Made available in DSpace on 2015-04-14T13:54:10Z (GMT). No. of bitstreams: 1 458918.pdf: 8532555 bytes, checksum: 686fb7ddb17f44a4aa7880d29024c3f8 (MD5) Previous issue date: 2014-03-26 / In addition to the worldwide increase in the geriatric population, is highlighting the high prevalence of mental disorders in the elderly also have a tendency to growth. We conducted a cross-sectional study with prospective data collection. The main objective is to study the prevalence and associations of specific phobias (SPP), social phobia (SP), agoraphobia (AGP) and panic disorder (PD) in a sample of elderly in the city of Porto Alegre, RS. Data collection occurred in two stages structured interviews. In addition to the estimates of prevalence of disorders, were performed tests to detect associations of the factors in a study of sociodemographic characteristics. Disorders with higher prevalence were SPP (17 %) and having ever AGP, covering 8.7% of the interviewed subjects. 4 % showed SP and 3.7 % of the elderly have PD diagnosis sometime in their lives. Older women had higher association with SPP, PD and AGP. Noticed other associations with sociodemographic data, but these, according to each specific disorder. It can be noticed that even within a category of diseases, conditions vary from each other and has its particularities associations. Thus, we need to be attentive to the singularities of each patient, and especially in the case of the elderly, as they are more likely to possess hidden diagnoses; like the Anxiety Disorders. / Al?m do aumento mundial da popula??o geri?trica, vem ressaltando-se a alta preval?ncia dos Transtornos Mentais nos idosos, tamb?m com tend?ncia ao crescimento. Realizou-se um estudo transversal com coleta prospectiva. O principal objetivo ? estudar a preval?ncia e associa??es das fobias espec?ficas (FE), fobia social (FS), agarofobia (AGF) e de transtorno de p?nico (TP) em uma amostra de idosos no munic?pio de Porto Alegre, RS. A coleta de dados ocorreu em duas etapas de entrevistas estruturadas. Al?m das estimativas de preval?ncia dos transtornos, foram realizadas an?lises para busca de associa??es dos fatores em estudo com caracter?sticas s?cio demogr?ficas. Os transtornos com maiores preval?ncia foram de FE (17%) e o de AGF alguma vez na vida, contemplando 8,7% dos sujeitos entrevistados. 4% da amostra apresentou FS e 3,7% dos idosos apresentam diagn?stico de TP alguma vez na vida. As mulheres idosas apresentaram maior associa??o com FE, TP e AGF. Puderam ser observadas outras associa??es com os dados s?cio demogr?ficos, mas estes, de acordo com cada transtorno espec?fico. Deste modo, evidenciou-se que mesmo, dentro da categoria dos transtornos f?bicoansiosos, cada patologia diferencia-se em fatores predisponentes de acordo com suas particularidades. Assim, precisamos estar atentos ?s singularidades de cada paciente, e especialmente no caso dos idosos, mais propensos a possuir subdiagn?sticos, como os Transtornos de Ansiedade.

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2016-07-19T18:34:17Z No. of bitstreams: 1 DIS_BRUNO_LUIZ_GUIDOLIN_PARCIAL.pdf: 2466438 bytes, checksum: 72b981ee9f776fee3d19f527647d58be (MD5) / Made available in DSpace on 2016-07-19T18:34:18Z (GMT). No. of bitstreams: 1 DIS_BRUNO_LUIZ_GUIDOLIN_PARCIAL.pdf: 2466438 bytes, checksum: 72b981ee9f776fee3d19f527647d58be (MD5) Previous issue date: 2016-03-28 / Objective:To investigate the association between current alcohol dependence and alcohol dependence during life with cognitive and mental disorders in the elderly of the city of Porto Alegre, Rio Grande do Sul, Brazil. Methods:This was a crosssectional study with application of Mini International Neuropsychiatric (M.I.N.I. Plus Brazilian version 5.0.0), Global Assessment Questionnaire for the Elderly (QAGI) and Neuropsychological do CERAD (Consortium to Establish a Registry for Alzheimer's Disease) in 580 elderly in Porto Alegre. Results: Of the 580 elderly, 24 were current dependent on alcohol (4.2%) and 85 had dependence during life (14.6%). There was a statistically significant difference (p?0,005) for sex, addiction to illegal substances, antisocial personality disorder and smoking for current alcohol dependence and alcohol dependence during life. The association between manic/hypomanic current episode and current alcohol dependence and the association between generalized anxiety disorder and alcohol dependence during life also showed statistically significant difference. Men were majority for alcohol dependence; males have 9,35 times the prevalence of current alcohol dependence and 12,81 times the prevalence of alcohol dependence during life when compared with women. Elderly diagnosed with addiction to other substances, manic/hypomanic episode, generalized anxiety disorder and smoking were more likely to have alcohol dependence compared to those who did not have such disorders. Conclusion: Cognitive disorders were not associated with alcohol dependence. Some psychiatric disorders were associated with current alcohol dependence and alcohol dependence during life, which warns about the importance of early diagnosis of these disorders in the elderly. / Objetivo: Investigar a associa??o entre a depend?ncia de ?lcool atual e a depend?ncia de ?lcool na vida com os transtornos cognitivos e mentais em pacientes idosos do Munic?pio de Porto Alegre, Rio Grande do Sul, Brasil. M?todos: Trata-se de um estudo transversal com aplica??o do Mini International Neuropsychiatric interview, M.I.N.I. Plus Brazilian version 5.0.0, do Question?rio de Avalia??o Global do Idoso (QAGI) e da Avalia??o Neuropsicol?gica do CERAD (Consortium to Establish a Registry for Alzheimer Disease) em 580 idosos de Porto Alegre. Resultados: Dos 580 idosos, 24 eram dependentes de ?lcool (4,2%) e 85 apresentaram depend?ncia durante a vida (14,6%). Houve diferen?a estatisticamente significativa (p?0,005) para sexo, depend?ncia de subst?ncias il?citas, transtorno de personalidade antissocial e tabagismo para a depend?ncia de ?lcool atual e depend?ncia de ?lcool na vida. Quando comparado epis?dio man?aco/hipoman?aco atual com a depend?ncia de ?lcool atual, e transtorno de ansiedade generalizada com depend?ncia de ?lcool na vida, houve diferen?a estatisticamente significativa. Os homens foram maioria na depend?ncia de ?lcool; o sexo masculino teve 9,35 vezes a preval?ncia de depend?ncia de ?lcool atual e 12,81 vezes a preval?ncia de depend?ncia de ?lcool na vida quando comparado com o sexo feminino. Os idosos diagnosticados com depend?ncia de outras subst?ncias, epis?dios man?aco/hipoman?acos, transtorno de ansiedade generalizada e tabagismo foram mais prop?cios a ter depend?ncia de ?lcool quando comparados ?queles que n?o apresentaram tais transtornos. Conclus?o: Os transtornos cognitivos n?o foram associados com a depend?ncia de ?lcool. Alguns transtornos psiqui?tricos, entretanto, apresentaram associa??o com a depend?ncia de ?lcool atual e na vida, o que alerta para a import?ncia de um diagn?stico ao longo da vida desses transtornos nos idosos.