Depressive and prefrontal symptoms in institutionalized and non-institutionalized elderly
DOI:
https://doi.org/10.33448/rsd-v10i10.18705Keywords:
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
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Olívia Dayse Leite Ferreira; Denise Pereira Reinaldo ; Maria Denise Leite Ferreira; João Carlos Alchieri
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.