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Traumatic brain injury alters presentation of mild behavioral impairment domains across progression of all-cause dementia

INTRODUCTION: Traumatic brain injury (TBI) may alter dementia progression, although co-occurring neuropsychiatric symptoms (NPS) have received less attention. The mild behavioral impairment (MBI) construct relates NPS to underlying neural circuit disruptions, representing an important area of inquir...

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Autores principales: Bray, M., Bryant, B., Esagoff, A., Richey, L., Rodriguez, C., Krieg, A., Cullum, C.M., Lobue, C., Ismail, Z., Peters, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566826/
http://dx.doi.org/10.1192/j.eurpsy.2022.458
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author Bray, M.
Bryant, B.
Esagoff, A.
Richey, L.
Rodriguez, C.
Krieg, A.
Cullum, C.M.
Lobue, C.
Ismail, Z.
Peters, M.
author_facet Bray, M.
Bryant, B.
Esagoff, A.
Richey, L.
Rodriguez, C.
Krieg, A.
Cullum, C.M.
Lobue, C.
Ismail, Z.
Peters, M.
author_sort Bray, M.
collection PubMed
description INTRODUCTION: Traumatic brain injury (TBI) may alter dementia progression, although co-occurring neuropsychiatric symptoms (NPS) have received less attention. The mild behavioral impairment (MBI) construct relates NPS to underlying neural circuit disruptions, representing an important area of inquiry regarding TBI and dementia. OBJECTIVES: (1) to examine the influence of prior TBI history (preceding study enrollment) on MBI incidence in all-cause dementia (prior to dementia diagnosis, i.e. MBI’s original definition) and (2) to utilize MBI domains as a construct for examining the influence of TBI on related NPS across the course of dementia onset and progression. METHODS: Using National Alzheimer’s Coordinating Center data, individuals progressing from normal cognition to all-cause dementia over 7.6±3.0 years were studied to estimate MBI incidence and symptom domains in 124 participants with prior TBI history compared to 822 without. RESULTS: Moderate-severe TBI was associated with the social inappropriateness MBI domain (OR(adj.)=4.034; p=0.024) prior to dementia onset, and the abnormal perception/thought content domain looking across dementia progression (HR(adj.)=3.703, p=0.005). TBI (all severities) was associated with the decreased motivation domain looking throughout dementia progression (HR(adj.)=1.546, p=0.014). CONCLUSIONS: TBI history is associated with particular MBI domains prior to onset and throughout progression of dementia. Understanding TBI’s impact on inter-related NPS may help elucidate underlying neuropathology. DISCLOSURE: No significant relationships.
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spelling pubmed-95668262022-10-17 Traumatic brain injury alters presentation of mild behavioral impairment domains across progression of all-cause dementia Bray, M. Bryant, B. Esagoff, A. Richey, L. Rodriguez, C. Krieg, A. Cullum, C.M. Lobue, C. Ismail, Z. Peters, M. Eur Psychiatry Abstract INTRODUCTION: Traumatic brain injury (TBI) may alter dementia progression, although co-occurring neuropsychiatric symptoms (NPS) have received less attention. The mild behavioral impairment (MBI) construct relates NPS to underlying neural circuit disruptions, representing an important area of inquiry regarding TBI and dementia. OBJECTIVES: (1) to examine the influence of prior TBI history (preceding study enrollment) on MBI incidence in all-cause dementia (prior to dementia diagnosis, i.e. MBI’s original definition) and (2) to utilize MBI domains as a construct for examining the influence of TBI on related NPS across the course of dementia onset and progression. METHODS: Using National Alzheimer’s Coordinating Center data, individuals progressing from normal cognition to all-cause dementia over 7.6±3.0 years were studied to estimate MBI incidence and symptom domains in 124 participants with prior TBI history compared to 822 without. RESULTS: Moderate-severe TBI was associated with the social inappropriateness MBI domain (OR(adj.)=4.034; p=0.024) prior to dementia onset, and the abnormal perception/thought content domain looking across dementia progression (HR(adj.)=3.703, p=0.005). TBI (all severities) was associated with the decreased motivation domain looking throughout dementia progression (HR(adj.)=1.546, p=0.014). CONCLUSIONS: TBI history is associated with particular MBI domains prior to onset and throughout progression of dementia. Understanding TBI’s impact on inter-related NPS may help elucidate underlying neuropathology. DISCLOSURE: No significant relationships. Cambridge University Press 2022-09-01 /pmc/articles/PMC9566826/ http://dx.doi.org/10.1192/j.eurpsy.2022.458 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
Bray, M.
Bryant, B.
Esagoff, A.
Richey, L.
Rodriguez, C.
Krieg, A.
Cullum, C.M.
Lobue, C.
Ismail, Z.
Peters, M.
Traumatic brain injury alters presentation of mild behavioral impairment domains across progression of all-cause dementia
title Traumatic brain injury alters presentation of mild behavioral impairment domains across progression of all-cause dementia
title_full Traumatic brain injury alters presentation of mild behavioral impairment domains across progression of all-cause dementia
title_fullStr Traumatic brain injury alters presentation of mild behavioral impairment domains across progression of all-cause dementia
title_full_unstemmed Traumatic brain injury alters presentation of mild behavioral impairment domains across progression of all-cause dementia
title_short Traumatic brain injury alters presentation of mild behavioral impairment domains across progression of all-cause dementia
title_sort traumatic brain injury alters presentation of mild behavioral impairment domains across progression of all-cause dementia
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566826/
http://dx.doi.org/10.1192/j.eurpsy.2022.458
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