Publicações Científicas de Psicologia
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- ItemAssociations between sleep quality and different correlates in the elderly(2012) Espirito-Santo, Helena; Marques, Mariana; Matreno, Joana; Fermino, Simon; Pena, Inês; Rodrigues, Fátima; Antunes, Eliana; Simões, Diana; Conde, Ângela; Costa, André; Correia, Ana Raquel; Pimentel, Ana SofiaOur aims were to describe subjective sleep quality and explore the associations between several correlates and sleep quality in an elderly sample. Ninety-nine institutionalised elderly (mean age, M = 78.65; SD = 6.92; range = 60–95) from Coimbra Council filled in voluntarily a test battery (or whose relatives/caregivers gave consent), including socio- demographic questions, initial sleep assessment (daytime naps, daytime sleepiness, sleep routines, physical exercise, presence of pain/noise during night, sleep diseases and medication, sleep satisfaction), medical problems assessment and of medication that affect sleep, a subjective sleep quality index (SSQI), depressive (Geriatric Depression Scale) and anxious (Geriatric Anxiety Inven- tory) symptomatology and satisfaction with life (Satisfaction with Life Scale). Forty-nine percent of the elderly reported poor sleep. Older age was associated with early awakenings and decreased sleep depth, both in men and women. In men, age was associated with early awakenings, decreased sleep depth, diminished sleep satisfaction, and more daytime naps. In women, older age was not associated to any variable. Poor subjective sleep quality was associated with less education, no sleep satisfaction, more daytime sleepiness, pain during night, presence of medical problems that affect sleep, and depressive symptoms, both in men and women. In men, subjective sleep quality was associated with diminished sleep satisfaction, more daytime sleepiness, and pain or noise during night; older women had less sleep satisfaction, more daytime sleepiness, medical problems that affect sleep and more depressive symptoms. Decrease in sleep quality is fairly common in old institutionalised persons, and poor sleep is associated with less education, no sleep satisfaction, more daytime sleepiness, pain during the night, presence of medical problems that affect sleep and higher depressive symptoms. Studies are required to establish whether improvements in these outcomes will ameliorate sleep in institutionalised elderly.
- ItemSelective attention and cognitive decline in institutionalized elderly(European Psychiatric Association, 2013) Almeida, Rute; Marques, Mariana; Espirito-Santo, Helena; Moitinho, Sara; Vigário, Vanessa; Pena, Inês; Matreno, Joana; Rodrigues, Fátima; Antunes, Eliana; Simões, Diana; Costa, André; Correia, Ana Raquel; Pimentel, Ana Sofia; Alves, Vitor; Nascimento, Tirsa; Costa, Marlene; Tomaz, Marisa; Caldas, Luisa; Ferreira, Libânia; Simões, Sónia; Guadalupe, Sónia; Lemos, Laura; Daniel, FernandaIntroduction When cognitive decline (CD) is present, attention is one of the impaired mental functions. CD is also associated with anxious/depressive symptoms and with some demographic variables, particularly, age. Objectives Investigate the associations between selective attention (Stroop Test: Stroop_Word, Stroop_Color, Difference between Stroop_Word and Stroop_Color, Stroop Ratio_Word, Stroop Ratio_Color and Difference between Stroop Ratio_Word and Stroop Ratio_ Color) and CD (Montreal Cognitive Assessment/MoCA) in institutionalized elders; explore the predictive value of Stroop variables for CD, controlling anxious/depressive symptoms and sociodemographic variables. Methods 140 institutionalized elders (mean age, M =78.4, SD =7.48, range =60-97) voluntarily answered to sociodemographic questions, the MoCA, the Geriatric Anxiety Inventory/GAI, the Geriatric Depression Scale/GDS and Stroop test. Results 73 elders (52, 1%) had CD. Dichotomized MoCA was associated with Stroop_Word, Stroop_Color, Stroop Ratio_Word, Stroop Ratio_Color, GDS and the sociodemographic variable schooling × profession. Age and education were not tested, since MoCA was stratified according to those variables. GDS, Stroop Ratio_Word and Stroop Ratio_Color showed to predict CD. Conclusions There was an association between Stroop_Word, Stroop_Color, Stroop Ratio_Word and Stroop Ratio_Color and CD, confirming that selective attention is smaller when the elderly reveal CD. GDS and CD were, also, associated. However, there was no association between MoCA dichotomized and differences between the correct answers (Stroop_Word and Stroop_Color) and Ratios (Stroop Ratio_Word and Stroop Ratio_Color). Selective attention and depressive symptoms predicted CD. It would be important to intervene through cognitive rehabilitation with the elders to improve their attention.