Influence of chronic pain on cognitive performance in elderly caregivers: a longitudinal study

Abstract

Objective: to compare cognitive performance of elderly caregivers with and without chronic pain over four years and verify the effect of pain intensity on cognitive performance of elderly caregivers with chronic pain. Method: a longitudinal study with data collected in 2014 and 2018. Community-dwelling elderly caregivers of a Brazilian city participated in the study. Cognition was assessed using the Addenbrooke’s Cognitive Examination instrument. Pain was assessed by an 11-point scale. For data analysis, a mixed linear model and ANCOVA with a 5% significance level were used. Results: they were divided into two groups. A cognitive decline over four years was found in elderly people with pain (p=0.02; 95%CI=0.32-4.25), while those without pain did not show a significant change. Conclusion: the results show that elderly caregivers with pain had a worse cognitive performance, but when comparing groups with the ANCOVA test for intergroup analysis, there was no difference in cognitive performance.

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Influência da sobrecarga, estresse e sintomas depressivos na saúde de idosos cuidadores: estudo longitudinal

“…Na segunda avaliação em 2018, todas as residências foram novamente visitadas, conforme descrito em estudo anterior. 18 Variáveis psicológicas e a saúde de cuidadores Terassi M, Bento SR, Rossetti ES, Pavarini SCI, Hortense P Houve perda de seguimento devido ao falecimento do cuidador ou da pessoa cuidada (n=32), a três tentativas de contato em dias e horários distintos sem sucesso (n=16), à mudança de endereço (n=36), a recusas (n=46) e ao comprometimento na fala ou declínio cognitivo importante, em que o entrevistador não conseguiu realizar a avaliação (n=9). O instrumento Addenbrooke's Cognitive Examination Revised (ACE-R) 19 foi utilizado para avaliar o declínio cognitivo.…”