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Vers une meilleure compréhension des facteurs psychoaffectifs (anxiété et dépression) dans le vieillissement normal et pathologique : liens avec la cognition et la neuroimagerie multimodale

Abstract : Subclinical psychoaffective symptoms of anxiety and depression are common in the elderly and are associated with an increased risk of developing dementia and progressing from a pre-dementia stage to a dementia stage. However, they could also be symptoms associated with dementia and could be a clinical manifestation of the underlying pathology. The aim of this thesis was to contribute towards a better understanding of the links between anxiety and depressive symptoms and Alzheimer's disease (AD) hallmarks, including cognitive, structural, functional and molecular modifications, both in normal aging and during the course of this pathology. Our results show that higher anxiety symptoms are associated with lower grey matter volume in cognitively healthy elderly subjects, but only in women. This same association is present in all Subjective Cognitive Decline (SCD) participants recruited from the general population, and shows an increased vulnerability to age-related neurodegenerative diseases such as dementia. In Subjective Cognitive Decline (SCD) subjects, high depressive symptoms are associated with greater amyloid load in the brain, and thus an increased risk of developing AD, while in amyloid-positive Mild Cognitive Impairment (MCI) and AD subjects, they are related to better cognition and awareness of their cognitive deficits. Psychoaffective symptoms thus seem to have an evolving role during the transition from normal aging to pathological aging; they first manifest a brain vulnerability, then an underlying pathology and a risk of developing AD, and then are a marker of preservation in patients with cognitive decline (MCI and AD).
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https://tel.archives-ouvertes.fr/tel-03466296
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Submitted on : Sunday, December 5, 2021 - 1:01:38 AM
Last modification on : Monday, December 6, 2021 - 10:06:27 AM

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  • HAL Id : tel-03466296, version 1

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Inès Moulinet. Vers une meilleure compréhension des facteurs psychoaffectifs (anxiété et dépression) dans le vieillissement normal et pathologique : liens avec la cognition et la neuroimagerie multimodale. Médecine humaine et pathologie. Normandie Université, 2020. Français. ⟨NNT : 2020NORMC422⟩. ⟨tel-03466296⟩

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