TY - INPR A1 - Bartrés-Faz, David A1 - Demnitz-King, Harriet A1 - Cabello-Toscano, María A1 - Vaqué-Alcázar, Lídia A1 - Saunders, Rob A1 - Touron, Edelweiss A1 - Cattaneo, Gabriele A1 - Gonneaud, Julie A1 - Klimecki, Olga A1 - Bargalló, Núria A1 - Sánchez-Solana, Javier A1 - Tormos, José M A1 - Chételat, Gäel A1 - Pascual-Leone, Álvaro A1 - Marchant, Natalie L A1 - André, Claire A1 - Bachelet, Romain A1 - Baez Lugo, Sebastian A1 - Chocat, Anne A1 - Collette, Fabienne A1 - Coll-Padros, Nina A1 - Dautricourt, Sophie A1 - De La Sayette, Vincent A1 - Delarue, Marion A1 - Ferrand Devouge, Eglantine A1 - Frison, Eric A1 - Goldet, Karine A1 - Jessen, Frank A1 - Krolak-Salmon, Pierre A1 - Kuhn, Elizabeth A1 - Landeau, Brigitte A1 - Lefranc, Valérie A1 - Lutz, Antoine A1 - Mezenge, Florence A1 - Meiberth, Dix A1 - Michel, Laurence A1 - Molinuevo, José Luis A1 - Ourry, Valentin A1 - Poisnel, Géraldine A1 - Quillard, Anne A1 - Rauchs, Géraldine A1 - Salmon, Eric A1 - Schild, Ann-Katrin A1 - Schimmer, Corinne A1 - Smagghe, Delphine A1 - Smith, Rhonda A1 - Schlosser, Marco A1 - Vuilleumier, Patrik A1 - Wallet, Cédrick A1 - Walker, Zuzana A1 - Whitfield, Tim A1 - Wirth, Miranka A1 - The Medit-Ageing Research Group JF - Nature Mental Health SN - 2731-6076 PB - Springer Science and Business Media LLC UR - https://doi.org/10.1038/s44220-024-00361-8 ID - discovery10203041 N2 - Psychological characteristics are associated with varying dementia risk and protective factors. To determine whether these characteristics aggregate into psychological profiles and whether these profiles differentially relate to aging health, we conducted a cross-sectional investigation in two independent middle-aged (51.4 ± 7.0 years (mean ± s.d.); N?=?750) and older adult (71.1 ± 5.9 years; N?=?282) cohorts, supplemented by longitudinal analyses in the former. Using a person-centered approach, three profiles emerged in both cohorts: those with low protective characteristics (profile 1), high risk characteristics (profile 2) and well-balanced characteristics (profile 3). Profile 1 showed the worst objective cognition in older age and middle age (at follow-up), and most rapid cortical thinning. Profile 2 exhibited the worst mental health symptomology and lowest sleep quality in both older age and middle age. We identified profile-dependent divergent patterns of associations that may suggest two distinct paths for mental, cognitive and brain health, emphasizing the need for comprehensive psychological assessments in dementia prevention research to identify groups for more personalized behavior-change strategies. N1 - This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article?s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article?s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. AV - public Y1 - 2025/01/02/ TI - Psychological profiles associated with mental, cognitive and brain health in middle-aged and older adults ER -