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Personality Impact on Alzheimer's Disease - Signature and Vascular Imaging Markers: A PET-MRI Study
Univ Geneva, Dept Psychiat, Geneva, Switzerland.;Geneva Univ Hosp, Med Direct, Geneva, Switzerland..
Univ Geneva, Dept Psychiat, Geneva, Switzerland.;Geneva Univ Hosp, Med Direct, Geneva, Switzerland..
Univ Geneva, Dept Psychiat, Geneva, Switzerland.;Geneva Univ Hosp, Dept Rehabil & Geriatr, Geneva, Switzerland.;Univ Geneva, Geneva, Switzerland..
Univ Geneva, Geneva, Switzerland.;Geneva Univ Hosp, Dept Nucl Med & Mol Imaging, Diagnost Dept, Geneva, Switzerland..
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2022 (English)In: Journal of Alzheimer's Disease, ISSN 1387-2877, E-ISSN 1875-8908, Vol. 85, no 4, p. 1807-1817Article in journal (Refereed) Published
Abstract [en]

Background: Several studies postulated that personality is an independent determinant of cognitive trajectories in old age. Objective: This study explores the impact of personality on widely used Alzheimer's disease (AD) and vascular imaging markers. Methods: We examined the association between personality and three classical AD imaging markers (centiloid-based-amyloid load, MRI volumetry in hippocampus, and media temporal lobe atrophy), and two vascular MRI parameters (Fazekas score and number of cortical microbleeds) assessed at baseline and upon a 54-month-follow-up. Personality was assessed with the Neuroticism Extraversion Openness Personality Inventory-Revised. Regression models were used to identify predictors of imaging markers including sex, personality factors, presence of APOE epsilon 4 allele and cognitive evolution over time. Results: Cortical GM volumes were negatively associated with higher levels of Conscientiousness both at baseline and follow-up. In contrast, higher scores of Openness were related to better preservation of left hippocampal volumes in these two time points and negatively associated with medial temporal atrophy at baseline. Amyloid load was not affected by personality factors. Cases with higher Extraversion scores displayed higher numbers of cortical microbleeds at baseline. Conclusion: Personality impact on brain morphometry is detected only in some among the routinely used imaging markers. The most robust associations concern the positive role of high levels of Conscientiousness and Openness on AD-signature MRI markers. Higher extraversion levels are associated with increased vulnerability to cortical microbleeds pointing to the fact that the socially favorable traits may have a detrimental effect on brain integrity in old age.

Place, publisher, year, edition, pages
IOS Press IOS Press, 2022. Vol. 85, no 4, p. 1807-1817
Keywords [en]
Amyloid load, cortical volume, gray matter density, normal aging, personality
National Category
Neurosciences Geriatrics Radiology, Nuclear Medicine and Medical Imaging
Identifiers
URN: urn:nbn:se:uu:diva-470353DOI: 10.3233/JAD-215062ISI: 000759157200033PubMedID: 34958019OAI: oai:DiVA.org:uu-470353DiVA, id: diva2:1646746
Available from: 2022-03-23 Created: 2022-03-23 Last updated: 2024-12-03Bibliographically approved

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