<p>Psychotic disorders, including schizophrenia and affective psychosis, affect ~3% of the population and typically emerge in early adulthood. Cardiometabolic disease accounts for much of the 20-year life-expectancy gap in psychosis. Evidence indicates potentially causal processes, often seen in aging, act within and beyond the brain, and before the onset of treatment; these include inflammation, metabolic and mitochondrial dysfunction. Here we synthesize evidence and propose a framework that proposes psychosis as a multisystem disorder of accelerated aging, and outline implications for aging-targeted interventions.</p>

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Psychosis as a multisystem disorder of aberrant aging

  • Rachel Upthegrove,
  • Amalie C. M. Couch,
  • Antonio de Marvao,
  • Benjamin I. Perry,
  • Fabiana Corsi-Zuelli,
  • Jack Rogers,
  • Lahiru Handunnetthi,
  • Nicholas M. Barnes,
  • Nikolaos Koutsouleris,
  • Paris A. Lalousis,
  • Toby Pillinger,
  • Zachary Freyberg

摘要

Psychotic disorders, including schizophrenia and affective psychosis, affect ~3% of the population and typically emerge in early adulthood. Cardiometabolic disease accounts for much of the 20-year life-expectancy gap in psychosis. Evidence indicates potentially causal processes, often seen in aging, act within and beyond the brain, and before the onset of treatment; these include inflammation, metabolic and mitochondrial dysfunction. Here we synthesize evidence and propose a framework that proposes psychosis as a multisystem disorder of accelerated aging, and outline implications for aging-targeted interventions.