Transtorno do estresse p?s traum?tico em idosos : preval?ncia e padr?es brasileiros nos cuidados prim?rios
Ano de defesa: | 2014 |
---|---|
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/2738 |
Resumo: | In 1900 , less than 1 % of the world population was older than 65 years, today rate exceeded 9.2% and it is believed that in 2050 the elderly are one fifth of that population. The prevalence data for mental disorders in older people vary widely , but a conservative estimate is that 25 % have significant psychiatric symptoms . The number of elderly mentally ill is estimated at about 9 million in 2000 . The expectation is that this number will increase to 20 million by mid- secular . The post-traumatic stress disorder is a psychiatric disease that has been increasing in recent years. This condition may worsen disability associated with physical diseases and cognitive disorders , increase health care costs and mortality . The aim of this study was to evaluate the prevalence of post traumatic stress disorder in a random sample of elderly served by the Family Health Program in Porto Alegre . The study is crosssectional with prospective data collection . The sample consisted of 576 elderly randomly selected 30 teams of the Family Health of the Municipality of Porto Alegre ( FHS / POA ) randomized stratified by District Management mode. For diagnoses, psychiatrists with experience in assessing elderly used the Brazilian version of the Mini International Neuropsychiatric Interview Plus 5.0.0 ( 5.0.0 MINI plus). Regarding the results : a total of 3.4 % ( n = 20 ) of the sample showed the elderly post traumatic stress disorder , 0.8 % ( n = 4 ) diagnosed after 41 years. Of this total , 2.3 % ( n = ) had more than one period of PTSD since the beginning of the case , 0.8 % ( n = 4 ) lasting up to 3 months , 4.9% ( n = 26 ) from 3 to 6 months and 4.9% ( n = 26 ) over 7 months duration . Among elderly patients with the disorder some significant associations may be highlighted : aged 60-69 years ( 4.8% , P = 0.046 ), separated marital status ( 7.5 %, P = 0.020 ) and the number of residents in home ( 5.5 %, P = 0.013 ) . In this study we noticed a high mental distress in these individuals could be identified and evaluated predictors through the analyzes. The findings of this study are disturbing , being necessary to be replicated in other localities and samples . |
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Cataldo Neto, AlfredoCPF:16734270068http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4704404Z8CPF:80530028034http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4421125E4Mello, Elisa Fasolin2015-04-14T13:54:11Z2014-08-112014-03-17MELLO, Elisa Fasolin. Transtorno do estresse p?s traum?tico em idosos : preval?ncia e padr?es brasileiros nos cuidados prim?rios. 2014. 18 f. Disserta??o (Mestrado em Gerontologia Biom?dica) - Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2014.http://tede2.pucrs.br/tede2/handle/tede/2738In 1900 , less than 1 % of the world population was older than 65 years, today rate exceeded 9.2% and it is believed that in 2050 the elderly are one fifth of that population. The prevalence data for mental disorders in older people vary widely , but a conservative estimate is that 25 % have significant psychiatric symptoms . The number of elderly mentally ill is estimated at about 9 million in 2000 . The expectation is that this number will increase to 20 million by mid- secular . The post-traumatic stress disorder is a psychiatric disease that has been increasing in recent years. This condition may worsen disability associated with physical diseases and cognitive disorders , increase health care costs and mortality . The aim of this study was to evaluate the prevalence of post traumatic stress disorder in a random sample of elderly served by the Family Health Program in Porto Alegre . The study is crosssectional with prospective data collection . The sample consisted of 576 elderly randomly selected 30 teams of the Family Health of the Municipality of Porto Alegre ( FHS / POA ) randomized stratified by District Management mode. For diagnoses, psychiatrists with experience in assessing elderly used the Brazilian version of the Mini International Neuropsychiatric Interview Plus 5.0.0 ( 5.0.0 MINI plus). Regarding the results : a total of 3.4 % ( n = 20 ) of the sample showed the elderly post traumatic stress disorder , 0.8 % ( n = 4 ) diagnosed after 41 years. Of this total , 2.3 % ( n = ) had more than one period of PTSD