Perfil neuropsicol?gico de idosos com e sem depress?o maior
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_RS |
Texto Completo: | http://tede2.pucrs.br/tede2/handle/tede/6402 |
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 S?o 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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Silva Filho , Ir?nio Gomes da400.250.804-63993.270.740-68http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4266756J3Beckert , Michele2015-11-24T11:33:35Z2015-06-30http://tede2.pucrs.br/tede2/handle/tede/6402Depression, 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 S?o 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.Depress?o, juntamente com os transtornos cognitivos, tem sido uma preocupa??o entre os servi?os de sa?de mental, devido ao alto ?ndice de preju?zo na funcionalidade e qualidade de vida desta popula??o. Contudo, ainda permanece em aberto a compreens?o das altera??es cognitivas decorrentes da depress?o e de dif?cil diagn?stico diferencial com o comprometimento cognitivo leve (CCL). Sabe-se que o desempenho nos testes cognitivos s?o fortemente influenciados pela escolaridade, no entanto, poucos estudos tem sido realizados em popula??es de muito baixa escolaridade. O presente trabalho teve como objetivo avaliar o desempenho no Addenbrooke?s Cognitive Examination-Revised (ACE-R) e seus dom?nios cognitivos em idosos de baixa escolaridade, sem dem?ncia, e comparar aqueles que possuem diagn?stico de Epis?dio de Depress?o Maior Atual (EDMA), com os que n?o apresentam tal diagn?stico.M?todo: Estudo transversal anal?tico, retrospectivo, atrav?s dos prontu?rios dos pacientes atendidos no Ambulat?rio de Envelhecimento Cerebral (AMBEC) do Hospital S?o Lucas da PUCRS. Foram inclu?dos 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 compara??o das m?dias do ACE-R e dos cinco dom?nios cognitivos e do MEEM, entre o grupo controle e o grupo com EDMA, n?o foi observada diferen?a significativa. Tamb?m n?o houve diferen?a entre os grupos quando analisado separadamente os resultados do teste do rel?gio, da flu?ncia verbal categ?rica e fonol?gica e do teste de nomea??o. Diferente do que acontece com os idosos mais escolarizados, os sintomas depressivos n?o modificam os valores dos testes realizados no ACE-R de idosos com baixa escolaridade.Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2015-11-24T11:33:35Z No. of bitstreams: 1 476412 - Texto Parcial.pdf: 1327214 bytes, checksum: 641c0c6140859480f5f2d22d545e8ff8 (MD5)Made available in DSpace on 2015-11-24T11:33:35Z (GMT). No. of bitstreams: 1 476412 - Texto Parcial.pdf: 1327214 bytes, checksum: 641c0c6140859480f5f2d22d545e8ff8 (MD5) Previous issue date: 2015-06-30Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPESapplication/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/163695/476412%20-%20Texto%20Parcial.pdf.jpgporPontif?cia Universidade Cat?lica do Rio Grande do SulPrograma de P?s-Gradua??o em Gerontologia Biom?dicaPUCRSBrasilFaculdade de MedicinaMEDICINAGERIATRIAGERONTOLOGIAGERONTOLOGIA BIOM?DICAIDOSOSENVELHECIMENTOCOGNI??ODEPRESS?OESCOLARIDADECIENCIAS DA SAUDE::MEDICINAPerfil neuropsicol?gico de idosos com e sem depress?o maiorinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis4438661476953179033600600600600-8624664729441623247-9693694523087866272075167498588264571info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSTHUMBNAIL476412 - Texto Parcial.pdf.jpg476412 - Texto Parcial.pdf.jpgimage/jpeg2517http://tede2.pucrs.br/tede2/bitstream/tede/6402/4/476412+-+Texto+Parcial.pdf.jpg38c98fd117d6f52b4656e09300ba186eMD54TEXT476412 - Texto Parcial.pdf.txt476412 - Texto Parcial.pdf.txttext/plain48009http://tede2.pucrs.br/tede2/bitstream/tede/6402/3/476412+-+Texto+Parcial.pdf.txt346ff7ea108352c1369bc9a132690d91MD53ORIGINAL476412 - Texto Parcial.pdf476412 - Texto Parcial.pdfapplication/pdf1327214http://tede2.pucrs.br/tede2/bitstream/tede/6402/2/476412+-+Texto+Parcial.pdf641c0c6140859480f5f2d22d545e8ff8MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8610http://tede2.pucrs.br/tede2/bitstream/tede/6402/1/license.txt5a9d6006225b368ef605ba16b4f6d1beMD51tede/64022015-11-24 12:00:19.859oai:tede2.pucrs.br:tede/6402QXV0b3JpemHDp8OjbyBwYXJhIFB1YmxpY2HDp8OjbyBFbGV0csO0bmljYTogQ29tIGJhc2Ugbm8gZGlzcG9zdG8gbmEgTGVpIEZlZGVyYWwgbsK6OS42MTAsIGRlIDE5IGRlIGZldmVyZWlybyBkZSAxOTk4LCBvIGF1dG9yIEFVVE9SSVpBIGEgcHVibGljYcOnw6NvIGVsZXRyw7RuaWNhIGRhIHByZXNlbnRlIG9icmEgbm8gYWNlcnZvIGRhIEJpYmxpb3RlY2EgRGlnaXRhbCBkYSBQb250aWbDrWNpYSBVbml2ZXJzaWRhZGUgQ2F0w7NsaWNhIGRvIFJpbyBHcmFuZGUgZG8gU3VsLCBzZWRpYWRhIGEgQXYuIElwaXJhbmdhIDY2ODEsIFBvcnRvIEFsZWdyZSwgUmlvIEdyYW5kZSBkbyBTdWwsIGNvbSByZWdpc3RybyBkZSBDTlBKIDg4NjMwNDEzMDAwMi04MSBiZW0gY29tbyBlbSBvdXRyYXMgYmlibGlvdGVjYXMgZGlnaXRhaXMsIG5hY2lvbmFpcyBlIGludGVybmFjaW9uYWlzLCBjb25zw7NyY2lvcyBlIHJlZGVzIMOgcyBxdWFpcyBhIGJpYmxpb3RlY2EgZGEgUFVDUlMgcG9zc2EgYSB2aXIgcGFydGljaXBhciwgc2VtIMO0bnVzIGFsdXNpdm8gYW9zIGRpcmVpdG9zIGF1dG9yYWlzLCBhIHTDrXR1bG8gZGUgZGl2dWxnYcOnw6NvIGRhIHByb2R1w6fDo28gY2llbnTDrWZpY2EuCg==Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2015-11-24T14:00:19Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Perfil neuropsicol?gico de idosos com e sem depress?o maior |
title |
Perfil neuropsicol?gico de idosos com e sem depress?o maior |
spellingShingle |
Perfil neuropsicol?gico de idosos com e sem depress?o maior Beckert , Michele MEDICINA GERIATRIA GERONTOLOGIA GERONTOLOGIA BIOM?DICA IDOSOS ENVELHECIMENTO COGNI??O DEPRESS?O ESCOLARIDADE CIENCIAS DA SAUDE::MEDICINA |
title_short |
Perfil neuropsicol?gico de idosos com e sem depress?o maior |
title_full |
Perfil neuropsicol?gico de idosos com e sem depress?o maior |
title_fullStr |
Perfil neuropsicol?gico de idosos com e sem depress?o maior |
title_full_unstemmed |
Perfil neuropsicol?gico de idosos com e sem depress?o maior |
title_sort |
Perfil neuropsicol?gico de idosos com e sem depress?o maior |
author |
Beckert , Michele |
author_facet |
Beckert , Michele |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Silva Filho , Ir?nio Gomes da |
dc.contributor.advisor1ID.fl_str_mv |
400.250.804-63 |
dc.contributor.authorID.fl_str_mv |
993.270.740-68 |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4266756J3 |
dc.contributor.author.fl_str_mv |
Beckert , Michele |
contributor_str_mv |
Silva Filho , Ir?nio Gomes da |
dc.subject.por.fl_str_mv |
MEDICINA GERIATRIA GERONTOLOGIA GERONTOLOGIA BIOM?DICA IDOSOS ENVELHECIMENTO COGNI??O DEPRESS?O ESCOLARIDADE |
topic |
MEDICINA GERIATRIA GERONTOLOGIA GERONTOLOGIA BIOM?DICA IDOSOS ENVELHECIMENTO COGNI??O DEPRESS?O ESCOLARIDADE CIENCIAS DA SAUDE::MEDICINA |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
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 S?o 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 |
2015-11-24T11:33:35Z |
dc.date.issued.fl_str_mv |
2015-06-30 |
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http://tede2.pucrs.br/tede2/handle/tede/6402 |
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por |
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por |
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4438661476953179033 |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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Programa de P?s-Gradua??o em Gerontologia Biom?dica |
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PUCRS |
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Brasil |
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Faculdade de Medicina |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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