Revista Do Instituto De Medicina Tropical De São Paulo: Quarenta Anos Depois

According to the WHO, by 2025 Brazil will be ranked sixth in the world in terms of proportion of elderly in the population. Within this scope, cognition plays a central role in the aging process, having an important association with quality of life, which suggests the need to develop intervention programs, such as cognitive training.Objective:To determine the effects of a program of cognitive stimulation workshops on the self-esteem and cognition of elderly people.Methods:Thirty-eight elderly subjects completed the three-step protocol: 1) Survey of demographic data and evaluation of cognition by a neuropsychological battery and of self-esteem using the Rosenberg Self-Esteem Scale (RSS), prior to training; 2) Participation in twelve cognitive stimulation workshops; and 3) Cognitive evaluation and RSS after the training.Results:Results showed that the use of training produced positive effects on cognitive test performance of the elderly with and without cognitive impairment. By extension, this demonstrates positive impact on their self-esteem.Conclusion:These findings encourage investment in cognitive stimulation programs as a resource for improved cognition and quality of life for the elderly. Subjective cognitive complaint may have served as a predictor of decreased self-esteem; therefore, as training improved cognition, it also improved self-esteem.

Section: Methodsmentioning

confidence: 99%

Effect of cognitive stimulation workshops on the self-esteem and cognition of the elderly A pilot project

Schultheisz

Aquino

Alves

et al. 2018

“… RAVLT Rey Auditory Verbal Learning Test 43 . ROCFT Rey-Osterrieth Complex Figure Test 44 . MENTAL CONTROL Mental Control subtest (Weschler Memory Scale - WMS-III) 45 .…”

Section: List Of Neuropsychological Tests and Other Instruments Used mentioning

confidence: 99%

Cognitive performance after ischaemic stroke

Ferreira

Moro

Franco

2015

Cognitive impairment after stroke affects the patient recovery process. Therefore, the identification of factors associated with cognitive outcomes is important since it allows risk profiles of stroke survivors to be determined.ObjectiveTo assess cognitive outcome of stroke outpatients and investigate associations among clinical and demographic variables, vascular risk factors, depression symptoms and functional ability; and to describe the neuropsychological profile of these patients.MethodsA cross-sectional design study was conducted. Subjects who suffered a first-ever ischaemic stroke 6 to 10 months prior to data collection underwent neuropsychological assessment and screening for depressive symptoms and functional ability. The outcome "cognitive performance" was analyzed considering two groups: "cognitive impairment" and "no cognitive impairment".ResultsThere was a statistically significant association between cognitive impairment and female gender, age, stroke severity and functional ability. Regarding neuropsychological profile, the cognitive impairment group exhibited more generalized deficits in attention, visuospatial organization, verbal functions and verbal memory domains compared to the community control group.ConclusionThe occurrence of cognitive impairment among patients was high, especially in women, older participants, individuals with more severe stroke, and greater impairment in functional ability. Multiple cognitive domains are affected and this may hamper recovery and negatively impact independence and quality of life after stroke.

“…The neuropsychological evaluation consisted of the Mini-Mental State Examination (MMSE), 16 , 17 and tests to evaluate visual and verbal memory (Visual Reproduction - Wechsler Memory Scale (WMS), 18 Rey Complex Figure memory, 9 Logical Memory - WMS, 18 Rey Auditory Verbal Learning Test, 20 constructive skills (Block Design - Wechsler Intelligence Adult Scale-WAIS, 21 Rey Complex Figure copy, 19 visual perception (Raven Colored Matrices 22 or Hooper Visual Organization Test 23 ) , language (Boston Naming Test ) 24 and executive functions (Trail Making Test 25 and phonemic verbal fluency (F.A.S.). 25…”

Section: Methodsmentioning

confidence: 99%

The influence of schooling on performance in the Mattis Dementia Rating Scale (DRS)

Porto

Caramelli

Nitrini

2010

Studies have shown the influence of schooling on performance in the Dementia Rating Scale (DRS), suggesting that a single cut-off score is not appropriate for all groups of elderly people.ObjectivesTo verify the influence of schooling on the DRS in a Brazilian elderly population.MethodsThe DRS was applied to 118 cognitively healthy controls and to 97 patients with mild probable Alzheimer’s disease (AD). In order to analyze the influence of education, patients and controls were divided into four groups of schooling (GRSC): GRSC 1 with 1 to 4 years of schooling, GRSC 2 with 5 to 8 years of schooling, GRSC 3 with 9 to 11 years of schooling, and GRSC 4 with more than 11 years of schooling.ResultsIn the intragroup analysis, the performance of controls within each schooling group was compared, revealing a significant difference on total score and the subscales Attention, I/P and Conceptualization. The same procedure was used for the AD patients and a significant difference was observed for total score and the subscales Attention, Construction, Conceptualization and Memory. In the intergroup analysis, the results on total DRS and for the I/P, Conceptualization and Memory subscales showed significant differences in GRSC 1, 2, 3 and 4. The Attention subscale showed differences in GRSC 3 and 4, and on the Construction subscale in GRSC 1 and 4.ConclusionsThe results highlight the importance of norms for the DRS in the Brazilian population that take into account the effects of schooling on the scores of this scale.