Preval?ncia de transtorno do humor bipolar em uma amostra de idosos atendidos no programa sa?de da fam?lia do munic?pio de Porto Alegre
Ano de defesa: | 2015 |
---|---|
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: |
Brasil
|
Palavras-chave em Português: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede2.pucrs.br/tede2/handle/tede/6094 |
Resumo: | In recent years, there have been significant changes in the socioeconomic and health conditions of the population and hence the demographic structure, resulting in a significant growth of the elderly population and causing an increased risk of acquiring neurological and psychiatric diseases. Among the psychiatric illness, bipolar disorder is responsible for a significant portion of the functional impairment around the world. However, international data show that affective disorders have a prevalence of approximately 11.3% of the population, or up to 25% of the elderly. Furthermore, it is one of the diseases that generates and social losses in family relationships, which can lead to suicide in approximately 15% of patients. The aim of this study was to evaluate the prevalence of Bipolar Affective Disorder (BD) in a random sample of elderly attended by the Family Health Strategy (Estrat?gia Sa?de da Fam?lia, ESF) in Porto Alegre. The study is cross-sectional with prospective data collection. The sample consisted of 550 randomly selected elderly 30 Family Health Teams in the Municipality of Porto Alegre (ESF / POA) randomized stratified mode for district. For diagnoses, psychiatrists with experience in assessment of older adults used the diagnostic criteria of DSM-5. Regarding the results: a total of 5.8% (n = 32) of the sample subjects presented the Bipolar Affective Disorder, 59.4% (n = 19) diagnosed with type I and 40.6% (n = 13 ) type II. Of this total, 1.5% (n = 8) have current frame TAB and 4.4% (n = 24) TAB board in the past. Among seniors who had the disorder, some significant associations can be highlighted: with suicide attempt in life (21.6%; p = 0.001) with the risk of suicide (15.7%; p = 0.001) and an association borderline between the elderly having a partner with TAB (8.3%; p = 0.053). Variables associated with THB are female, having a partner and suicide risk. In this study, there has been a significant prevalence of the disorder in the elderly and it was possible to identify predictors through analyzes.The findings of this study are worrisome, if need be replicated in other locations and samples. |
id |
P_RS_d7b02518f60b36a5f3aab5e9fb8fb5ac |
---|---|
oai_identifier_str |
oai:tede2.pucrs.br:tede/6094 |
network_acronym_str |
P_RS |
network_name_str |
Biblioteca Digital de Teses e Dissertações da PUC_RS |
repository_id_str |
|
spelling |
Cataldo Neto, Alfredo167.342.700.68http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4704404Z8007.322.700.57http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4208972U6Porci?ncula, Let?cia Rodrigues2015-06-03T17:21:09Z2015-03-20http://tede2.pucrs.br/tede2/handle/tede/6094In recent years, there have been significant changes in the socioeconomic and health conditions of the population and hence the demographic structure, resulting in a significant growth of the elderly population and causing an increased risk of acquiring neurological and psychiatric diseases. Among the psychiatric illness, bipolar disorder is responsible for a significant portion of the functional impairment around the world. However, international data show that affective disorders have a prevalence of approximately 11.3% of the population, or up to 25% of the elderly. Furthermore, it is one of the diseases that generates and social losses in family relationships, which can lead to suicide in approximately 15% of