since the beginning of the case , 0.8 % ( n = 4 ) lasting up to 3 months , 4.9% ( n = 26 ) from 3 to 6 months and 4.9% ( n = 26 ) over 7 months duration . Among elderly patients with the disorder some significant associations may be highlighted : aged 60-69 years ( 4.8% , P = 0.046 ), separated marital status ( 7.5 %, P = 0.020 ) and the number of residents in home ( 5.5 %, P = 0.013 ) . In this study we noticed a high mental distress in these individuals could be identified and evaluated predictors through the analyzes. The findings of this study are disturbing , being necessary to be replicated in other localities and samples .No ano de 1900, menos de 1% da popula??o mundial tinha mais de 65 anos de idade, hoje esta cifra supera 9,2% e acredita-se que em 2050 os idosos sejam um quinto desta popula??o. Os dados de preval?ncia para transtornos mentais em pessoas idosas variam bastante, mas uma estimativa conservadora ? de que 25% t?m sintomas psiqui?tricos significativos. O n?mero de pessoas idosas mentalmente doentes foi estimado em cerca de 9 milh?es no ano de 2000. A expectativa ? de que esse n?mero aumente para 20 milh?es na metade deste s?culo . O transtorno do estresse p?s traum?tico ? uma doen?a psiqui?trica que vem aumentando nos ?ltimos anos. Esta patologia pode acentuar a incapacidade associada a doen?as f?sicas e transtornos cognitivos, aumentar os custos com cuidados de sa?de e mortalidade. O objetivo do presente estudo foi avaliar a preval?ncia do Transtorno do Estresse p?s traum?tico (TEPT) em uma amostra aleat?ria de idosos atendidos pela Estrat?gia Sa?de da Fam?lia (ESF) de Porto Alegre. O estudo ? do tipo transversal com coleta prospectiva. A amostra constituiu-se de 576 idosos randomicamente selecionados de 30 Equipes de Sa?de da Fam?lia do Munic?pio de Porto Alegre (ESF/POA) sorteadas de modo estratificado por Ger?ncia Distrital. Para os diagn?sticos, psiquiatras com experi?ncia na avalia??o de idosos utilizaram a vers?o brasileira do Mini International Neuropsychiatric Interview 5.0.0 plus (M.I.N.I. 5.0.0 plus). Em rela??o aos resultados: um total de 3.4% (n=20) dos idosos da amostra apresentaram o transtorno do estresse p?s traum?tico, 2.4%(n= 14) com diagn?stico ap?s os 60 anos. Desse total, 2.4% (n= 14) apresentaram mais de 1 per?odo de TEPT desde o inicio do quadro, 1.5%(n= 9) com dura??o de at? 3 meses, 1.4%(n= 8) de 3 a 6 meses e 0.9%(n= 5) com mais de 7 meses de dura??o. Dentre os idosos que apresentaram o transtorno, algumas associa??es significativas podem ser destacadas: faixa et?ria de 60-69 anos (4,8%; p=0,046), estado civil separado (7,5%; p=0,020) e o n?mero de moradores na casa (5,5%; p=0,013). Neste estudo notou-se uma significativa preval?ncia do transtorno no idoso e foi poss?vel identificar fatores preditores atrav?s das an?lises realizadas. Os achados do presente trabalho s?o preocupantes, sendo necess?rio serem reproduzidos em outras localidades e amostras.Made available in DSpace on 2015-04-14T13:54:11Z (GMT). No. of bitstreams: 1 460168.pdf: 165034 bytes, checksum: 9396aa6d020a031f2573460beab361ae (MD5) Previous issue date: 2014-03-17application/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/11334/460168.pdf.jpgporPontif?cia Universidade Cat?lica do Rio Grande do SulPrograma de P?s-Gradua??o em Gerontologia Biom?dicaPUCRSBRInstituto de Geriatria e GerontologiaMEDICINAGERONTOLOGIATRANSTORNO DE ESTRESSE P?S-TRAUM?TICOENVELHECIMENTOIDOSOSCNPQ::CIENCIAS DA SAUDE::MEDICINATranstorno do estresse p?s traum?tico em idosos : preval?ncia e padr?es brasileiros nos cuidados prim?riosinfo: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_RSTHUMBNAIL460168.pdf.jpg460168.pdf.jpgimage/jpeg3975http://tede2.pucrs.br/tede2/bitstream/tede/2738/3/460168.pdf.jpg3f6f592411f25afd7f0ca69bd8c9f881MD53TEXT460168.pdf.txt460168.pdf.txttext/plain23468http://tede2.pucrs.br/tede2/bitstream/tede/2738/2/460168.pdf.txt1327dbb123e22a90bdf9e4ec647a523bMD52ORIGINAL460168.pdfapplication/pdf165034http://tede2.pucrs.br/tede2/bitstream/tede/2738/1/460168.pdf9396aa6d020a031f2573460beab361aeMD51tede/27382015-04-17 16:36:32.112oai:tede2.pucrs.br:tede/2738Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2015-04-17T19:36:32Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Transtorno do estresse p?s traum?tico em idosos : preval?ncia e padr?es brasileiros nos cuidados prim?rios |
title |
Transtorno do estresse p?s traum?tico em idosos : preval?ncia e padr?es brasileiros nos cuidados prim?rios |
spellingShingle |
