS number or severity and group status (CAA vs. NC), CAA severity assessed with magnetic resonance imaging (MRI) or cognitive function (Mini-Mental State Examination (MMSE), ADAS cognitive subscale), adjusting for age, sex, years of education, arterial hypertension, AD pathology, and apolipoprotein E status. Mediation analyses were performed to test indirect effects of lifelong mental activities on CAA severity and NPS. Results Patients with CAA had 4.86 times (95% CI 2.20-10.73) more NPS and 3.56 units (95% CI 1.94–5.19) higher expected NPS severity than NC. Higher total CAA severity on MRI predicted 1.14 times (95% CI 1.01.-1.27) more NPS and 0.57 units (95% CI 0.19–0.95) higher expected NPS severity. More severe white matter hyperintensities were associated with 1.21 times more NPS (95% CI 1.05–1.39) and 0.63 units (95% CI 0.19–1.08) more severe NPS. NPS number (MMSE mean difference − 1.15, 95% CI -1.67 to -0.63; ADAS cognitive mean difference 1.91, 95% CI 1.26–2.56) and severity (MMSE − 0.55, 95% CI -0.80 to -0.30; ADAS cognitive mean difference 0.89, 95% CI 0.57–1.21) predicted lower cognitive function. Greater lifelong mental activities partially mediated the relationship between CAA severity and NPS (indirect effect 0.05, 95% CI 0.0007-0.13), and greater lifelong mental activities led to less pronounced CAA severity and thus to less NPS (indirect effect − 0.08, 95% CI -0.22 to -0.002). Discussion This study suggests that NPS are common in CAA, and that this relationship may be driven by CAA severity. Furthermore, NPS seem to be tied to lower cognitive function. However, lifelong mental activities might mitigate the impact of NPS in CAA.
Related Topics
Concepts
Cerebral amyloid angiopathy
Medicine
Hyperintensity
Internal medicine
Neurology
Cross-sectional study
Mini–Mental State Examination
Cognitive decline
Cognition
Neurocognitive
Magnetic resonance imaging
Psychiatry
Clinical psychology
Dementia
Disease
Pathology
Radiology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s13195-024-01519-3
- OA Status
- gold
- Cited By
- 5
- References
- 65
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4402222428
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4402222428Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1186/s13195-024-01519-3Digital Object Identifier
- Title
-
Neuropsychiatric symptoms and lifelong mental activities in cerebral amyloid angiopathy – a cross-sectional studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-09-04Full publication date if available
- Authors
-
Marc Dörner, Anthony Tyndall, Nicolin Hainc, Roland von Känel, Katja Neumann, Sebastian Euler, Frank Schreiber, Philipp Arndt, Erelle Fuchs, Cornelia Garz, Wenzel Glanz, Michaela Butryn, Jan Ben Schulze, Sarah Lavinia Florence Schiebler, Anna-Charlotte John, A. Hildebrand, Andreas B. Hofmann, Lena Machetanz, Johannes Kirchebner, Paweł Tacik, Alexander Grimm, Robin Jansen, Marc Pawlitzki, Solveig Henneicke, José Bernal, Valentina Perosa, Emrah Düzel, Sven G. Meuth, Stefan Vielhaber, Hendrik Mattern, Stefanie SchreiberList of authors in order
- Landing page
-
https://doi.org/10.1186/s13195-024-01519-3Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1186/s13195-024-01519-3Direct OA link when available
- Concepts
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Cerebral amyloid angiopathy, Medicine, Hyperintensity, Internal medicine, Neurology, Cross-sectional study, Mini–Mental State Examination, Cognitive decline, Cognition, Neurocognitive, Magnetic resonance imaging, Psychiatry, Clinical psychology, Dementia, Disease, Pathology, RadiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
5Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 5Per-year citation counts (last 5 years)
- References (count)
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65Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.faster | 35, 39 |
| abstract_inverted_index.higher | 174, 200 |
| abstract_inverted_index.impact | 351 |
| abstract_inverted_index.matter | 207 |
| abstract_inverted_index.mental | 21, 149, 272, 292, 346 |
| abstract_inverted_index.models | 92 |
| abstract_inverted_index.normal | 67 |
| abstract_inverted_index.number | 71, 97, 229 |
| abstract_inverted_index.severe | 205, 226 |
| abstract_inverted_index.status | 102 |
| abstract_inverted_index.(MMSE), | 120 |
| abstract_inverted_index.Disease | 81 |
| abstract_inverted_index.Greater | 270 |
| abstract_inverted_index.Methods | 53 |
