Attachment Anxiety, Mitochondrial Respiration, and Future Depressive Symptoms in Dementia Spousal Caregivers.

Daniel L Argueta, Valentina I Maza, Aaron J Chu, Kelly N Brice, E Lydia Wu-Chung, Vincent D Lai, Jensine Paoletti-Hatcher, Bryan T Denny, Charles Green, Samantha Henry, Luis D Medina, Paul E Schulz, Jennifer Stinson, Brenda Zarazúa-Osorio, Cobi Heijnen, Christopher P Fagundes
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Abstract

Objective: This study aimed to assess whether the negative relationship between mitochondrial respiration in peripheral blood mononuclear cells (PBMCs) and future depressive symptoms in dementia spousal caregivers is strongest for caregivers high on attachment insecurity.

Methods: A sample of 166 dementia spousal caregivers provided self-report data on demographics and health information at baseline, and depressive symptoms at baseline and 7 months later. We also determined mitochondrial respiration in PBMCs at baseline only. We conducted multiple linear regressions, adjusting for demographic and health-related covariates and baseline depressive symptoms.

Results: The interaction between mitochondrial spare respiratory capacity and attachment anxiety predicted future depressive symptoms (b=-1.11, P=.016). Spare respiratory capacity only predicted future depressive symptoms at mean and high levels of attachment anxiety.

Conclusions: Altered mitochondrial respiration may contribute to depressive symptom expression for dementia spousal caregivers who display high levels of attachment anxiety.

痴呆配偶照顾者的依恋焦虑、线粒体呼吸和未来抑郁症状
目的:本研究旨在评估痴呆配偶照顾者外周血单个核细胞(PBMCs)线粒体呼吸与未来抑郁症状之间的负相关是否在依恋不安全感高的照顾者中最强。方法:对166名痴呆配偶照护者提供基线时的人口统计学和健康信息、基线和7个月后的抑郁症状自述数据。我们还仅在基线时测定了pbmc的线粒体呼吸。我们进行了多重线性回归,调整了人口统计学和健康相关协变量以及基线抑郁症状。结果:线粒体备用呼吸能力与依恋焦虑的相互作用预测未来抑郁症状(b=-1.11, P= 0.016)。备用呼吸能力仅在中等和高水平的依恋焦虑中预测未来的抑郁症状。结论:线粒体呼吸改变可能有助于痴呆配偶照顾者表现出高水平的依恋焦虑的抑郁症状表达。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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