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Anxiety, depression linked to Alzheimer's

By Lee Bowman, the Pittsburgh Post-Gazette

December 9, 2003
 

 

People who are tense or prone to worry appear to be more likely to develop Alzheimer's disease, according to a new study.

Researchers at Rush University Medical Center in Chicago found that those who most often experienced negative emotions like depression and anxiety were twice as likely to develop Alzheimer's than those least prone to such emotions.

The research was drawn from a large study of older Roman Catholic nuns, priests and brothers. The study focused on 797 people, with an average age of 75, who were evaluated for both psychological distress and mental decline when they started the study and then yearly.

Participants were rated for being distress-prone by being asked to rate their level of agreement (strongly disagree, disagree, etc.) with such statements as "I am not a worrier" and "I often get angry at the way people treat me."

During an average of 4.9 years of follow-up, 140 people in the study developed Alzheimer's. Those scoring in the top 10 percent of the distress scale were twice as likely to develop the brain disease than those who scored in the lowest 10 percent.

"People differ in their tendency to experience psychological distress and this is a stable personality trait throughout adulthood," said Robert Wilson, lead author of the study that appears today in the journal Neurology. The magazine is published by the American Academy of Neurology.

"Since chronic stress has been associated with changes in the hippocampal area of the brain and with problems with learning and memory, we wanted to test the theory that psychological distress may affect the risk of developing Alzheimer's disease."

Being prone to stress was also related to lapses in episodic memory -- being able to recall a list of words or a story, for instance. Problems with this sort of memory are common in those with Alzheimer's. And the study showed that episodic-memory ability declined 10 times faster in those who were stress-prone than those who ranked low in stress.

Wilson cautioned that "much more research is needed before we can determine whether the use of antidepressants could help reduce the risk of Alzheimer's disease."

The researchers were also able to consider whether proneness to distress was an early sign of Alzheimer's rather than a risk factor by examining the brains of 141 participants who died during the study. Of those, 57 met the physical criteria for probable Alzheimer's disease. 


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