Impactos da intervenção neuropsicológica na qualidade de vida em idosas com comprometimento cognitivo leve

• Autor(a) principal: Leite, Amanda de Oliveira Ferreira
• Data de Publicação: 2017
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_RS
• Texto Completo: http://tede2.pucrs.br/tede2/handle/tede/8448
• topic: Comprometimento Cognitivo Leve; Ansiedade; Depressão; Qualidade de Vida; Idoso; CIENCIAS DA SAUDE::MEDICINA

Introduction. The cognitive functioning of the elderly has received a lot of attention from psychologists, geriatricians and other health professionals. Objectives. To investigate the effects of 12 sessions of a group neuropsychological intervention on cognition, psychological state and quality of life of elderly women with Mild Cognitive Impairment. Method. It is a randomized and controlled clinical trial with groups blinded to the evaluator. The sample consisted of 78 female subjects aged 60 years and over. After diagnosis of Mild Cognitive Impairment, the participants were divided into neuropsychological group (NG, n = 39) and control group (CG, n = 39). The inclusion criteria were: to participate in the Center for the Elderly; to have interest and willingness to participate in group psychological intervention; presenting a diagnosis of Mild Cognitive Impairment; 60 years of age or older; have four years or more of schooling. The exclusion criteria were: dementia; severe neurological or degenerative diseases; severe psychiatric disorders. The instruments used were: semi-structured interview, Addenbrooke’s Cognitive Examination - Revised, Katz Index, Lawton and Brody Scale, Geriatric Depression Scale, Beck Anxiety Inventory, Personal Development Scale, WHOQOL-bref, and WHOQOL-old. Results. The mean age was 71 years in GC and 70 years in GN. Both GC and NG were mainly composed of married and widows. Most of the elderly people went to school and practiced physical activities. The prevailing income was 1 to 2 brazilian minimum wages. When questioned about the current state of health, it was frequent or reported several clinical conditions. Regarding the ACER performance, there were no differences between groups in pre-intervention period. The results indicate that the neuropsychological group improved the performance in the five subtests and in the total score in relation to the pre-intervention period. When we compared CG and NG, after the sessions NG presented higher scores in the memory and language subtests and in the total score. In psychological and quality of life instruments NG had better performance in relation to the pre-intervention period, results not found in the CG. It is also observed that NG presented less anxiety symptoms, higher psychological well-being and better quality of life when compared to the CG. Conclusion. There is a relation between group neuropsychological intervention and improvement in cognitive performance, psychological state and quality of life of elderly women with Mild Cognitive Impairment