Submitted by Viviane Lima da Cunha (viviane@biblioteca.ufpb.br) on 2016-01-27T13:18:21Z No. of bitstreams: 1 arquivototal.pdf: 1416510 bytes, checksum: e98d5ef2515c2e25d5f2879cc5c9024e (MD5) / Made available in DSpace on 2016-01-27T13:18:21Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 1416510 bytes, checksum: e98d5ef2515c2e25d5f2879cc5c9024e (MD5) Previous issue date: 2015-04-30 / A number of studies have indicated that healthy elderly show subjective memory complaints, something whose meaning is not fully understood yet. The present research has aimed to analyze the neurocognitive profile of healthy elderly with or without memory complaints. The research was carried out with 69 healthy elderly aged around 66 years (DP = 5.86), divided into two groups: the ones who reported worsening of their memories over the last five years and the ones who did not. The results indicated higher impairment of prospective than retrospective memory. The study showed that the subjective memory complaints are strongly related to the symptoms of depression and anxiety. The elderly who reported worsening of memory have a higher degree of depression than the ones who did not report memory problems and do not have anxiety symptoms. It is concluded that the affective components may be better predictors of subjective memory complaints than the cognitive components. / Muitos estudos têm indicado que idosos saudáveis apresentam queixas subjetivas de memória, não sendo ainda bem compreendido o seu significado. A presente pesquisa teve por objetivo analisar o perfil neurocognitivo de idosos saudáveis com ou sem queixas de memória. Participaram 69 idosos saudáveis com idade média de 66 anos (DP = 5,86), divididos em dois grupos: os que relataram piora de suas memórias nos últimos cinco anos e os que não relataram. Os resultados indicaram maior comprometimento na memória prospectiva que retrospectiva. O estudo mostrou que as queixas subjetivas de memória estão fortemente relacionadas aos sintomas de depressão e ansiedade. Os idosos que relataram piora de memória possuem um grau de depressão maior do que os que não relataram problemas de memória e não possuem sintomas de ansiedade. Conclui-se que os componentes afetivos podem ser melhores preditores das queixas subjetivas de memória do que os componentes cognitivos.

Submitted by Alison Vanceto (alison-vanceto@hotmail.com) on 2017-05-02T11:34:23Z No. of bitstreams: 1 DissMLA.pdf: 1498492 bytes, checksum: a86fb09f8bdcd3334a09629eea1dc03d (MD5) / Approved for entry into archive by Ronildo Prado (ronisp@ufscar.br) on 2017-05-03T11:45:44Z (GMT) No. of bitstreams: 1 DissMLA.pdf: 1498492 bytes, checksum: a86fb09f8bdcd3334a09629eea1dc03d (MD5) / Approved for entry into archive by Ronildo Prado (ronisp@ufscar.br) on 2017-05-04T13:18:50Z (GMT) No. of bitstreams: 1 DissMLA.pdf: 1498492 bytes, checksum: a86fb09f8bdcd3334a09629eea1dc03d (MD5) / Made available in DSpace on 2017-05-04T13:23:35Z (GMT). No. of bitstreams: 1 DissMLA.pdf: 1498492 bytes, checksum: a86fb09f8bdcd3334a09629eea1dc03d (MD5) Previous issue date: 2016-02-15 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / There is a wide divergence of results in the literature on the clinical relevance and the etiology of memory complaints (MC). Currently QM is being studied as pre-clinical symptom of Alzheimer's disease before a possible CCL setting. Our hypothesis is that MC may be associated with lower performance on cognitive tests or a low self-rated health. Objective. To investigate the relationship among MC in elderly patients with objective cognitive impairment and self-rated health. Method. This was a cross-sectional, correlational and quantitative study. The instruments used were the Memory Complaint Scale (MCS) - forms A and B, Addenbrooke’s Cognitive Examination – Revised (CEA-R), Mini-Mental State Examination (MMSE), Clock Drawing Test (CDT), Medical Outcomes Study 8-item Short-Form Heath Survey, Geriatric Depression Scale and a sociodemographic questionnaire. Results. Participated in this study 83 subjects, divided between the two forms of MCS evaluation scale. Sociodemographic groups were very similar, with no significant differences with MC. According to MCS-A, there was a significant association only with the CDT. MCS-B was associated with ACE-R and its domains memory, fluency and visual spatial orientation?. A ROC curve was drawn from the results of MCS-B in relation to the ACE-R and MMSE, demonstrating the high specificity of the instrument. Conclusion. In this study it was not found robust results with MC reported by the elderly and changes in cognitive screening tests. However, when the informant reported the complaint, the analysis with cognitive performance levels were more consolidated. This results highligh the need to include and empower perception of someone who knows enough the elderly to assess the MC globally. / Introdução. Existe uma grande divergência de resultados na literatura quanto à relevância clínica e à etiologia da queixa de memória (QM). Atualmente a QM vem sendo estudada como sintoma pré-clínico da doença de Alzheimer, antes de se instalar um possível quadro de CCL. A hipótese deste estudo é que a QM pode estar associada a um desempenho inferior nos testes cognitivos ou a uma baixa autopercepção de saúde. Objetivo. Investigar a relação da QM em idosos com alterações cognitivas objetivas e autopercepção da saúde. Método. Tratou-se de um estudo transversal, correlacional e de caráter quantitativo. Os instrumentos aplicados foram a Escala de Queixa de Memória – formas A e B, Exame Cognitivo de Addenbrooke – Revisado, Mini-Exame do Estado Mental, Teste do Desenho do Relógio, Medical Outcomes Study 8-item Short-Form Heath Survey, Escala de Depressão Geriátrica e um questionário sociodemográfico. Resultados. Participaram da pesquisa 83 sujeitos, divididos entre as formas de avaliação da EQM para as análises. Com relação às variáveis sociodemográficas os grupos foram muito semelhantes, não havendo diferenças significativas com a QM. De acordo com a EQM-A, houve associação significativa apenas com o TDR. A EQM-B apresentou associação com a ACE-R total e os domínios memória, fluência e visual espacial. Foi elaborada uma curva ROC a partir dos resultados da EQM-B em relação à ACE-R e ao MEEM, demonstrando alta especificidade do instrumento. Conclusão. Neste estudo não foram encontrados resultados tão robustos com a QM relatada pelo idoso e alterações nos testes de rastreio cognitivo. Contudo, quando o informante relatou a queixa, as análises com os níveis de desempenho cognitivo mostraram-se mais consolidadas, evidenciando a necessidade da inclusão e valorização da percepção de alguém que conheça suficientemente o idoso para avaliar a QM de forma global.

