Key result
Higher neuroticism is linked to structural brain differences partially mediated by hypertension, depression, and anxiety.
Why the study?
Neuroticism is associated with cognitive decline and dementia risk, but the underlying neural mechanisms remain unclear.
Does higher neuroticism associate with structural brain differences in dementia-free adults, and are these associations mediated by vascular and mental conditions?
Observational (n=36,901)
Yes
Does higher neuroticism associate with structural brain differences in dementia-free adults, and are these associations mediated by vascular and mental conditions?
p-value: p=<2.86x10^-5
Neuroticism is linked to widespread structural brain differences, and targeting mediating factors like hypertension and mental health conditions may help mitigate its impact on brain health.
May implicate hypertension and mood disorders in neuroticism-related brain changes; leaves open causality and clinical translation.
BACKGROUND: Neuroticism, a personality trait linked to both cardiovascular and psychiatric disorders, has been associated with cognitive decline and increased dementia risk, though the underlying neural mechanisms remain unclear. Mapping its relationship with brain structure could provide valuable insights into neural pathways and targets for early intervention. METHODS: We examined brain-wide associations between neuroticism and structural neuroimaging metrics derived from T1-, T2-weighted, and diffusion MRI in 36,901 dementia-free UK Biobank participants. Bonferroni-significant associations underwent bidirectional two-sample Mendelian randomization to evaluate the evidence for a causal relationship. Given that neuroticism is generally stable across adulthood and challenging to modify, we assessed whether these associations were mediated by health conditions (depression, anxiety, hypertension, ischemic heart disease [IHD], and diabetes) that are both consequences of neuroticism and known risk factors for dementia, and also modifiable through widely available and efficacious therapeutic interventions. RESULTS: Higher neuroticism was found to be associated with reduced grey matter volumes in the frontal and limbic regions, as well as widespread differences in white matter microstructure, particularly in thalamic radiations. Genetic analyses supported a potential causal effect of neuroticism on increased diffusivity in thalamic radiations. Hypertension mediated the associations between neuroticism and both grey and white matter measures, while depression and anxiety primarily mediated associations with white matter microstructure. Contributions from IHD and diabetes were minimal. CONCLUSIONS: Neuroticism is linked to widespread structural brain differences that contribute to poorer brain health, and targeting vascular and mental health may help mitigate its impact.
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Gao et al. (2025) conducted an observational in Dementia-free adults (n=36,901). Neuroticism was evaluated on Brain-wide structural outcomes (1,747 imaging-derived phenotypes) (p=<2.86x10^-5). Higher neuroticism was associated with widespread structural brain differences, including reduced frontal and limbic grey matter volumes and poorer white matter microstructure, which were partially mediated by hypertension, depression, and anxiety.
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