patients. The aim of this study was to evaluate the prevalence of Bipolar Affective Disorder (BD) in a random sample of elderly attended by the Family Health Strategy (Estrat?gia Sa?de da Fam?lia, ESF) in Porto Alegre. The study is cross-sectional with prospective data collection. The sample consisted of 550 randomly selected elderly 30 Family Health Teams in the Municipality of Porto Alegre (ESF / POA) randomized stratified mode for district. For diagnoses, psychiatrists with experience in assessment of older adults used the diagnostic criteria of DSM-5. Regarding the results: a total of 5.8% (n = 32) of the sample subjects presented the Bipolar Affective Disorder, 59.4% (n = 19) diagnosed with type I and 40.6% (n = 13 ) type II. Of this total, 1.5% (n = 8) have current frame TAB and 4.4% (n = 24) TAB board in the past. Among seniors who had the disorder, some significant associations can be highlighted: with suicide attempt in life (21.6%; p = 0.001) with the risk of suicide (15.7%; p = 0.001) and an association borderline between the elderly having a partner with TAB (8.3%; p = 0.053). Variables associated with THB are female, having a partner and suicide risk. In this study, there has been a significant prevalence of the disorder in the elderly and it was possible to identify predictors through analyzes.The findings of this study are worrisome, if need be replicated in other locations and samples.Nos ?ltimos anos, ocorreram modifica??es significativas nas condi??es socioecon?micas e de sa?de da popula??o mundial e, consequentemente, na estrutura demogr?fica, acarretando um crescimento expressivo da popula??o idosa e provocando um aumento do risco de adquirir doen?as neurol?gicas e psiqui?tricas. Dentre as doen?as psiqui?tricas, o transtorno bipolar ? respons?vel por importante parcela do preju?zo funcional ao redor do mundo. Contudo, dados internacionais mostram que os transtornos afetivos t?m uma preval?ncia de, aproximadamente, 11,3% da popula??o, podendo atingir 25% dos idosos. Al?m disso, ? uma das doen?as que mais gera perdas sociais e nos relacionamentos familiares, podendo levar ao suic?dio em, aproximadamente, 15% dos pacientes. O objetivo do presente estudo foi avaliar a preval?ncia do Transtorno Afetivo Bipolar (TAB) 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 constituiuse de 550 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 os crit?rios diagn?sticos de DSM-5. Em rela??o aos resultados: um total de 5,8% (n=32) dos idosos da amostra apresentaram o Transtorno Afetivo Bipolar, 59,4%( n= 19) com diagn?stico do tipo I e 40,6% (n=13) do tipo II. Desse total, 1,5% (n= 8) apresentam quadro atual de TAB e 4,4% (n= 24) quadro de TAB no passado. Dentre os idosos que apresentaram o transtorno, algumas associa??es significativas podem ser destacadas: entre tentativa de suic?dio na vida (21,6%; p=0,001), entre o risco de suic?dio (15,7%; p=0,001) e uma associa??o lim?trofe entre o idoso ter companheiro com TAB (8,3%; p= 0,053). Vari?veis associadas ao THB s?o sexo feminino, ter companheiro e risco de suic?dio. Neste estudo, notou-se uma significativa preval?ncia do transtorno no idoso e foi poss?vel identificar fatores preditores por meio das an?lises realizadas. Os achados do presente trabalho s?o preocupantes, sendo necess?rio serem reproduzidos em outras localidades e amostras.Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2015-06-03T17:21:09Z No. of bitstreams: 1 469956 - Texto Parcial.pdf: 108495 bytes, checksum: b30cb1fb39e91dfd223ddaf3ce7c9496 (MD5)Made available in DSpace on 2015-06-03T17:21:09Z (GMT). No. of bitstreams: 1 469956 - Texto Parcial.pdf: 108495 bytes, checksum: b30cb1fb39e91dfd223ddaf3ce7c9496 (MD5) Previous issue date: 2015-03-20application/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/162874/469956%20-%20Texto%20Parcial.pdf.jpgporPontif?cia Universidade Cat?lica do Rio Grande do SulPrograma de P?s-Gradua??o em Gerontologia Biom?dicaPUCRSBrasilInstituto de Geriatria e GerontologiaMEDICINAGERONTOLOGIAGERIATRIAENVELHECIMENTOIDOSOSTRANSTORNOS MENTAISTRANSTORNO BIPOLARSA?DE DA FAM?LIACIENCIAS DA SAUDE::MEDICINAPreval?ncia de transtorno do humor bipolar em uma amostra de idosos atendidos no programa sa?de da fam?lia do munic?pio de Porto Alegreinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis44386614769531790336006006002296420844541114010-969369452308786627info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSTHUMBNAIL469956 - Texto Parcial.pdf.jpg469956 - Texto Parcial.pdf.jpgimage/jpeg3814http://tede2.pucrs.br/tede2/bitstream/tede/6094/4/469956+-+Texto+Parcial.pdf.jpg30a00aec4f8c7e3e9cd66c98126c7b91MD54TEXT469956 - Texto Parcial.pdf.txt469956 - Texto Parcial.pdf.txttext/plain25079http://tede2.pucrs.br/tede2/bitstream/tede/6094/3/469956+-+Texto+Parcial.pdf.txt0bb49ba5a66e281e7ce2f249f6cb3b5bMD53ORIGINAL469956 - Texto Parcial.pdf469956 - Texto Parcial.pdfapplication/pdf108495http://tede2.pucrs.br/tede2/bitstream/tede/6094/2/469956+-+Texto+Parcial.pdfb30cb1fb39e91dfd223ddaf3ce7c9496MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8610http://tede2.pucrs.br/tede2/bitstream/tede/6094/1/license.txt5a9d6006225b368ef605ba16b4f6d1beMD51tede/60942015-09-29 08:23:50.682oai:tede2.pucrs.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2015-09-29T11:23:50Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Preval?ncia de transtorno do humor bipolar em uma amostra de idosos atendidos no programa sa?de da fam?lia do munic?pio de Porto Alegre |
title |
Preval?ncia de transtorno do humor bipolar em uma amostra de idosos atendidos no programa sa?de da fam?lia do munic?pio de Porto Alegre |
spellingShingle |
Preval?ncia de transtorno do humor bipolar em uma amostra de idosos atendidos no programa sa?de da fam?lia do munic?pio de Porto Alegre Porci?ncula, Let?cia Rodrigues MEDICINA GERONTOLOGIA GERIATRIA ENVELHECIMENTO IDOSOS TRANSTORNOS MENTAIS TRANSTORNO BIPOLAR SA?DE DA FAM?LIA CIENCIAS DA SAUDE::MEDICINA |
title_short |
Preval?ncia de transtorno do humor bipolar em uma amostra de idosos atendidos no programa sa?de da fam?lia do munic?pio de Porto Alegre |
title_full |
Preval?ncia de transtorno do humor bipolar em uma amostra de idosos atendidos no programa sa?de da fam?lia do munic?pio de Porto Alegre |
title_fullStr |
Preval?ncia de transtorno do humor bipolar em uma amostra de idosos atendidos no programa sa?de da fam?lia do munic?pio de Porto Alegre |
title_full_unstemmed |
Preval?ncia de transtorno do humor bipolar em uma amostra de idosos atendidos no programa sa?de da fam?lia do munic?pio de Porto Alegre |
title_sort |
Preval?ncia de transtorno do humor bipolar em uma amostra de idosos atendidos no programa sa?de da fam?lia do munic?pio de Porto Alegre |
author |
Porci?ncula, Let?cia Rodrigues |
author_facet |
Porci?ncula, Let?cia Rodrigues |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Cataldo Neto, Alfredo |
dc.contributor.advisor1ID.fl_str_mv |
167.342.700.68 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4704404Z8 |
dc.contributor.authorID.fl_str_mv |
007.322.700.57 |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4208972U6 |
dc.contributor.author.fl_str_mv |
Porci?ncula, Let?cia Rodrigues |
contributor_str_mv |
Cataldo Neto, Alfredo |
dc.subject.por.fl_str_mv |
MEDICINA GERONTOLOGIA GERIATRIA ENVELHECIMENTO IDOSOS TRANSTORNOS MENTAIS TRANSTORNO BIPOLAR SA?DE DA FAM?LIA |
topic |
MEDICINA GERONTOLOGIA GERIATRIA ENVELHECIMENTO IDOSOS TRANSTORNOS MENTAIS TRANSTORNO BIPOLAR SA?DE DA FAM?LIA CIENCIAS DA SAUDE::MEDICINA |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