No description available.

Contexte : La plainte subjective de mémoire correspond à la perception de difficultés de mémoire par le sujet, alors que les performances mnésiques objectives, évaluées par un bilan neuropsychologique, sont normales. Notre recherche visait premièrement à identifier les déterminants psychologiques de la plainte subjective de mémoire et deuxièmement, à évaluer les effets d'un programme psychoéducatif dédié à cette plainte, le programme PrévMém. Méthodologie : Les participants, qui tous se plaignaient de leur mémoire, ont été recrutés soit par les neurologues d'un service spécialisé dans la mémoire, soit par le biais d'une complémentaire santé. Un bilan neuropsychologique permettait de confirmer l'absence de troubles objectifs de mémoire. Des évaluations psychologiques (plainte de mémoire, métamémoire, dépression, anxiété, schémas précoces inadaptés de Young) par auto-questionnaires informatisés ont eu lieu avant le programme (n=144), à la fin du programme (n= 104) puis un an après la fin de celui-ci (n=34). Un bilan neuropsychologique était à nouveau réalisé un an après la fin du programme. Le programme PrévMém consistait en 5 séances de deux heures en groupe, à raison d'une séance par semaine animées par différents professionnels de santé. Résultats : A l'entrée du programme, les facteurs les plus prédictifs de la plainte de mémoire étaient les schémas de Young, en particulier celui de dépendance / incompétence. De plus, les personnes qui ont été recrutées par le biais d'une consultation dans un service hospitalier spécialisé, se distinguaient des autres par un niveau plus élevé de plainte de mémoire et de symptomatologie anxio-dépressive. Le programme PrévMém a permis de diminuer significativement le niveau de plainte de mémoire, le perfectionnisme mnésique et les inquiétudes envers la maladie d'Alzheimer. Conclusion : Notre étude a confirmé l'influence des facteurs psychologiques sur la plainte de mémoire et a mis en lumière la valeur prédictive du schéma cognitif dépendance / incompétence. Elle a également montré l'intérêt d'une prise en charge psychoéducative. Les résultats suggèrent d'introduire, dans de futures interventions psychothérapeutiques, un travail cognitif ciblé sur ce schéma de dépendance / incompétence. / Background: Subjective memory complaint refers to self-experienced memory difficulties while having normal performances on standardized neuropsychological tests. Our study aimed firstly to identify the psychological predictors of subjective memory complaint and secondly to assess the effects of a psychoeducational program dedicated to this complaint, the PrévMém program. Methods: The participants, who all voiced a memory complaint, were recruited either by neurologists from a memory clinic, or through a health insurance plan. A neuropsychological assessment was performed to confirm the absence of memory impairment. The participants were administered computerized self-report psychological assessments (memory complaint, metacognition, depression, anxiety, Young early maladaptive schemas) before the program (n = 144), at the end of the program (n = 104), and finally one year later (n = 34). Another neuropsychological assessment was also performed one year after the end of the program. The PrévMém program consisted of 5 weekly 120-minute sessions, in a group setting, led by different health professionals. Results: At the time of entrance into the program, the best determinants of subjective memory complaint were the Young early maladaptive schemas, more specifically that measuring dependence /incompetence. In addition, participants who were recruited through the memory clinic differed from the others in that they showed a higher level of memory complaint and a higher level of anxiety and depression. The PrévMém program significantly reduced the memory complaint, memory "perfectionism" and concerns towards Alzheimer's disease. Conclusion: Our study confirmed the influence of psychological factors on memory complaints and highlighted the predictive value of the dependence / incompetence cognitive schema. It also underscores the value of a psychoeducational intervention. Our results suggest that it may be worthwhile to introduce cognitive restructuring that targets the schema of dependence/incompetence in future psychotherapeutic interventions.