Depressive and prefrontal symptoms in institutionalized and non-institutionalized elderly

Authors

DOI:

https://doi.org/10.33448/rsd-v10i10.18705

Keywords:

Depression; Behavior symptoms; Homes for the aged.

Abstract

Aging is a development process that leads to physical, cognitive, behavioral and socioemotional changes. This paper aims to verify association between prefrontal and depressive symptoms in older adults, institutionalized or not. 206 people, from both sexes and aged above 60 years, took part in this study, being 109 of them non-institutionalized and community active and 97 residents in long-term care institutions. Participants answered to the Mini-Mental State Examination (MMSE), the Geriatric Depression Scale (GDS-15), the Prefrontal Symptoms Inventory (PSI-16) and a sociodemographic questionnaire. Results revealed that residents in long-term care institutions group has exhibited higher age average (77 years; SD = 8,3); being the individuals mostly low schooled, single and sedentary. Also, those individuals presented more cognitive deficits (MMSE), subclinical symptoms of depression and higher score in ISP-16 compared to non-institutionalized group. In both groups, there were moderate positive correlations, statistically significant between ISP-16 and GDS-15 (p<0,001), and negative between schooling and ISP-16 (p<0.01). A multiple regression analysis confirmed the role of depression symptoms as a significative predictor of prefrontal symptoms variance and the role of schooling as a confusion variant. Despite the differences between habitation contexts, sociodemographic aspects and lifestyle, depressive symptoms are associated to prefrontal on a similar way in both groups, since emotional, behavioral and cognitive regulations are interconnected.

References

Alvarenga, M. R. M., Oliveira, M. A. de C., & Faccenda, O. (2012). Sintomas depressivos em idosos: Análise dos itens da Escala de Depressão Geriátrica. Acta Paulista de Enfermagem, 25(4), 497–503.

Alves, M. B., Menezes, M. do R. de, Felzemburg, R. D. M., Silva, V. A. da, & Amaral, J. B. do. (2017). Instituições de longa permanência para idosos: Aspectos físico-estruturais e organizacionais. Escola Anna Nery, 21. https://doi.org/10.1590/2177-9465-EAN-2016-0337.

Azevedo, L. M. de, Lima, H. H. G., Oliveira, K. S. A. de, Medeiros, K. F. de, Gonçalves, R. G., Nunes, V. M., & Piuvesam, G. (2017). Perfil sociodemográfico e condições de saúde de idosos institucionalizados. Revista Brasileira de Pesquisa em Saúde/Brazilian Journal of Health Research, 19(3), 16–23

Costa, T. N. M., Nieto, J. P. de S., Morikawa, L. S., Araújo, A. V. S. de, Cardoso, A. A. M., Mafra, B. G., Eiró, M. ..., & Costa, V. O. da. (2021). Análise do Mini Exame do estado mental de Folstein em idosos institucionalizados e não institucionalizados/ Analysis of Folstein’s Mini State examination in institutionalized and non institutionalized elderly people. Brazilian Journal of Health Review, 4(2), 8319–8336. https://doi.org/10.34119/bjhrv4n2-357.

Brucki, S. M. D., Nitrini, R., Caramelli, P., Bertolucci, P. H. F., & Okamoto, I. H. (2003). Sugestões para o uso do mini-exame do estado mental no Brasil. Arquivos de Neuro-Psiquiatria, 61(3B), 777–781. https://doi.org/10.1590/S0004-282X2003000500014

Ferreira, O.D.L., Barbosa, L.N.F., & Alchieri, J.C. (2020). Validity Evidences of the Prefrontal Symptoms Inventory for the Elderly Brazilian Population. Clinics [online], 75 (e1863), 1-7. https://doi.org/10.6061/clinics/2020/e1863

Fonseca, L. M., Yokomizo, J. E., Bottino, C. M., & Fuentes, D. (2016). Frontal Lobe Degeneration in Adults with Down Syndrome and Alzheimer’s Disease: A Review. Dement Geriatr Cogn Disord. 2016;41(3–4):123–36. https://doi.org/10.1159/000442941

Formánek, T., Csajbók, Z., Wolfová, K., Kučera, M., Tom, S., Aarsland, D., & Cermakova, P. (2020) Trajectories of depressive symptoms and associated patterns of cognitive decline. Sci Rep, 30;10(1):20888. doi: 10.1038/s41598-020-77866-6.

Gerstenecker, A., Triebel, K., Eakin, A., Martin, R., & Marson, D. (2018). Exploring the Factor Structure of Financial Capacity in Cognitively Normal and Impaired Older Adults. Clinical Gerontologist, 41(1), 33–41. https://doi.org/10.1080/07317115.2017.1387211

Jerez-Roig, J., de Medeiros, J. F., do Nascimento Moreira Fidélis, K., de Lima Filho, B. F., de Oliveira, N. P. D., Paes de Andrade, F. L. J., de Brito Macedo Ferreira, L. M., Leandro Bezerra Souza, D., & Costa Lima, K. (2017). Activity Limitations in Brazilian Institutionalized Older Adults. Journal of Geriatric Physical Therapy, 40(4), 214–222. https://doi.org/10.1519/JPT.0000000000000101

Kaster T, Daskalakis Z, Noda Y, Knyahnytska Y, Downar J, Rajji T,... Blumberger, D. M. (2018) Efficacy, tolerability, and cognitive effects of deep transcranial magnetic stimulation for late-life depression: a prospective randomized controlled trial. Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology, 43(11). https://doi.org/10.1038/s41386-018-0121-x

