Depress?o maior de in?cio precoce ou tardio em idosos : um estudo comparativo
Ano de defesa: | 2012 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Pontif?cia Universidade Cat?lica do Rio Grande do Sul
|
Programa de Pós-Graduação: |
Programa de P?s-Gradua??o em Gerontologia Biom?dica
|
Departamento: |
Instituto de Geriatria e Gerontologia
|
País: |
BR
|
Palavras-chave em Português: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede2.pucrs.br/tede2/handle/tede/2682 |
Resumo: | Introduction : Major depression is one of the most relevant mental disorders in elderly. Some authors propose that the distinction between cases of early-onset and late-onset major depression is justified by differences in etiology, clinical picture and comorbidities. Such differences are still not clarified enough, and some disagreement among studies does exist. Objectives : To investigate the distinctive characteristics between elderly with early-onset and late-onset major depression with respect to sociodemographic factors, self-perceived health, cardiovascular risk factors, cognitive deficit, family history of depression, depressive symptoms, melancholic features, suicide risk and alcohol abuse/dependence. Methods : Cross-sectional, descriptive and analytic study, with prospective data collection, in an aleatory sample of 348 elderly (≥60 years old) of the Health Family Strategy, of which were identified 90 cases of DSM-IV unipolar major depression; subjects were divided according to early or late (≥60) age at onset of depression. Results : The prevalence of major depression in the whole sample was 25,86%. Depressive subjects were mainly of early-onset (69,14%) and of female sex (74,4%); the mean age in years was higher in the late-onset major depression group (p= 0,028); the groups did not differ with respect to the other evaluated factors; after multivariate analysis there was a trend toward a negative association between suicide risk and late-onset depression. Conclusion : The early or late age at onset of depressive symptoms was not associated with distinctive profiles, neither with respect to clinical picture, nor with respect to the risk factors. The results of this paper give support to the hypothesis that early and late-onset major depressive disorders are clinically undistinguishable and do not represent distinct pathologies or subtypes. |
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Cataldo Neto, AlfredoCPF:16734270068http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4704404Z8CPF:91582040087http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4441239Y7Ulrich, Luiz Eduardo Flores2015-04-14T13:53:50Z2012-10-242012-08-23ULRICH, Luiz Eduardo Flores. Depress?o maior de in?cio precoce ou tardio em idosos : um estudo comparativo. 2012. 155 f. Disserta??o (Mestrado em Gerontologia Biom?dica) - Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2012.http://tede2.pucrs.br/tede2/handle/tede/2682Introduction : Major depression is one of the most relevant mental disorders in elderly. Some authors propose that the distinction between cases of early-onset and late-onset major depression is justified by differences in etiology, clinical picture and comorbidities. Such differences are still not clarified enough, and some disagreement among studies does exist. Objectives : To investigate the distinctive characteristics between elderly with early-onset and late-onset major depression with respect to sociodemographic factors, self-perceived health, cardiovascular risk factors, cognitive deficit, family history of depression, depressive symptoms, melancholic features, suicide risk and alcohol abuse/dependence. Methods : Cross-sectional, descriptive and analytic study, with prospective data collection, in an aleatory sample of 348 elderly (≥60 years old) of the Health Family Strategy, of which were identified 90 cases of DSM-IV unipolar major depression; subjects were divided according to early or late (≥60) age at onset of depression. Results : The prevalence of major depression in the whole sample was 25,86%. Depressive subjects were mainly of early-onset (69,14%) and of female sex (74,4%); the mean age in years was higher in the late-onset major