Display options
Share it on

Front Aging Neurosci. 2014 Jul 29;6:195. doi: 10.3389/fnagi.2014.00195. eCollection 2014.

Relationships between Personality Traits, Medial Temporal Lobe Atrophy, and White Matter Lesion in Subjects Suffering from Mild Cognitive Impairment.

Frontiers in aging neuroscience

Emmanuelle Duron, Jean-Sébastien Vidal, Samira Bounatiro, Sana Ben Ahmed, Marie-Laure Seux, Anne-Sophie Rigaud, Olivier Hanon, Cécile Viollet, Jacques Epelbaum, Guillaume Martel

Affiliations

  1. Service de Gériatrie, Hôpital Broca, Assistance Publique - Hôpitaux de Paris , Paris , France ; Université Paris Descartes, Sorbonne Paris Cité, Equipe d'Accueil 4468 , Paris , France.
  2. UMRS 894 INSERM, Centre de Psychiatrie et Neurosciences, Université Paris Descartes, Sorbonne Paris Cité , Paris , France.

PMID: 25120483 PMCID: PMC4114211 DOI: 10.3389/fnagi.2014.00195

Abstract

Mild cognitive impairment (MCI) is a heterogeneous cognitive status that can be a prodromal stage of Alzheimer's disease (AD). It is particularly relevant to focus on prodromal stages of AD such as MCI, because patho-physiological abnormalities of AD start years before the dementia stage. Medial temporal lobe (MTL) atrophy resulting from AD lesions and cerebrovascular lesions [i.e., white matter lesions (WML), lacunar strokes, and strokes] are often revealed concurrently on magnetic resonance imaging (MRI) in MCI subjects. Personality changes have been reported to be associated with MCI status and early AD. More specifically, an increase in neuroticism and a decrease in conscientiousness have been reported, suggesting that higher and lower scores, respectively, in neuroticism and conscientiousness are associated with an increased risk of developing the disease. However, personality changes have not been studied concomitantly with pathological structural brain alterations detected on MRI in patients suffering from MCI. Therefore, the objective of the present study was to assess the relationship between MTL atrophy, WML, lacunar strokes, and personality traits in such patients. The severity of WML was strongly associated with lower levels of conscientiousness and higher levels of neuroticism. Conversely, no association was detected between personality traits and the presence of lacunar strokes or MTL atrophy. Altogether, these results strongly suggest that personality changes occurring in a MCI population, at high risk of AD, are associated with WML, which can induce executive dysfunctions, rather than with MTL atrophy.

Keywords: Alzheimer; WML; conscientiousness; leukoaraiosis; medial temporal lobe; mild cognitive impairment; neuroticism

References

  1. J Abnorm Psychol. 1949 Jul;44(3):329-44 - PubMed
  2. Psychol Aging. 2011 Jun;26(2):351-62 - PubMed
  3. J Pers Soc Psychol. 1990 Dec;59(6):1216-29 - PubMed
  4. Z Gerontol. 1993 May-Jun;26(3):138-41 - PubMed
  5. Arch Psychiatr Nurs. 1994 Dec;8(6):340-7 - PubMed
  6. Psychol Bull. 2006 Jan;132(1):26-8 - PubMed
  7. Psychol Med. 2007 Aug;37(8):1163-72 - PubMed
  8. Cerebrovasc Dis. 2002;13 Suppl 2:7-10 - PubMed
  9. Lancet Neurol. 2008 Mar;7(3):246-55 - PubMed
  10. BMC Neurol. 2012 Oct 30;12:126 - PubMed
  11. J Psychiatr Res. 1975 Nov;12(3):189-98 - PubMed
  12. Neurology. 2008 Apr 8;70(15):1258-64 - PubMed
  13. Neurol Sci. 2013 May;34 Suppl 1:S7-10 - PubMed
  14. Lancet. 2006 Apr 15;367(9518):1262-70 - PubMed
  15. BMC Neurol. 2012 Aug 25;12:83 - PubMed
  16. Psychol Sci. 2010 Jun;21(6):820-8 - PubMed
  17. Psychol Med. 2013 Feb;43(2):317-28 - PubMed
  18. Neurology. 2011 Jan 18;76(3):280-6 - PubMed
  19. Curr Opin Neurobiol. 1994 Apr;4(2):266-73 - PubMed
  20. J Intern Med. 2004 Sep;256(3):183-94 - PubMed
  21. Arch Gen Psychiatry. 2006 Oct;63(10):1113-20 - PubMed
  22. J Gerontol B Psychol Sci Soc Sci. 2007 Nov;62(6):P353-61 - PubMed
  23. J Alzheimers Dis. 2010;20(2):453-63 - PubMed
  24. Stroke. 2001 Jun;32(6):1318-22 - PubMed
  25. Dement Geriatr Cogn Disord. 2013;36(5-6):329-39 - PubMed
  26. Arch Cardiovasc Dis. 2008 Mar;101(3):181-9 - PubMed
  27. J Neurol Neurosurg Psychiatry. 2006 Jun;77(6):714-8 - PubMed
  28. Can J Psychiatry. 2011 Oct;56(10):589-95 - PubMed
  29. Assessment. 2000 Dec;7(4):365-78 - PubMed
  30. Neurology. 2004 Jul 13;63(1):94-100 - PubMed
  31. J Pers Soc Psychol. 1989 Sep;57(3):552-67 - PubMed
  32. J Am Geriatr Soc. 2002 Aug;50(8):1431-8 - PubMed
  33. Arch Gen Psychiatry. 2007 Oct;64(10):1204-12 - PubMed
  34. Alzheimers Dement. 2012 Nov;8(6):483-9 - PubMed
  35. J Neurol Neurosurg Psychiatry. 2013 Aug;84(8):893-900 - PubMed
  36. J Pers Soc Psychol. 2000 Jan;78(1):173-86 - PubMed
  37. Top Magn Reson Imaging. 2004 Dec;15(6):365-7 - PubMed
  38. Int J Geriatr Psychiatry. 2006 Oct;21(10):983-9 - PubMed
  39. Biol Psychiatry. 2008 Apr 1;63(7):663-9 - PubMed
  40. Neuropsychol Rev. 2006 Mar;16(1):17-42 - PubMed
  41. Neurosci Biobehav Rev. 2013 Jan;37(1):59-72 - PubMed
  42. Arch Gen Psychiatry. 1993 Nov;50(11):853-62 - PubMed
  43. Int J Geriatr Psychiatry. 2011 Oct;26(10):1019-29 - PubMed
  44. Am Psychol. 2009 May-Jun;64(4):241-56 - PubMed
  45. Arch Neurol. 2001 Dec;58(12):1985-92 - PubMed
  46. J Psychosom Res. 2011 May;70(5):479-85 - PubMed
  47. Curr Opin Neurol. 2014 Jun;27(3):309-14 - PubMed
  48. Br J Psychiatry. 2012 Jul;201(1):40-5 - PubMed
  49. Neurology. 2009 Jan 20;72(3):253-9 - PubMed
  50. J Stroke. 2014 Jan;16(1):18-26 - PubMed
  51. Psychol Aging. 2005 Mar;20(1):182-5 - PubMed
  52. Brain. 2009 Jan;132(Pt 1):195-203 - PubMed
  53. J Clin Endocrinol Metab. 2012 Dec;97(12):4673-81 - PubMed
  54. Adv Psychosom Med. 1987;17:71-82 - PubMed

Publication Types