| abstract_inverted_index.Results | 156 |
| abstract_inverted_index.amyloid | 7 |
| abstract_inverted_index.applied | 89 |
| abstract_inverted_index.between | 95, 278 |
| abstract_inverted_index.decline | 37 |
| abstract_inverted_index.diverse | 47 |
| abstract_inverted_index.effects | 146 |
| abstract_inverted_index.greater | 290 |
| abstract_inverted_index.imaging | 112 |
| abstract_inverted_index.samples | 50 |
| abstract_inverted_index.scarce. | 27 |
| abstract_inverted_index.several | 3 |
| abstract_inverted_index.status. | 138 |
| abstract_inverted_index.studies | 4, 44 |
| abstract_inverted_index.-0.002). | 313 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.However, | 344 |
| abstract_inverted_index.Patients | 157 |
| abstract_inverted_index.analyses | 140 |
| abstract_inverted_index.arterial | 131 |
| abstract_inverted_index.assessed | 77, 108 |
| abstract_inverted_index.cerebral | 6 |
| abstract_inverted_index.controls | 68 |
| abstract_inverted_index.expected | 175, 201 |
| abstract_inverted_index.function | 116 |
| abstract_inverted_index.indirect | 145 |
| abstract_inverted_index.lifelong | 20, 148, 271, 291, 345 |
| abstract_inverted_index.magnetic | 110 |
| abstract_inverted_index.mediated | 275 |
| abstract_inverted_index.mitigate | 349 |
| abstract_inverted_index.patients | 25, 61 |
| abstract_inverted_index.settings | 48 |
| abstract_inverted_index.severity | 73, 99, 107, 153, 177, 183, 249, 280, 299 |
| abstract_inverted_index.suggests | 317 |
| abstract_inverted_index.symptoms | 17 |
| abstract_inverted_index.(indirect | 283, 305 |
| abstract_inverted_index.Mediation | 139 |
| abstract_inverted_index.Scale’s | 84 |
| abstract_inverted_index.adjusting | 124 |
| abstract_inverted_index.cognitive | 12, 36, 115, 122, 241, 259, 268, 342 |
| abstract_inverted_index.different | 90 |
| abstract_inverted_index.exploring | 93 |
| abstract_inverted_index.function, | 13 |
| abstract_inverted_index.function. | 269, 343 |
| abstract_inverted_index.partially | 274 |
| abstract_inverted_index.performed | 142 |
| abstract_inverted_index.predicted | 186, 266 |
| abstract_inverted_index.recruited | 56 |
| abstract_inverted_index.resonance | 111 |
| abstract_inverted_index.severity. | 203, 333 |
| abstract_inverted_index.subscale. | 87 |
| abstract_inverted_index.Assessment | 83 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Discussion | 314 |
| abstract_inverted_index.activities | 22, 150, 273, 293, 347 |
| abstract_inverted_index.angiopathy | 8 |
| abstract_inverted_index.associated | 31, 210 |
| abstract_inverted_index.difference | 232, 243, 261 |
| abstract_inverted_index.education, | 130 |
| abstract_inverted_index.functional | 33 |
| abstract_inverted_index.pathology, | 134 |
| abstract_inverted_index.pronounced | 297 |
| abstract_inverted_index.regression | 91 |
| abstract_inverted_index.subscale), | 123 |
| abstract_inverted_index.warranted. | 52 |
| abstract_inverted_index.1.01.-1.27) | 191 |
| abstract_inverted_index.2.20-10.73) | 165 |
| abstract_inverted_index.Examination | 119 |
| abstract_inverted_index.cognitively | 66 |
| abstract_inverted_index.impairment, | 34 |
| abstract_inverted_index.progression | 40 |
| abstract_inverted_index.replication | 43 |
| abstract_inverted_index.(Mini-Mental | 117 |
| abstract_inverted_index.0.19–0.95) | 199 |
| abstract_inverted_index.0.19–1.08) | 224 |
| abstract_inverted_index.0.57–1.21) | 265 |
| abstract_inverted_index.1.05–1.39) | 218 |
| abstract_inverted_index.1.26–2.56) | 247 |
| abstract_inverted_index.1.94–5.19) | 173 |
| abstract_inverted_index.Furthermore, | 334 |
| abstract_inverted_index.associations | 94 |
| abstract_inverted_index.noncognitive | 86 |
| abstract_inverted_index.relationship | 277, 327 |
| abstract_inverted_index.0.0007-0.13), | 288 |
| abstract_inverted_index.Alzheimer’s | 80 |
| abstract_inverted_index.hypertension, | 132 |
| abstract_inverted_index.prospectively | 55 |
| abstract_inverted_index.apolipoprotein | 136 |
| abstract_inverted_index.hyperintensities | 208 |
| abstract_inverted_index.neuropsychiatric | 16 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 97 |
| countries_distinct_count | 3 |
| institutions_distinct_count | 31 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/4 |
| sustainable_development_goals[0].score | 0.5699999928474426 |
| sustainable_development_goals[0].display_name | Quality Education |
| citation_normalized_percentile.value | 0.89682097 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |