Perfil neuropsicológico de idosos com e sem depressão maior
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional PUCRS |
Texto Completo: | http://hdl.handle.net/10923/7694 |
Resumo: | Depression, along with cognitive disorders, has been a concern among mental health services due to the high injury rate in functionality and quality of life of this population. However, still remains open understanding of cognitive changes due to depression and difficult differential diagnosis with mild cognitive impairment (MCI). It is known that the performance on cognitive tests are strongly influenced by education, however, few studies have been conducted on very low education populations. Objective: To evaluate the performance Addenbrooke's Cognitive Examination-Revised (ACE-R) and his cognitive domains in low schooling elderly, without dementia, and compare those with a diagnosis of Major Current Depression Episode (MCDE) with those without depression. Method: analytical, retrospective cross-sectional study using the medical records of patients treated at the Brain Aging Clinic (BAC) of the Hospital São Lucas. It included 116 individuals with low education (<8 years of study) and aged between 60 and 84 years (69. 6 ± 6. 7) with MCDE (N = 41) and controls (N = 75). Results: When comparing the means of ACE-R, MMSE and from the five cognitive domains, between the control group and the group with MCDE, there was no significant difference. There was no difference between groups when analyzed separately the results of the clock drawing test, the categorical and phonological verbal fluency and naming test. Discussion: Unlike what happens with the more educated elderly, depressive symptoms do not change the values of the tests performed on ACE-R of older people with low education. |
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Beckert, MicheleSilva Filho, Irênio Gomes da2015-11-25T01:06:31Z2015-11-25T01:06:31Z2015http://hdl.handle.net/10923/7694Depression, along with cognitive disorders, has been a concern among mental health services due to the high injury rate in functionality and quality of life of this population. However, still remains open understanding of cognitive changes due to depression and difficult differential diagnosis with mild cognitive impairment (MCI). It is known that the performance on cognitive tests are strongly influenced by education, however, few studies have been conducted on very low education populations. Objective: To evaluate the performance Addenbrooke's Cognitive Examination-Revised (ACE-R) and his cognitive domains in low schooling elderly, without dementia, and compare those with a diagnosis of Major Current Depression Episode (MCDE) with those without depression. Method: analytical, retrospective cross-sectional study using the medical records of patients treated at the Brain Aging Clinic (BAC) of the Hospital São Lucas. It included 116 individuals with low education (<8 years of study) and aged between 60 and 84 years (69. 6 ± 6. 7) with MCDE (N = 41) and controls (N = 75). Results: When comparing the means of ACE-R, MMSE and from the five cognitive domains, between the control group and the group with MCDE, there was no significant difference. There was no difference between groups when analyzed separately the results of the clock drawing test, the categorical and phonological verbal fluency and naming test. Discussion: Unlike what happens with the more educated elderly, depressive symptoms do not change the values of the tests performed on ACE-R of older people with low education.Depressão, juntamente com os transtornos cognitivos, tem sido uma preocupação entre os serviços de saúde mental, devido ao alto índice de prejuízo na funcionalidade e qualidade de vida desta população. Contudo, ainda permanece em aberto a compreensão das alterações cognitivas decorrentes da depressão e de difícil diagnóstico diferencial com o comprometimento cognitivo leve (CCL). Sabe-se que o desempenho nos testes cognitivos são fortemente influenciados pela escolaridade, no entanto, poucos estudos tem sido realizados em populações de muito baixa escolaridade. O presente trabalho teve como objetivo avaliar o desempenho no Addenbrooke’s Cognitive Examination-Revised (ACE-R) e seus domínios cognitivos em idosos de baixa escolaridade, sem demência, e comparar aqueles que possuem diagnóstico de Episódio de Depressão Maior Atual (EDMA), com os que não apresentam tal