摘要
阿尔茨海默病(AD)连续体是一种独特的认知障碍,通常包括主观记忆主诉(SMC)、轻度认知障碍(MCI)和AD痴呆等阶段。神经精神症状(NPS),如冷漠、焦虑、压力和抑郁,在整个AD连续体中非常常见。然而,关于这些NPS如何在AD连续体中变化,尤其是SMC,有大量的研究。由于特定NPS与其他NPS的共线性、认知能力下降和环境因素(如压力),对于特定NPS对AD连续体每个阶段的影响也存在分歧。在这篇文章中,我们对科学文献进行了一次新颖的视角回顾,以了解NPS在AD连续体中的存在。具体而言,我们回顾了冷漠、抑郁、焦虑和压力在AD、MCI和SMC中的影响。然后,我们在这一知识的基础上,提出了两种在AD连续体中NPS发生的理论。因此,我们强调了当前的形势、局限性(例如,不同的操作)以及围绕NPS文献的争论。我们还概述了可以澄清争论并启发未来NPS研究的理论。
关键词: 神经精神症状(NPS)、阿尔茨海默病(AD)、轻度认知障碍(MCI)、主观记忆障碍(SMC)、压力、痴呆、抑郁。
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