Selective attention and cognitive decline in institutionalized elderly
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Data
2013
Autores
Almeida, Rute
Marques, Mariana
Espirito-Santo, Helena
Moitinho, Sara
Vigário, Vanessa
Pena, Inês
Matreno, Joana
Rodrigues, Fátima
Antunes, Eliana
Simões, Diana
Título da revista
ISSN da revista
Título do Volume
Editora
European Psychiatric Association
Resumo
Introduction
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.
Descrição
Palavras-chave
Atenção seletiva - Selective attention, Comprometimento cognitivo - Cognitiva impairment, Envelhecimento - Aging, Institucionalização - Institutionalization, Avaliação Cognitiva de Montreal - Montreal Cognitive Assessment, Teste Stroop - Stroop test
Citação
Almeida, R., Marques, M., Espirito-Santo, H., Moitinho, S., Vigário, V., Pena, I. T. … Daniel, F. (2013). Selective attention and cognitive decline in institutionalized elderly. European Psychiatry, 28(Supl. 1), 1. doi:10.1016/S0924-9338(13)76308-9