Depression severity levels and cognitive functions in institutionalized elderly patients

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dc.contributor.authorStella, Florindo [UNESP]
dc.contributor.authorBrum, Cinthia Vieira [UNESP]
dc.contributor.authorGovone, José Sílvio [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.date.accessioned2014-05-27T11:21:56Z
dc.date.available2014-05-27T11:21:56Z
dc.date.issued2006-08-01
dc.description.abstractDepression is a highly prevalent illness among institutionalized aged and assumes peculiar characteristics such as the risk for progressing to dementia. The aims of this study was to assess the cognitive functions of institutionalized elderly with clinical diagnosis of depression and compare the severity of depressive symptoms with cognitive performance. From 120 residents at a nursing home in Rio Claro, Brazil, we study 23 individuals (mean age: 74.3 years; mean schooling: 4.0 years) with diagnosis of depression. At first, a clinical diagnosis of depression and measurement of its symptoms using the Geriatric Depression Scale were performed. The patient then underwent a neuropsychological assessment based on the following tests: Mini-Mental Examination, Verbal Fluency, Visual Perception, Immediate Memory, Recent Memory, Recognition, Clock Drawing Test. The patients were divided into two groups: those with less severe depression symptoms (Group 1: N=9) and more severe symptoms (Group 2: N=14). The significant difference between symptom severity of the two groups was p=0.0001. Patients with more severe symptoms revealed a slightly inferior cognitive performance in most of the tests when compared to those with less severe symptoms (p>0.05). In relation to Verbal Fluency, patients with more severe depression symptoms presented a significantly inferior cognitive performance when compared to those with less severe symptoms (p=0.0082). Verbal Fluency revealed to be a more sensitive test for measuring early cognitive alterations in institutionalized aged with depression, and appears to be a useful resource in monitoring the cognitive functions of patients faced with the risk of dementia. © Copyright Moreira Jr. Editora.en
dc.description.affiliationUniversidade Estadual Paulista Instituto de Biociências Campus de Rio Claro, SP
dc.description.affiliationUniversidade Estadual de Campinas Ambulatório de Neuropsiquiatria e Saúde Mental do Idoso, Campinas, SP
dc.description.affiliationUniversidade Estadual Paulista Instituto de Geografia e Ciências Exatas Campus de Rio Claro, SP
dc.description.affiliationUniversidade Estadual Paulista Instituto de Biociências - Psicologia, Caixa Postal: 199, 13506-900 - Rio Claro - SP
dc.description.affiliationUnespUniversidade Estadual Paulista Instituto de Biociências Campus de Rio Claro, SP
dc.description.affiliationUnespUniversidade Estadual Paulista Instituto de Geografia e Ciências Exatas Campus de Rio Claro, SP
dc.description.affiliationUnespUniversidade Estadual Paulista Instituto de Biociências - Psicologia, Caixa Postal: 199, 13506-900 - Rio Claro - SP
dc.format.extent396-400
dc.identifierhttp://www.moreirajr.com.br/revistas.asp?fase=r003&id_materia=3394
dc.identifier.citationRevista Brasileira de Medicina, v. 63, n. 8, p. 396-400, 2006.
dc.identifier.issn0034-7264
dc.identifier.lattes0534874933112053
dc.identifier.scopus2-s2.0-33749252567
dc.identifier.urihttp://hdl.handle.net/11449/69025
dc.language.isoeng
dc.relation.ispartofRevista Brasileira de Medicina
dc.relation.ispartofsjr0,101
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectAged
dc.subjectCognitive functions
dc.subjectDepression
dc.subjectNeuropsychology
dc.subjectadult
dc.subjectaged
dc.subjectcognition
dc.subjectcontrolled study
dc.subjectdementia
dc.subjectdepression
dc.subjectdisease severity
dc.subjectelderly care
dc.subjectfemale
dc.subjecthuman
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmini mental state examination
dc.subjectneuropsychological test
dc.subjectrecognition
dc.subjectresidential home
dc.subjectshort term memory
dc.subjectsymptomatology
dc.subjectverbal communication
dc.subjectvision
dc.titleDepression severity levels and cognitive functions in institutionalized elderly patientsen
dc.typeArtigo
unesp.author.lattes0534874933112053
unesp.campusUniversidade Estadual Paulista (Unesp), Instituto de Geociências e Ciências Exatas, Rio Claropt

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