Transtorno do estresse p?s traum?tico em idosos : preval?ncia e padr?es brasileiros nos cuidados prim?rios Mello, Elisa Fasolin MEDICINA GERONTOLOGIA TRANSTORNO DE ESTRESSE P?S-TRAUM?TICO ENVELHECIMENTO IDOSOS CNPQ::CIENCIAS DA SAUDE::MEDICINA |
title_short |
Transtorno do estresse p?s traum?tico em idosos : preval?ncia e padr?es brasileiros nos cuidados prim?rios |
title_full |
Transtorno do estresse p?s traum?tico em idosos : preval?ncia e padr?es brasileiros nos cuidados prim?rios |
title_fullStr |
Transtorno do estresse p?s traum?tico em idosos : preval?ncia e padr?es brasileiros nos cuidados prim?rios |
title_full_unstemmed |
Transtorno do estresse p?s traum?tico em idosos : preval?ncia e padr?es brasileiros nos cuidados prim?rios |
title_sort |
Transtorno do estresse p?s traum?tico em idosos : preval?ncia e padr?es brasileiros nos cuidados prim?rios |
author |
Mello, Elisa Fasolin |
author_facet |
Mello, Elisa Fasolin |
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:80530028034 |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4421125E4 |
dc.contributor.author.fl_str_mv |
Mello, Elisa Fasolin |
contributor_str_mv |
Cataldo Neto, Alfredo |
dc.subject.por.fl_str_mv |
MEDICINA GERONTOLOGIA TRANSTORNO DE ESTRESSE P?S-TRAUM?TICO ENVELHECIMENTO IDOSOS |
topic |
MEDICINA GERONTOLOGIA TRANSTORNO DE ESTRESSE P?S-TRAUM?TICO ENVELHECIMENTO IDOSOS CNPQ::CIENCIAS DA SAUDE::MEDICINA |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::MEDICINA |
description |
In 1900 , less than 1 % of the world population was older than 65 years, today rate exceeded 9.2% and it is believed that in 2050 the elderly are one fifth of that population. The prevalence data for mental disorders in older people vary widely , but a conservative estimate is that 25 % have significant psychiatric symptoms . The number of elderly mentally ill is estimated at about 9 million in 2000 . The expectation is that this number will increase to 20 million by mid- secular . The post-traumatic stress disorder is a psychiatric disease that has been increasing in recent years. This condition may worsen disability associated with physical diseases and cognitive disorders , increase health care costs and mortality . The aim of this study was to evaluate the prevalence of post traumatic stress disorder in a random sample of elderly served by the Family Health Program in Porto Alegre . The study is crosssectional with prospective data collection . The sample consisted of 576 elderly randomly selected 30 teams of the Family Health of the Municipality of Porto Alegre ( FHS / POA ) randomized stratified by District Management mode. For diagnoses, psychiatrists with experience in assessing elderly used the Brazilian version of the Mini International Neuropsychiatric Interview Plus 5.0.0 ( 5.0.0 MINI plus). Regarding the results : a total of 3.4 % ( n = 20 ) of the sample showed the elderly post traumatic stress disorder , 0.8 % ( n = 4 ) diagnosed after 41 years. Of this total , 2.3 % ( n = ) had more than one period of PTSD since the beginning of the case , 0.8 % ( n = 4 ) lasting up to 3 months , 4.9% ( n = 26 ) from 3 to 6 months and 4.9% ( n = 26 ) over 7 months duration . Among elderly patients with the disorder some significant associations may be highlighted : aged 60-69 years ( 4.8% , P = 0.046 ), separated marital status ( 7.5 %, P = 0.020 ) and the number of residents in home ( 5.5 %, P = 0.013 ) . In this study we noticed a high mental distress in these individuals could be identified and evaluated predictors through the analyzes. The findings of this study are disturbing , being necessary to be replicated in other localities and samples . |
publishDate |
2014 |
dc.date.available.fl_str_mv |
2014-08-11 |
dc.date.issued.fl_str_mv |
2014-03-17 |
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2015-04-14T13:54:11Z |
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MELLO, Elisa Fasolin. Transtorno do estresse p?s traum?tico em idosos : preval?ncia e padr?es brasileiros nos cuidados prim?rios. 2014. 18 f. Disserta??o (Mestrado em Gerontologia Biom?dica) - Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2014. |
dc.identifier.uri.fl_str_mv |
http://tede2.pucrs.br/tede2/handle/tede/2738 |
identifier_str_mv |
MELLO, Elisa Fasolin. Transtorno do estresse p?s traum?tico em idosos : preval?ncia e padr?es brasileiros nos cuidados prim?rios. 2014. 18 f. Disserta??o (Mestrado em Gerontologia Biom?dica) - Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2014. |
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