Transtorno depressivo recorrente e desempenho cognitivo em idosos : um estudo de caso controle

Abstract

Introduction: The population ageing is a global proportion phenomenon that, alied with the decrease of the fertility rates, makes a increasing number of people have a bigger life expectation. The global ageing might lead to increase neuropsychiatric disorder that affects elderly people, as depression or cognitive decline, for example. The depression is a chronic, recurring and underdiagnosed psychiatric disorder, in special on aged people. Objective: Identify the modifications of the cognitive domains scores examining their relation with the recurrent depression disorder (RDD) on elderly people. Method: Observational-transversal study, controlling-case, with samples of 54 aged people with RDD and 108 healthy aged people. Between July 2015 and July 2016 were colleted socio-demographic data, structured psychiatric interview (MINI-PLUS), reduced geriatric depression scale (GDS-15) and cognitive evaluation scale (ACE-R). Results: 54 elderly with RDD, and among those, 48 of female gender (88,8%) and 6 of male gender (11,1%). The average age that was found on the results was 68,19 years (DP ± 6,03). The majority are married (31,48%), white race (74,07%), catholic (66,67%) and receive at most one minimum wage (57,41%). The total average score of the ACE-R that was found was: on the cases 63,80 points (dp: 18,55) and on the controlling 64,44 (dp: 19,82). The average score Mini Examining of Mental State on the cases is 22,96 (dp: 4,19) and 23,11 (dp: 5,16) on the controlling. Conclusion: It was observed that the elderly with RDD appears to have more global cognitive deficit in comparison to the controlling group. The attention-orientation and visual-spacial domains were the ones that showed bigger deficits on aged people with RDD.