Associations between the variables institutionalization, education, polypharmacy, depression and cognitive impairment in two heterogeneous groups of the elderly
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Kairós (Online) |
Texto Completo: | https://revistas.pucsp.br/index.php/kairos/article/view/47716 |
Resumo: | The objective is to describe and analyze the possible associations between the variables institutionalization, education, polypharmacy, depression and cognitive impairment, in two heterogeneous elderly groups. Methods and Procedures: Subjects were 48 elderly, of whom 24 were institutionalized and 24 were non-institutionalized. The Mini-Mental State Examination (MMSE) was used to assess cognitive decline and, for depression, the Beck Depression Inventory (BDI). As a result: 8.3% of subjects presented cognitive decline and 52,1% presented depression. Among those institutionalized, there was a higher incidence of cognitive decline and depression. Age negatively influenced cognitive performance (rS = -0.450, p = 0.001). An inverse relationship was observed between cognitive decline and depression (rs= -0.304, p = 0.036). Older people with higher schooling had a lower rate of depression, and illiterate elderly individuals presented greater cognitive decline. There were no significant differences between illiterate and low schooling elderly. It was concluded that institutionalized elderly lacking social and cognitive stimulation are more vulnerable to cognitive decline and depression, which indicates the importance of conducting controlled research on protective factors for depression and cognitive decline in elderly populations and the establishment of public policies that aim at improving the quality of life of the elderly population, especially the most deprived elderly and the institutionalized. |
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Associations between the variables institutionalization, education, polypharmacy, depression and cognitive impairment in two heterogeneous groups of the elderlyAsociaciones entre las variables institucionalización, educación, polifarmacia, depresión y deterioro cognitivo en dos grupos heterogéneos de ancianosAgingDepressionCognitive DysfunctionInstitutionalizationStimulation.EnvejecimientoDepresiónDisfunción CognitivaInstitucionalizaciónEstimulación.The objective is to describe and analyze the possible associations between the variables institutionalization, education, polypharmacy, depression and cognitive impairment, in two heterogeneous elderly groups. Methods and Procedures: Subjects were 48 elderly, of whom 24 were institutionalized and 24 were non-institutionalized. The Mini-Mental State Examination (MMSE) was used to assess cognitive decline and, for depression, the Beck Depression Inventory (BDI). As a result: 8.3% of subjects presented cognitive decline and 52,1% presented depression. Among those institutionalized, there was a higher incidence of cognitive decline and depression. Age negatively influenced cognitive performance (rS = -0.450, p = 0.001). An inverse relationship was observed between cognitive decline and depression (rs= -0.304, p = 0.036). Older people with higher schooling had a lower rate of depression, and illiterate elderly individuals presented greater cognitive decline. There were no significant differences between illiterate and low schooling elderly. It was concluded that institutionalized elderly lacking social and cognitive stimulation are more vulnerable to cognitive decline and depression, which indicates the importance of conducting controlled research on protective factors for depression and cognitive decline in elderly populations and the establishment of public policies that aim at improving the quality of life of the elderly population, especially the most deprived elderly and the institutionalized. El objetivo es describir y analizar las posibles asociaciones entre las variables institucionalización, educación, polifarmacia, depresión y deterioro cognitivo en dos grupos de ancianos heterogéneos. Métodos e Procedimientos: los sujetos eran 48 ancianos, de los cuales 24 estaban institucionalizados y 24 no institucionalizados. El Mini-Mental State Examination (MMSE) se utilizó para evaluar el deterioro cognitivo y, para la depresión, el Beck Depression Inventory (BDI). Resultados: 8.3% de los sujetos tenían deterioro cognitivo y 52.1% tenían depresión. Entre los institucionalizados, hubo una mayor incidencia de deterioro cognitivo y depresión. La edad influyó negativamente en el rendimiento cognitivo (rS = -0.450, p = 0.001). Se observó una relación inversa entre el deterioro cognitivo y la depresión (rs = -0.304, p = 0.036). Las personas mayores con mayor escolaridad tenían una tasa más baja de depresión, y las personas mayores analfabetas presentaban un mayor deterioro cognitivo. No hubo diferencias significativas entre los adultos mayores analfabetos y con baja escolaridad. Se concluyó que los los ancianos institucionalizados que carecen de estimulación social y cognitiva son más vulnerables al deterioro cognitivo y la depresión, lo que indica la importancia de llevar a cabo una investigación controlada sobre los factores protectores para la depresión y el deterioro cognitivo en las poblaciones de ancianos y el establecimiento de políticas públicas que tengan como objetivo mejorar la calidad de vida de la población de edad avanzada, especialmente de los más desfavorecidos e institucionalizados. Pontifícia Universidade Católica de São Paulo2019-12-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistas.pucsp.br/index.php/kairos/article/view/4771610.23925/2176-901X.2019v22i4p99-118Revista Kairós-Gerontologia; v. 22 n. 4 (2019); 99-1182176-901X1516-2567reponame:Revista Kairós (Online)instname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPenghttps://revistas.pucsp.br/index.php/kairos/article/view/47716/31712Copyright (c) 2020 Revista Kairós : Gerontologiainfo:eu-repo/semantics/openAccessCarlomanho, Aline Murari FerrazDantas, Luã Carlos ValleSoares, Edvaldo2021-02-11T21:11:10Zoai:ojs.pkp.sfu.ca:article/47716Revistahttp://revistas.pucsp.br/index.php/kairosPRIhttps://revistas.pucsp.br/kairos/oaikairos@pucsp.br||flalodo@terra.com.br|| contato@openjournalsolutions.com.br2176-901X1516-2567opendoar:2021-02-11T21:11:10Revista Kairós (Online) - Pontifícia Universidade Católica de São Paulo (PUC-SP)false |
