O uso do "Face-Hand Test" como instrumento para rastrear as síndromes psicorgânicas: estudo piloto

Blay, Sérgio Luís; Mari, Jair de Jesus; Ramos, Luiz Roberto

doi:10.1590/s0034-89101989000500006

Cited by 10 publications

(4 citation statements)

References 12 publications

(20 reference statements)

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“…They found that the FHT had 2 response patterns: sensory extinction (only one stimulus is recognized by the individual) or displacement (stimuli are recognized elsewhere in the body). Based on these findings, the FHT was proposed in Brazil by Blay et al as a tool for assessing patients with psychiatric and neurologic diseases 23.…”

Section: Introductionmentioning

confidence: 99%

Standardization of the face-hand test in a Brazilian multicultural population: prevalence of sensory extinction and implications for neurological diagnosis

Luvizutto

Fogaroli

Theotonio

et al. 2016

Clinics

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OBJECTIVE:The face-hand test is a simple, practical, and rapid test to detect neurological syndromes. However, it has not previously been assessed in a Brazilian sample; therefore, the objective of the present study was to standardize the face-hand test for use in the multi-cultural population of Brazil and identify the sociodemographic factors affecting the results.METHODS:This was a cross sectional study of 150 individuals. The sociodemographic variables that were collected included age, gender, race, body mass index and years of education. Standardization of the face-hand test occurred in 2 rounds of 10 sensory stimuli, with the participant seated to support the trunk and their vision obstructed in a sound-controlled environment. The face-hand test was conducted by applying 2 rounds of 10 sensory stimuli that were applied to the face and hand simultaneously. The associations between the face-hand test and sociodemographic variables were analyzed using Mann-Whitney tests and Spearman correlations. Binomial models were adjusted for the number of face-hand test variations, and ROC curves evaluated sensitivity and specificity of sensory extinction.RESULTS:There was no significant relationship between the sociodemographic variables and the number of stimuli perceived for the face-hand test. There was a high relative frequency of detection, 8 out of 10 stimuli, in this population. Sensory extinction was 25.3%, which increased with increasing age (OR=1.4[1:01–1:07]; p=0.006) and decreased significantly with increasing education (OR=0.82[0.71-0.94]; p=0.005).CONCLUSION:In the Brazilian population, a normal face-hand test score ranges between 8–10 stimuli, and the results indicate that sensory extinction is associated with increased age and lower levels of education.

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Section: Introductionmentioning

confidence: 99%

Standardization of the face-hand test in a Brazilian multicultural population: prevalence of sensory extinction and implications for neurological diagnosis

Luvizutto

Fogaroli

Theotonio

et al. 2016

Clinics

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“…No Brasil, e independentemente do fato de se inscreverem os idosos como 'bombas demográficas', poucos foram os estudos de base populacional realizados para medir a prevalência da síndrome demencial (ALMEIDA;SANTANA;PINHO, 1984;BLAY;MARI;RAMOS, 1989;VERAS;COUTINHO, 1991;HERRERA ET AL., 2002). Tomando o de Herrera et al (2002), que avaliou a prevalência da doença e sua associação com idade, sexo, nível educacional e níveis socioeconômicos, a estimativa referida foi de 7,1% entre idosos não institucionalizados e de 7,5% no cômputo geral, incluindo os institucionalizados.…”

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Atenção à saúde na síndrome demencial: qual será o impacto econômico dessa atenção no Brasil?

Sancho

2015

Saúde debate

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O estudo pretende chamar a atenção dos tomadores de decisão para a premente necessidade da avaliação do impacto econômico da síndrome demencial no Brasil. O País já se enquadra, em termos demográficos e epidemiológicos, em patamar semelhante ao dos países desenvolvidos, mas ainda não implementou de forma efetiva políticas públicas ou reconheceu as reais necessidades sociais em saúde para a configuração dessa atual condição. Para tanto, uma revisão não sistemática sobre o impacto financeiro da síndrome em várias regiões do mundo foi elaborada. Diante das evidências, concluiu-se que é de suma importância a realização de estudos empíricos no contexto brasileiro que contemplem essa temática.

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“…Almeida-Filho, Santana and Pinho (1984) undertook the first population study on the prevalence of mental disorders in a low-income area of Salvador (BA), Brazil, reporting a 6.8% rate of organic brain disease in the population over 65 years of age. An investigation of mental impairment in a sample of 91 individuals from three subdistricts of São Paulo, conducted by Blay, Mari and Ramos (1989), showed a 5.5% prevalence rate. Xavier (1999) reported a 19.7% rate of age-related cognitive decline in the city of Veranópolis (RS).…”

mentioning

confidence: 99%

Cognition in elderly people: study of the Short Form 8 (SF8) of the Wechsler-III Scale

Banhato

Leite

Guedes

et al. 2012

Psicol. Reflex. Crit.

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Using psychometrical instruments adequate for the elderly cognitive evaluation is crucial. The Short Form (SF8) of the WAIS-III has been recommended for such purpose. This study aimed at characterizing cognition in the elderly using the SF8. A hundred ninety two individuals, aged 60 or older, were divided into case and control groups (G1 and G2). Women were the majority (75%). The mean age was 75.9 years (SD=9.1) and their educational level 6.40 years (SD=4.8). There were significant differences in the groups' cognition according to the age, with better performance on verbal than executive skills. Schooling influenced the cognitive performance. The SF8 seemed to be advantageous in evaluating the elderly. It is important to investigate the behavior of individuals with different diagnoses in the SF8. Keywords: Cognition, aging, Wechsler scale. ResumoUtilizar instrumentos psicométricos e adequados à avaliação cognitiva de idosos é fundamental. A Forma Abreviada (FA8) da WAIS-III vem sendo indicada nessa tarefa. Este estudo objetivou caracterizar a cognição de idosos, utilizando a FA8. Cento e noventa e dois indivíduos, de 60 ou mais anos, foram divididos em grupos caso e controle (G1 e G2). As mulheres foram maioria (75%). A média etária foi de 75,9 anos (DP=9,1) e a de escolaridade de 6,4 anos (DP=4,8). Houve diferença significativa na cognição dos grupos segundo a faixa etária, com melhor rendimento em habilidades verbais que executivas. A escolaridade influenciou o desempenho cognitivo. A FA8 mostrou-se vantajosa na avaliação de idosos. Faz-se importante investigar o comportamento de indivíduos com diferentes diagnósticos na FA8. Palavras-chave: Cognição, envelhecimento, escala Wechsler.

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O uso do "Face-Hand Test" como instrumento para rastrear as síndromes psicorgânicas: estudo piloto

Cited by 10 publications

References 12 publications

Standardization of the face-hand test in a Brazilian multicultural population: prevalence of sensory extinction and implications for neurological diagnosis

Standardization of the face-hand test in a Brazilian multicultural population: prevalence of sensory extinction and implications for neurological diagnosis

Atenção à saúde na síndrome demencial: qual será o impacto econômico dessa atenção no Brasil?

Cognition in elderly people: study of the Short Form 8 (SF8) of the Wechsler-III Scale

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