Incidence of mild cognitive impairment in World Trade Center responders: Long-term consequences of re-experiencing the events on 9/11/2001.

Mild cognitive impairment Posttraumatic stress World Trade Center disaster

Journal

Alzheimer's & dementia (Amsterdam, Netherlands)
ISSN: 2352-8729
Titre abrégé: Alzheimers Dement (Amst)
Pays: United States
ID NLM: 101654604

Informations de publication

Date de publication:
Dec 2019
Historique:
entrez: 14 9 2019
pubmed: 14 9 2019
medline: 14 9 2019
Statut: epublish

Résumé

This study examined whether World Trade Center (WTC) exposures and chronic posttraumatic stress disorder (PTSD) were associated with incidence of mild cognitive impairment (MCI) in a longitudinal analysis of a prospective cohort study of WTC responders. Incidence of MCI was assessed in a clinical sample of WTC responders ( Responders were 53.1 years old (SD = 7.9) at baseline. Among eligible cognitively intact responders, 255 (14.2%) developed MCI at follow-up. Incidence of MCI was higher than expected based on expectations from prior published research. Incidence was higher among those with increased PTSD symptom severity, and prolonged exposure was a risk factor in apolipoprotein-ε4 carriers. PTSD and prolonged WTC exposures were associated with increased incidence of MCI in WTC responders, results that may portend future high rates of dementia in WTC-exposed responders.

Identifiants

pubmed: 31517025
doi: 10.1016/j.dadm.2019.07.006
pii: S2352-8729(19)30057-0
pmc: PMC6733774
doi:

Types de publication

Journal Article

Langues

eng

Pagination

628-636

Subventions

Organisme : NIA NIH HHS
ID : P50 AG005138
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG049953
Pays : United States

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Auteurs

Sean A P Clouston (SAP)

Department of Family, Population, and Preventive Medicine, Program in Public Health, Renaissance School of Medicine at Stony Brook, Stony Brook, NY, USA.

Erica D Diminich (ED)

Department of Family, Population, and Preventive Medicine, Program in Public Health, Renaissance School of Medicine at Stony Brook, Stony Brook, NY, USA.

Roman Kotov (R)

Department of Psychiatry, Renaissance School of Medicine at Stony Brook, Stony Brook, NY, USA.

Robert H Pietrzak (RH)

United States Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, Clinical Neurosciences Division, VA Connecticut Healthcare System, West Haven, CT, USA.
Department of Psychiatry, Yale University, New Haven, CT, USA.

Marcus Richards (M)

Unit for Lifelong Health and Ageing, University College London, London, UK.

Avron Spiro (A)

MAVERIC US Department of Veterans Affairs Boston Healthcare System, Boston, MA, USA.
Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA.
Department of Psychiatry, Boston University School of Medicine, Boston, MA, USA.

Yael Deri (Y)

Department of Medicine, Renaissance School of Medicine at Stony Brook, Stony Brook, NY, USA.

Melissa Carr (M)

Department of Medicine, Stony Brook University, Stony Brook, NY, USA.

Xiaohua Yang (X)

Department of Medicine, Renaissance School of Medicine at Stony Brook, Stony Brook, NY, USA.

Sam Gandy (S)

Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Department of Psychiatry, Icahn School of Medicine at Mount Sinai, NYC, New York, NY, USA.

Mary Sano (M)

Department of Psychiatry, Icahn School of Medicine at Mount Sinai, NYC, New York, NY, USA.
James J Peters VAMC, Bronx NY, USA.

Evelyn J Bromet (EJ)

Department of Psychiatry, Renaissance School of Medicine at Stony Brook, Stony Brook, NY, USA.

Benjamin J Luft (BJ)

World Trade Center Health and Wellness Program, Department of Medicine, Renaissance School of Medicine at Stony Brook, Stony Brook, NY, USA.

Classifications MeSH