dc.title.none.fl_str_mv |
Associations between the variables institutionalization, education, polypharmacy, depression and cognitive impairment in two heterogeneous groups of the elderly Asociaciones entre las variables institucionalización, educación, polifarmacia, depresión y deterioro cognitivo en dos grupos heterogéneos de ancianos |
title |
Associations between the variables institutionalization, education, polypharmacy, depression and cognitive impairment in two heterogeneous groups of the elderly |
spellingShingle |
Associations between the variables institutionalization, education, polypharmacy, depression and cognitive impairment in two heterogeneous groups of the elderly Carlomanho, Aline Murari Ferraz Aging Depression Cognitive Dysfunction Institutionalization Stimulation. Envejecimiento Depresión Disfunción Cognitiva Institucionalización Estimulación. |
title_short |
Associations between the variables institutionalization, education, polypharmacy, depression and cognitive impairment in two heterogeneous groups of the elderly |
title_full |
Associations between the variables institutionalization, education, polypharmacy, depression and cognitive impairment in two heterogeneous groups of the elderly |
title_fullStr |
Associations between the variables institutionalization, education, polypharmacy, depression and cognitive impairment in two heterogeneous groups of the elderly |
title_full_unstemmed |
Associations between the variables institutionalization, education, polypharmacy, depression and cognitive impairment in two heterogeneous groups of the elderly |
title_sort |
Associations between the variables institutionalization, education, polypharmacy, depression and cognitive impairment in two heterogeneous groups of the elderly |
author |
Carlomanho, Aline Murari Ferraz |
author_facet |
Carlomanho, Aline Murari Ferraz Dantas, Luã Carlos Valle Soares, Edvaldo |
author_role |
author |
author2 |
Dantas, Luã Carlos Valle Soares, Edvaldo |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Carlomanho, Aline Murari Ferraz Dantas, Luã Carlos Valle Soares, Edvaldo |
dc.subject.por.fl_str_mv |
Aging Depression Cognitive Dysfunction Institutionalization Stimulation. Envejecimiento Depresión Disfunción Cognitiva Institucionalización Estimulación. |
topic |
Aging Depression Cognitive Dysfunction Institutionalization Stimulation. Envejecimiento Depresión Disfunción Cognitiva Institucionalización Estimulación. |
description |
The objective is to describe and analyze the possible associations between the variables institutionalization, education, polypharmacy, depression and cognitive impairment, in two heterogeneous elderly groups. Methods and Procedures: Subjects were 48 elderly, of whom 24 were institutionalized and 24 were non-institutionalized. The Mini-Mental State Examination (MMSE) was used to assess cognitive decline and, for depression, the Beck Depression Inventory (BDI). As a result: 8.3% of subjects presented cognitive decline and 52,1% presented depression. Among those institutionalized, there was a higher incidence of cognitive decline and depression. Age negatively influenced cognitive performance (rS = -0.450, p = 0.001). An inverse relationship was observed between cognitive decline and depression (rs= -0.304, p = 0.036). Older people with higher schooling had a lower rate of depression, and illiterate elderly individuals presented greater cognitive decline. There were no significant differences between illiterate and low schooling elderly. It was concluded that institutionalized elderly lacking social and cognitive stimulation are more vulnerable to cognitive decline and depression, which indicates the importance of conducting controlled research on protective factors for depression and cognitive decline in elderly populations and the establishment of public policies that aim at improving the quality of life of the elderly population, especially the most deprived elderly and the institutionalized. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-12-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistas.pucsp.br/index.php/kairos/article/view/47716 10.23925/2176-901X.2019v22i4p99-118 |
url |
https://revistas.pucsp.br/index.php/kairos/article/view/47716 |
identifier_str_mv |
10.23925/2176-901X.2019v22i4p99-118 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revistas.pucsp.br/index.php/kairos/article/view/47716/31712 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Revista Kairós : Gerontologia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Revista Kairós : Gerontologia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Pontifícia Universidade Católica de São Paulo |
publisher.none.fl_str_mv |
Pontifícia Universidade Católica de São Paulo |
dc.source.none.fl_str_mv |
Revista Kairós-Gerontologia; v. 22 n. 4 (2019); 99-118 2176-901X 1516-2567 reponame:Revista Kairós (Online) instname:Pontifícia Universidade Católica de São Paulo (PUC-SP) instacron:PUC_SP |
instname_str |
Pontifícia Universidade Católica de São Paulo (PUC-SP) |
instacron_str |
PUC_SP |
institution |
PUC_SP |
reponame_str |
Revista Kairós (Online) |
collection |
Revista Kairós (Online) |
repository.name.fl_str_mv |
Revista Kairós (Online) - Pontifícia Universidade Católica de São Paulo (PUC-SP) |
repository.mail.fl_str_mv |
kairos@pucsp.br||flalodo@terra.com.br|| contato@openjournalsolutions.com.br |
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1799128694653976576 |