In recent years, there have been significant changes in the socioeconomic and health conditions of the population and hence the demographic structure, resulting in a significant growth of the elderly population and causing an increased risk of acquiring neurological and psychiatric diseases. Among the psychiatric illness, bipolar disorder is responsible for a significant portion of the functional impairment around the world. However, international data show that affective disorders have a prevalence of approximately 11.3% of the population, or up to 25% of the elderly. Furthermore, it is one of the diseases that generates and social losses in family relationships, which can lead to suicide in approximately 15% of patients. The aim of this study was to evaluate the prevalence of Bipolar Affective Disorder (BD) in a random sample of elderly attended by the Family Health Strategy (Estrat?gia Sa?de da Fam?lia, ESF) in Porto Alegre. The study is cross-sectional with prospective data collection. The sample consisted of 550 randomly selected elderly 30 Family Health Teams in the Municipality of Porto Alegre (ESF / POA) randomized stratified mode for district. For diagnoses, psychiatrists with experience in assessment of older adults used the diagnostic criteria of DSM-5. Regarding the results: a total of 5.8% (n = 32) of the sample subjects presented the Bipolar Affective Disorder, 59.4% (n = 19) diagnosed with type I and 40.6% (n = 13 ) type II. Of this total, 1.5% (n = 8) have current frame TAB and 4.4% (n = 24) TAB board in the past. Among seniors who had the disorder, some significant associations can be highlighted: with suicide attempt in life (21.6%; p = 0.001) with the risk of suicide (15.7%; p = 0.001) and an association borderline between the elderly having a partner with TAB (8.3%; p = 0.053). Variables associated with THB are female, having a partner and suicide risk. In this study, there has been a significant prevalence of the disorder in the elderly and it was possible to identify predictors through analyzes.The findings of this study are worrisome, if need be replicated in other locations and samples. |
publishDate |
2015 |
dc.date.accessioned.fl_str_mv |
2015-06-03T17:21:09Z |
dc.date.issued.fl_str_mv |
2015-03-20 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://tede2.pucrs.br/tede2/handle/tede/6094 |
url |
http://tede2.pucrs.br/tede2/handle/tede/6094 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
4438661476953179033 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
2296420844541114010 |
dc.relation.cnpq.fl_str_mv |
-969369452308786627 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
dc.publisher.program.fl_str_mv |
Programa de P?s-Gradua??o em Gerontologia Biom?dica |
dc.publisher.initials.fl_str_mv |
PUCRS |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Instituto de Geriatria e Gerontologia |
publisher.none.fl_str_mv |
Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Biblioteca Digital de Teses e Dissertações da PUC_RS |
collection |
Biblioteca Digital de Teses e Dissertações da PUC_RS |
bitstream.url.fl_str_mv |
http://tede2.pucrs.br/tede2/bitstream/tede/6094/4/469956+-+Texto+Parcial.pdf.jpg http://tede2.pucrs.br/tede2/bitstream/tede/6094/3/469956+-+Texto+Parcial.pdf.txt http://tede2.pucrs.br/tede2/bitstream/tede/6094/2/469956+-+Texto+Parcial.pdf http://tede2.pucrs.br/tede2/bitstream/tede/6094/1/license.txt |
bitstream.checksum.fl_str_mv |
30a00aec4f8c7e3e9cd66c98126c7b91 0bb49ba5a66e281e7ce2f249f6cb3b5b b30cb1fb39e91dfd223ddaf3ce7c9496 5a9d6006225b368ef605ba16b4f6d1be |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
biblioteca.central@pucrs.br|| |
_version_ |
1796793214270701568 |