Kiyoshige, E., Kabayama, M., Gondo, Y., Masui, Y., Inagaki, H., Ogawa, M., Nakagawa, T., Yasumoto, S., Akasaka, H., Sugimoto, K., Ikebe, K., Arai, Y., Ishizaki, T., Rakugi, H., & Kamide, K. (2019). Age group differences in association between IADL decline and depressive symptoms in community-dwelling elderly. BMC Geriatrics, 19(1), 309. https://doi.org/10.1186/s12877-019-1333-6

Klojčnik, M., Kavcic, V., & Bakracevic Vukman, K. (2017). Relationship of Depression With Executive Functions and Visuospatial Memory in Elderly. International journal of aging & human development, 85(4), 490–503. https://doi.org/10.1177/0091415017712186

Imaginario, C., Machado, P., Rocha, M., Antunes, C., & Martins, T. (2017). Atividades de vida diária como preditores do estado cognitivo em idosos institucionalizados. Revista Portuguesa de Enfermagem de Saúde Mental,18, 37-43. https://doi.org/10.19131/rpesm.0190

Mohebbi, M., Agustini, B., Woods, R. L., McNeil, J. J., Nelson, M. R., Shah, R. C., Nguyen, V., Storey, E., Murray, A. M., Reid, C. M., Kirpach, B., Wolfe, R., Lockery, J. E., & Berk, M. (2019). Prevalence of depressive symptoms and its associated factors among healthy community-dwelling older adults living in Australia and the United States. International Journal of Geriatric Psychiatry, 34(8), 1208–1216. https://doi.org/10.1002/gps.5119

Murayama, N., Ota, K., Matsunaga, Y., Ichikura, K., Fukase, Y., Tagaya, H., Iseki, E., & Sato, K. (2019). Evaluating depression in cognitively healthy elderly people by using Mini-Mental State Examination. Psychogeriatrics, 20 (1), 96-103. https://doi.org/10.1111/psyg.12462

Organização Mundial da Saúde. Relatório sobre envelhecimento e saúde :Sociedade Brasileira de Geriatria e Gerontologia. (2015). Recuperado 26 de novembro de 2019, de https://sbgg.org.br/oms-divulga-relatorio-sobre-envelhecimento-e-saude/

Otte, C., Wingenfeld, K., Kuehl, L. K., Richter, S., Regen, F., Piber, D., & Hinkelmann, K. (2015). Cognitive function in older adults with major depression: Effects of mineralocorticoid receptor stimulation. Journal of Psychiatric Research, 69, 120–125. https://doi.org/10.1016/j.jpsychires.2015.08.001

Pagotto, V., Silva, V. A. P., Pereira, L. V., & Santos, D. P. M. A. (2016) Functionality comparison of elderly residing in two institutional modalities. Rev Eletr Enferm, 8, 1143. https://revistas.ufg.br/fen/article/view/34712/21177

Philippot, P., & Agrigoroaei, S. (2017) Repetitive thinking, executive functioning, and depressive mood in the elderly. Aging Ment Health, 21(11):1192-1196. doi: 10.1080/13607863.2016.1211619.

Ruiz-Sánchez de León, J. M., Pedrero-Pérez, E. J., Lozoya-Delgado, P., Llanero-Luque, M., Rojo-Mota, G., & Puerta-García, C. (2012). Inventario de síntomas prefrontales para la evaluación clínica de las adicciones en la vida diaria: proceso de creación y propiedades psicométricas. Revista de Neurología, 54(11), 649–663. https://doi.org/10.33588/rn.5411.2012019

Santorelli, G., & Ready, R. (2015). Alexithymia and Executive Function in Younger and Older Adults. The Clinical neuropsychologist, 29, 1–18. https://doi.org/10.1080/13854046.2015.1123296

Santos, A. A., Silva, A. L. S. B. da, Santos, F. A. B., Barbosa, J. E. S., Almeida, L. P. D. S., Mota, R. de S., & Santos, A. C. N. dos. (2019). Functional and cognitive profile of elderly residents in a long term care institution in the northeast’. Manual Therapy, Posturology & Rehabilitation Journal, 17, 681.

Scherrer, G., Okuno, M. F. P., Oliveira, L. M. de, Barbosa, D. A., Alonso, A. C., Fram, D. S., & Belasco, A. G. S. (2019). Qualidade de vida de idosos institucionalizados com e sem sinais de depressão. Revista Brasileira de Enfermagem, 72, 127–133. https://doi.org/10.1590/0034-7167-2018-0316

Steffens, D. C., Wang, L., Manning, K. J., & Pearlson, G. D. (2017). Negative Affectivity, Aging, and Depression: Results From the Neurobiology of Late-Life Depression (NBOLD) Study. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, 25(10), 1135–1149. https://doi.org/10.1016/j.jagp.2017.03.017

Uehara, E., Charchat-Fichman, H., & Landeira-Fernandez, J. (2013). Funções executivas: Um retrato integrativo dos principais modelos e teorias desse conceito. Neuropsicologia Latinoamericana, 5(3), 25–37. https://doi.org/10.5579/rnl.2013.145

Published

10/08/2021

How to Cite

FERREIRA, O. D. L. .; REINALDO , D. P. .; FERREIRA, M. D. L. .; ALCHIERI, J. C. Depressive and prefrontal symptoms in institutionalized and non-institutionalized elderly. Research, Society and Development, [S. l.], v. 10, n. 10, p. e288101018705, 2021. DOI: 10.33448/rsd-v10i10.18705. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18705. Acesso em: 18 oct. 2021.

Issue

Section

Health Sciences