Characterization of the cognitive status of elderly with depression-. Influence of age and education level
DOI:
https://doi.org/10.24220/2318-0897v22n3a2137Keywords:
Cognition, Depression, AgedAbstract
Objective
To characterize the cognitive status of elderly diagnosed with depression and how it is influenced by age and education.
Methods
The study included 34 individuaIs aged 60 years or more clinically diagnosed with depression attending the Geriatric Psychiatry Outpaüent Clinic of the Universidade
Estadual de Campinas hospital. A structu red interview was used for collecting sociodemographic data and administering the Cambridge Cognitive Examination
Results
The mean age and years of formal education of the sample and respective standard deviations were 70.76t5.35 years and 2.85t2.92 years, respecüvely. Most participants
were females (61,7%). The mean Cambridge Cognitive Examination score and standard deviatíon was 67.15t17.34, The test score was associated with education level
(p<0.00001 and r=0.74832) but not with age (p=0.9294). The mean scores of most subscales of the cognitÊve test were linearly correlated (Spearman) with education level
Conclusion
Education level influenced the subjects’ performance on the neuropsychological test
more than age.
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References
Heok KE. Epidemiologia da depressão no idoso. In: Forlenza OV, Caramelli P. Neuropsiquiatria geriátrica. São Paulo: Atheneu; 2000. p.35-8.
Tavares SS. Sintomas depressivos entre idosos: relações com classe, mobilidade e suporte social percebido e experiências de eventos estressantes [tese]. Campinas: Universidade Estadual de Campinas; 2004.
Frank MH, Rodrigues NL. Depressão, ansiedade, outros distúrbios afetivos e suicídio. In: Freitas EV, Py L, Caçado FAX, Doll J, Gorzoni ML. Tratado de geriatria e gerontologia. 2a ed. Rio de Janeiro: Guanabara Koogan; 2006. p.376-86.
Ávila R, Bottino CMC. Atualização sobre alterações cognitivas em idosos com síndrome depressiva. Rev Bras Psiquiatr. 2006; 28(4):316-20.
Christensen H, Griffiths K, MacKinnon A, Jacomb P. A quantitative review of cognitive deficits in depression and alzheimer-type dementia. J Int Neuropsychol Soc. 1997; 3(6):631-51.
Elderkin-Thompson V, Kumar A, Bilker WB, Dunkin JJ, Mintz J, Moberg PJ, et al. Neuropsychological deficits among patients with late-onset minor and major depression. Arch Clin Neuropsychol. 2003; 18(5):529-49.
Reys BN, Bezerra AB, Viela ALS, Keusen AL, Marinho V, Paula E, et al. Diagnóstico de demência, depressão e psicose em idosos por avaliação cognitiva breve. Rev Assoc Med Bras. 2006; 52(6):401-4.
Ardila A, Rosseli M, Rosas P. Neuropsychological assessment in lliterates: Visuospatial and memory abilities. Brain Cognition. 1989; 11(2):147.
Ostrosky-Solis F, Ardila A, Rosseli M, Lopes-Arango G, Uriel-Mendonza V. Neuropsychological test performance in illiterate subjects. Arch Clin Neuropsychol. 1998; 13(7):645-60.
Roth M, Ttym E, Mountjoy CQ, Huppert FA, Hendrie H, Verma S, et al. CAMDEX: A standardized instrument for the diagnosis of mental disorder in the elderly with special reference to the early detection of dementia. Br J Psychiatr. 1996; 149:698-709.
Bottino CMC, Stoppe A, Scalco AZ, Ferreira RCR, Hototian, Scalco MZ. Validade e confiabilidade da versão brasileira do CAMDEX. Arq Neuropsiquiatr. 2001; 59(3):20.
Nunes PV, Radanovic M, Diniz BS, Schimidt M, Borelli DT, Abreu ID, et al. CAMCOG as a screening tool for the diagnosis of cognitive impairment and dementia in brazilian clinical sample of moderate to high education. Int J Geriatr Psychiatry. 2008; 23(11):1127-33.
Moreira IFH, Lourenço RA, Soares C, Engel-Hardt E, Laks J, Teles S. Cognition of low educated normal elderly: CAMCOG normative data in a brazilian sample. Resumo apresentado na VI Reunião de Pesquisadores em Doença de Alzheimer e Desordens Relacionadas; 2007 dez 6-8. Ouro Preto.
Nguyen HT, Zonderman AB. Relationship between age and aspects of depression: Consistency and reliability across two longitudinal studies. Psychol Aging. 2006; 21(1):119-26.
Instituto Brasileiro de Geografia e Estatística. Síntese de indicadores sociais: 2006. Brasília: IBGE; 2006 [acesso 2008 set 28]. Disponível em: <http://www.ibge.org.br>.
Katzman R. Education and the prevalence of dementia and alzheimer’s disease. Neurology. 1993; 43(1):13-20.
Stort-Bueno DR. Perfil de idosos com demência e depressão: status cognitivo medido pelo CAMCOG, escolaridade e histórico de habilidades sóciocognitivas [tese]. Campinas: Universidade Estadual de Campinas; 2009.
Cullum S, Huppert FA, McGee M, Dening T, Ahmed A, Paykel ES, et al. Decline across different domains of cognitive function in normal ageing: Results of a longitudinal population-based using CAMCOG. Int J Geriatr Psychiatry. 2000; 15(9):853-62.
Schaie KW. Intellectual development in adulthood: The Seattle longitudinal study. Cambridge: Cambridge University Press; 1996.
Wilians JG, Huppert FA, Mattews FE, Nickson J, MRC Cognitive Function and Ageing Study (MRC CFAS). Performance and normative values of a concise neuropsycological test (CAMCOG) in an elderly population sample. Int J Geriatr Psychiatry. 2003; 18(7):631-44.
Reed BR, Mungas DM, Kramer JH, EllisW, Vinters HV, Zarow C, et al. Profiles of neuropsychological impairment in autopsy-defined alzheimer’s disease and cerebrovascular disease. Brain. 2007; 130(3):731-9.
Manly JJ, Jacobs DM, Sano M, Bell K, Merchant CA, Small AS, et al. Effect of literacy on neuropsychological test performance in nondemented, educationmatched elders. J Int Neuropsychol Soc. 1999; 5(3):191-202.
