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Relationship among number of close friends, subclinical geriatric depression, and subjective cognitive decline based on regional homogeneity of functional magnetic resonance imaging data

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机构: [1]Beijing Inst Technol, Sch Life Sci, Dept Biomed Engn, Beijing, Peoples R China [2]Yale Univ Sch Med, Dept Psychiat, New Haven, CT USA [3]Capital Med Univ, Dept Neurol, Xuanwu Hosp, Beijing, Peoples R China
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关键词: number of close friends subjective cognitive decline regional homogeneity mediation effect subclinical geriatric depression

摘要:
The relationship between geriatric depression and dementia has been widely debated, and the neurological mechanisms underlying subjective cognitive decline (SCD) associated with social relationships remain elusive. Subclinical geriatric depression (SGD) is common in patients with SCD, and close friends (CFs) have a great influence on a person's social life. Studies have proven that communication or leisure activities with CFs can improve the cognitive performance of elderly. However, it remains unclear whether the engagement of specific brain regions mediates having CFs, SGD, and SCD. In this study, we aimed to assess the association between social relationships (that is, CFs), SGD, and SCD from the perspective of brain function. We examined the data of 66 patients with SCD and 63 normal controls (NC). Compared with NC, SGD was significantly inversely correlated with the number of CFs in the SCD group. We calculated regional homogeneity (ReHo) of functional magnetic resonance imaging (MRI) data of each subject. At a corrected threshold, the right occipital gyrus (SOG.R) and right fusiform gyrus (FFG.R) exhibited positive correlation with SGD in patients with SCD. Mediation analyses to query the inter-relationships between the neural markers and clinical variables exhibited a best fit of the model with CFs -> FFG.R -> SGD -> SOG.R -> SCD. These findings suggested a pathway whereby social relationships alter the function of specific brain regions, and SGD may be an early symptom of SCD. We observed that the FFG.R mediate social relationships and SGD, and the abnormality of the SOG.R may be a key factor in the SCD caused by depression. Moreover, a greater number of CFs may reduce the risk of developing SGD.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 2 区 老年医学 3 区 神经科学
最新[2023]版:
大类 | 2 区 医学
小类 | 3 区 老年医学 3 区 神经科学
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出版当年[2020]版:
Q1 GERIATRICS & GERONTOLOGY Q1 NEUROSCIENCES
最新[2023]版:
Q2 NEUROSCIENCES Q2 GERIATRICS & GERONTOLOGY

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第一作者机构: [1]Beijing Inst Technol, Sch Life Sci, Dept Biomed Engn, Beijing, Peoples R China
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