| Revista: | Revista brasileira de psiquiatria |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000279954 |
| ISSN: | 1516-4446 |
| Autores: | Laks, Jerson1 Vega, Ursula2 Silberman, Claudia Rozenthal, Marcia Nigri, Fortunee N Freitas, Regina C Machado, Mayze Engelhardt, Eliasz3 |
| Instituciones: | 1Universidade Federal do Rio de Janeiro, Instituto de Psiquiatria, Rio de Janeiro. Brasil 2Instituto Municipal de Assistencia a Saude Juliano Moreira, Rio de Janeiro. Brasil 3Universidade Federal do Rio de Janeiro, Instituto de Neurologia Deolindo Couto, Rio de Janeiro. Brasil |
| Año: | 2000 |
| Periodo: | Dic |
| Volumen: | 22 |
| Número: | 4 |
| Paginación: | 159-163 |
| País: | Brasil |
| Idioma: | Portugués |
| Tipo de documento: | Artículo |
| Enfoque: | Aplicado |
| Resumen en inglés | Objective: To evaluate the cognition level of institutionalized schizophrenic elderly patients and compare groups according to years of education, disease duration and institutionalization. Methods: The Mini-Mental State Examination (MMSE) and questionnaires for the evaluation of the disease duration and level of education were carried out in the 38 female institutionalized elderly patients with a diagnosis of schizophrenia according to DSM-IV criteria. Their medication use was assessed according to specific drug class and posology. Data was obtained from the patients' records and interview. The MMSE interviewers weren't aware of the patients' diagnoses, since all 38 patients were initially evaluated and only then the diagnostic procedures were performed. The mean and standard deviation were obtained for the whole group and their level of significance was determined by the t-test (0,05). Results: Mean age of subjects (n=38) was 69.42 ± 6.8 years old (min=60, max=82) and the mean disease duration was 40.36 ± 5.89 years (min=29, max-56). 18 patients were illiterate, 14 had 4 years of schooling and 6 had 4-8 years of education. The mean MMSE score was 12.15 ± 5.97 (min=0, max=28). Patients with more than 8 years of education (n=20) achieved a mean MMSE of 14.05 ± 5.97 (age = 70.15 ± 5.79 years old and disease duration = 40.36 ± 6.44 years), and illiterate patients (n=18, age = 68.61 ± 7.56, disease duration = 40.35 ± 5.20 years) achieved a MMSE score of 10.05 ± 5.22. Comparing MMSE scores of groups according to years of formal education, age, and disease duration the only statistically significant difference was observed in the number of years of education (p<0.05). Conclusion: Elderly institutionalized schizophrenic patients had higher MMSE scores and cognitive performance than those living in institutions in the U.S. and United Kingdom as reported by the literature. Years of formal education have a positive influence on cognitive performance... |
| Resumen en portugués | tiveram desempenho de MEEM 10,05 ± 5,22, com 40,35 ± 5,20 anos de doença. Comparando-se os grupos de escolaridade baixa/média e de analfabetos quanto à idade, ao tempo de doença e ao escore do MEEM (14,05 ± 5,97 e 10,05 ± 5,22, respectivamente), somente este último item apresentou diferença estatisticamente significativa (p<0,05). Conclusões: As pacientes esquizofrênicas idosas institucionalizadas no Instituto Municipal de Assistência à Saúde Juliano Moreira têm desempenho cognitivo medido pelo MEEM melhor do que os resultados de instituições americanas e inglesas. O número de anos de estudo correlaciona-se positivamente com o desempenho, isto é, analfabetas têm desempenho significativamente pior que pacientes com educação baixa/média. Apesar da longa duração, a pontuação no MEEM demonstra comprometimento cognitivo moderado, o que pode significar que haja também possibilidades adaptativas, desde que sob estrita supervisão |
| Disciplinas: | Medicina |
| Palabras clave: | Geriatría, Neurología, Psiquiatría, Ancianos, Esquizofrenia, Cognición, Escolaridad |
| Keyword: | Medicine, Geriatrics, Neurology, Psychiatry, Schizophrenia, Cognition, Aged, Schooling |
| Texto completo: | Texto completo (Ver HTML) |