depression group (p= 0,028); the groups did not differ with respect to the other evaluated factors; after multivariate analysis there was a trend toward a negative association between suicide risk and late-onset depression. Conclusion : The early or late age at onset of depressive symptoms was not associated with distinctive profiles, neither with respect to clinical picture, nor with respect to the risk factors. The results of this paper give support to the hypothesis that early and late-onset major depressive disorders are clinically undistinguishable and do not represent distinct pathologies or subtypes.Introdu??o : A depress?o maior ? um dos transtornos mentais mais relevantes em idosos. Alguns autores prop?em que a distin??o entre casos de depress?o maior de in?cio precoce e de in?cio tardio ? justificada por diferen?as na etiologia, quadro cl?nico e comorbidades. Tais diferen?as ainda n?o est?o bem esclarecidas, havendo discord?ncias entre os estudos. Objetivos : Investigar as caracter?sticas distintivas entre idosos com depress?o maior de in?cio precoce e de in?cio tardio quanto a fatores sociodemogr?ficos, autopercep??o de sa?de, fatores de risco cardiovascular, d?ficit cognitivo, hist?ria familiar de depress?o, sintomas depressivos, caracter?sticas melanc?licas, risco de suic?dio e abuso/depend?ncia de ?lcool. M?todos : Estudo transversal descritivo e anal?tico, de coleta prospectiva, em uma amostra aleat?ria de 348 idosos (≥60 anos de idade) da Estrat?gia Sa?de da Fam?lia, dos quais foram identificados 90 casos de depress?o maior segundo crit?rios do DSM-IV; os sujeitos foram divididos de acordo com a idade de in?cio precoce ou tardia (≥60 anos) da depress?o. Resultados : A preval?ncia de depress?o maior na amostra total foi de 25,86%. Sujeitos deprimidos na maioria dos casos foram do grupo de in?cio precoce (69,14%) e pertencentes ao sexo feminino (74,4%); a m?dia de idade em anos foi maior para o grupo com depress?o maior de in?cio tardio (p= 0,028); os grupos n?o diferiram quanto aos demais fatores avaliados; ap?s an?lise multivariada, houve uma tend?ncia de associa??o negativa entre risco de suic?dio e depress?o de in?cio tardio. Conclus?o : A idade de in?cio precoce ou tardio dos sintomas depressivos n?o esteve associada a perfis distintos, nem quanto ao quadro cl?nico, nem quanto a fatores de risco. Os resultados deste trabalho d?o suporte ? hip?tese de que a depress?o maior de in?cio precoce e a de in?cio tardio s?o indistingu?veis clinicamente e n?o representam patologias ou subtipos distintos.Made available in DSpace on 2015-04-14T13:53:50Z (GMT). No. of bitstreams: 1 443025.pdf: 11289589 bytes, checksum: 05cc051d121493a0aa28c429a097b2f6 (MD5) Previous issue date: 2012-08-23application/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/11205/443025.pdf.jpgporPontif?cia Universidade Cat?lica do Rio Grande do SulPrograma de P?s-Gradua??o em Gerontologia Biom?dicaPUCRSBRInstituto de Geriatria e GerontologiaMEDICINAGERIATRIAGERONTOLOGIAIDOSOSENVELHECIMENTODEPRESS?OSUIC?DIOCNPQ::CIENCIAS DA SAUDE::MEDICINADepress?o maior de in?cio precoce ou tardio em idosos : um estudo comparativoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis44386614769531790335006002296420844541114010info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSTHUMBNAIL443025.pdf.jpg443025.pdf.jpgimage/jpeg3206http://tede2.pucrs.br/tede2/bitstream/tede/2682/3/443025.pdf.jpga2d6be51dd1cd3edf8c9dc9ea4a04186MD53TEXT443025.pdf.txt443025.pdf.txttext/plain149306http://tede2.pucrs.br/tede2/bitstream/tede/2682/2/443025.pdf.txt4541f12b1afbe145298ccb93dd1ad17fMD52ORIGINAL443025.pdfapplication/pdf11289589http://tede2.pucrs.br/tede2/bitstream/tede/2682/1/443025.pdf05cc051d121493a0aa28c429a097b2f6MD51tede/26822015-04-17 16:36:31.736oai:tede2.pucrs.br:tede/2682Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2015-04-17T19:36:31Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Depress?o maior de in?cio precoce ou tardio em idosos : um estudo comparativo |
title |
Depress?o maior de in?cio precoce ou tardio em idosos : um estudo comparativo |
spellingShingle |