diagnóstico.Método: Estudo transversal analítico, retrospectivo, através dos prontuários dos pacientes atendidos no Ambulatório de Envelhecimento Cerebral (AMBEC) do Hospital São Lucas da PUCRS. Foram incluídos 116 idosos com baixa escolaridade (< 8 anos de estudo) e idade entre 60 e 84 anos (69,6±6,7), 41 com EDMA e 75 controles. Na comparação das médias do ACE-R e dos cinco domínios cognitivos e do MEEM, entre o grupo controle e o grupo com EDMA, não foi observada diferença significativa. Também não houve diferença entre os grupos quando analisado separadamente os resultados do teste do relógio, da fluência verbal categórica e fonológica e do teste de nomeação. Diferente do que acontece com os idosos mais escolarizados, os sintomas depressivos não modificam os valores dos testes realizados no ACE-R de idosos com baixa escolaridade.Made available in DSpace on 2015-11-25T01:06:31Z (GMT). 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dc.title.pt_BR.fl_str_mv |
Perfil neuropsicológico de idosos com e sem depressão maior |
title |
Perfil neuropsicológico de idosos com e sem depressão maior |
spellingShingle |
Perfil neuropsicológico de idosos com e sem depressão maior Beckert, Michele MEDICINA GERIATRIA GERONTOLOGIA GERONTOLOGIA BIOMÉDICA IDOSOS ENVELHECIMENTO COGNIÇÃO DEPRESSÃO ESCOLARIDADE |
title_short |
Perfil neuropsicológico de idosos com e sem depressão maior |
title_full |
Perfil neuropsicológico de idosos com e sem depressão maior |
title_fullStr |
Perfil neuropsicológico de idosos com e sem depressão maior |
title_full_unstemmed |
Perfil neuropsicológico de idosos com e sem depressão maior |
title_sort |
Perfil neuropsicológico de idosos com e sem depressão maior |
author |
Beckert, Michele |
author_facet |
Beckert, Michele |
author_role |
author |
dc.contributor.author.fl_str_mv |
Beckert, Michele |
dc.contributor.advisor1.fl_str_mv |
Silva Filho, Irênio Gomes da |
contributor_str_mv |
Silva Filho, Irênio Gomes da |
dc.subject.por.fl_str_mv |
MEDICINA GERIATRIA GERONTOLOGIA GERONTOLOGIA BIOMÉDICA IDOSOS ENVELHECIMENTO COGNIÇÃO DEPRESSÃO ESCOLARIDADE |
topic |
MEDICINA GERIATRIA GERONTOLOGIA GERONTOLOGIA BIOMÉDICA IDOSOS ENVELHECIMENTO COGNIÇÃO DEPRESSÃO ESCOLARIDADE |
description |
Depression, along with cognitive disorders, has been a concern among mental health services due to the high injury rate in functionality and quality of life of this population. However, still remains open understanding of cognitive changes due to depression and difficult differential diagnosis with mild cognitive impairment (MCI). It is known that the performance on cognitive tests are strongly influenced by education, however, few studies have been conducted on very low education populations. Objective: To evaluate the performance Addenbrooke's Cognitive Examination-Revised (ACE-R) and his cognitive domains in low schooling elderly, without dementia, and compare those with a diagnosis of Major Current Depression Episode (MCDE) with those without depression. Method: analytical, retrospective cross-sectional study using the medical records of patients treated at the Brain Aging Clinic (BAC) of the Hospital São Lucas. It included 116 individuals with low education (<8 years of study) and aged between 60 and 84 years (69. 6 ± 6. 7) with MCDE (N = 41) and controls (N = 75). Results: When comparing the means of ACE-R, MMSE and from the five cognitive domains, between the control group and the group with MCDE, there was no significant difference. There was no difference between groups when analyzed separately the results of the clock drawing test, the categorical and phonological verbal fluency and naming test. Discussion: Unlike what happens with the more educated elderly, depressive symptoms do not change the values of the tests performed on ACE-R of older people with low education. |
publishDate |
2015 |
dc.date.accessioned.fl_str_mv |
2015-11-25T01:06:31Z |
dc.date.available.fl_str_mv |
2015-11-25T01:06:31Z |
dc.date.issued.fl_str_mv |
2015 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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por |
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openAccess |
dc.publisher.none.fl_str_mv |
Pontifícia Universidade Católica do Rio Grande do Sul Porto Alegre |
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Pontifícia Universidade Católica do Rio Grande do Sul Porto Alegre |
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