Depress?o maior de in?cio precoce ou tardio em idosos : um estudo comparativo Ulrich, Luiz Eduardo Flores MEDICINA GERIATRIA GERONTOLOGIA IDOSOS ENVELHECIMENTO DEPRESS?O SUIC?DIO CNPQ::CIENCIAS DA SAUDE::MEDICINA |
title_short |
Depress?o maior de in?cio precoce ou tardio em idosos : um estudo comparativo |
title_full |
Depress?o maior de in?cio precoce ou tardio em idosos : um estudo comparativo |
title_fullStr |
Depress?o maior de in?cio precoce ou tardio em idosos : um estudo comparativo |
title_full_unstemmed |
Depress?o maior de in?cio precoce ou tardio em idosos : um estudo comparativo |
title_sort |
Depress?o maior de in?cio precoce ou tardio em idosos : um estudo comparativo |
author |
Ulrich, Luiz Eduardo Flores |
author_facet |
Ulrich, Luiz Eduardo Flores |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Cataldo Neto, Alfredo |
dc.contributor.advisor1ID.fl_str_mv |
CPF:16734270068 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4704404Z8 |
dc.contributor.authorID.fl_str_mv |
CPF:91582040087 |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4441239Y7 |
dc.contributor.author.fl_str_mv |
Ulrich, Luiz Eduardo Flores |
contributor_str_mv |
Cataldo Neto, Alfredo |
dc.subject.por.fl_str_mv |
MEDICINA GERIATRIA GERONTOLOGIA IDOSOS ENVELHECIMENTO DEPRESS?O SUIC?DIO |
topic |
MEDICINA GERIATRIA GERONTOLOGIA IDOSOS ENVELHECIMENTO DEPRESS?O SUIC?DIO CNPQ::CIENCIAS DA SAUDE::MEDICINA |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction : Major depression is one of the most relevant mental disorders in elderly. Some authors propose that the distinction between cases of early-onset and late-onset major depression is justified by differences in etiology, clinical picture and comorbidities. Such differences are still not clarified enough, and some disagreement among studies does exist. Objectives : To investigate the distinctive characteristics between elderly with early-onset and late-onset major depression with respect to sociodemographic factors, self-perceived health, cardiovascular risk factors, cognitive deficit, family history of depression, depressive symptoms, melancholic features, suicide risk and alcohol abuse/dependence. Methods : Cross-sectional, descriptive and analytic study, with prospective data collection, in an aleatory sample of 348 elderly (≥60 years old) of the Health Family Strategy, of which were identified 90 cases of DSM-IV unipolar major depression; subjects were divided according to early or late (≥60) age at onset of depression. Results : The prevalence of major depression in the whole sample was 25,86%. Depressive subjects were mainly of early-onset (69,14%) and of female sex (74,4%); the mean age in years was higher in the late-onset major depression group (p= 0,028); the groups did not differ with respect to the other evaluated factors; after multivariate analysis there was a trend toward a negative association between suicide risk and late-onset depression. Conclusion : The early or late age at onset of depressive symptoms was not associated with distinctive profiles, neither with respect to clinical picture, nor with respect to the risk factors. The results of this paper give support to the hypothesis that early and late-onset major depressive disorders are clinically undistinguishable and do not represent distinct pathologies or subtypes. |
publishDate |
2012 |
dc.date.available.fl_str_mv |
2012-10-24 |
dc.date.issued.fl_str_mv |
2012-08-23 |
dc.date.accessioned.fl_str_mv |
2015-04-14T13:53:50Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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ULRICH, Luiz Eduardo Flores. Depress?o maior de in?cio precoce ou tardio em idosos : um estudo comparativo. 2012. 155 f. Disserta??o (Mestrado em Gerontologia Biom?dica) - Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2012. |
dc.identifier.uri.fl_str_mv |
http://tede2.pucrs.br/tede2/handle/tede/2682 |
identifier_str_mv |
ULRICH, Luiz Eduardo Flores. Depress?o maior de in?cio precoce ou tardio em idosos : um estudo comparativo. 2012. 155 f. Disserta??o (Mestrado em Gerontologia Biom?dica) - Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2012. |
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http://tede2.pucrs.br/tede2/handle/tede/2682 |
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