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1.
Int Arch Occup Environ Health ; 96(4): 507-520, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-36525080

RESUMO

OBJECTIVE: Demographic changes encompass societies to maintain the work ability (WA) of aging workforces. The present study explored the relationship between modifiable lifestyle factors, cognitive functions, and their influence on WA, using a multi-group structural equation approach. METHOD: Cross-sectional data from 247 middle-aged and 236 older employees from the Dortmund Vital Study were included in this analysis. We proposed a model with three exogenous variables (Physical Fitness, Cognitive Functions, and Social Life), and with WA as the endogenous variable. WA was measured with the Work Ability Index (WAI), which considers job demands and individual physical and mental resources. Multi-group analyses were based on the principles of invariance testing and conducted using robust estimation methods. RESULTS: Results revealed that Social Life outside work had significant positive effects on WA in both, middle-aged and older adults. Physical Fitness had a significant effect on WA only in middle-aged adult, and Cognitive Functions had no significant influence on WA in either group. In older adults, Physical Fitness correlated with Cognitive Functions, whereas in middle-aged adults, Cognitive Functions marginally correlated with Social Life. CONCLUSIONS: Our results underline the importance of an active social life outside the workplace for WA, regardless of the employees' age. The influence of Physical Fitness on WA changes with increasing age, indicating the necessity to have a differentiated view of age effects and interacting influencing factors. Our research contributes to the knowledge of how WA could be most effectively promoted in different age groups. CLINICALTRIALS: gov NCT05155397; https://clinicaltrials.gov/ct2/show/NCT05155397 .


Assuntos
Aptidão Física , Avaliação da Capacidade de Trabalho , Pessoa de Meia-Idade , Humanos , Idoso , Estudos Transversais , Cognição , Local de Trabalho/psicologia
2.
Psychol Res ; 83(8): 1612-1625, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29797044

RESUMO

In two experiments, we investigated the interactions between the grouping principles of spatial proximity and texture similarity in touch. For that purpose, we adapted to touch two paradigms widely employed in vision. In Experiment 1, we used an experimental phenomenological task consisting of rating the strength of grouping in both acting alone and conjoined cooperative and competitive conditions. In Experiment 2, participants performed a psychophysical task in which an objective (in)correct response was defined by selectively attending to one grouping cue in different blocks of trials. The results showed that spatial proximity dominated over texture similarity when the two principles were conjoined in competition. In addition, the present results are compatible with an additive model of grouping effects as indicated by the greater grouping effect in the cooperative condition and the smaller grouping effect in the competitive condition relative to a.0cting alone grouping principles. The similarities and differences between vision and touch are discussed.


Assuntos
Percepção do Tato/fisiologia , Tato/fisiologia , Percepção Visual/fisiologia , Adulto , Atenção/fisiologia , Feminino , Humanos , Masculino , Psicofísica , Adulto Jovem
3.
Artigo em Inglês | MEDLINE | ID: mdl-29643931

RESUMO

OBJECTIVE: To determine the factors associated with remission at 3, 6, 9 and 12 months among depressive adult patients in primary care [PHC] in Chile. METHODS: This is a one-year naturalistic study that followed 297 patients admitted for treatment of depression in eight primary care clinics in Chile. Initially, patients were evaluated using: the International Mini-Neuropsychiatric Interview [MINI], a screening for Childhood Trauma Events [CTEs], the Life Experiences Survey and a partner violence scale. The Hamilton Depression Scale [HDRS] was used to follow the patients during the observation time. Associations between the factors studied and the primary outcome remission [HDRS ≤ 7] were assessed using a dichotomous logistic regression and a multivariate Poisson regression. The significance level was 0.05. RESULTS: Remission [HDRS ≤ 7] ranged between 36.7% at 3 months and 53.9% at 12 months. Factors that predicted poor remission during the observation time were: CTEs [Wald X2 = 4.88, Exp B=0.94, CI 0.90-0.92, p=0.27]; psychiatric comorbidities [Wald X2 = 10.73, Exp B=0.90, CI 0.85-0.96, p=0.01]; suicidal tendencies [Wald X2 = 4.66, Exp B=0.88, CI 0.79-0.98, p=0.03] and prior treatment for depression [Wald X2 = 4.50, Exp B=0.81, CI 0.68-0.85, p=0.03]. DISCUSSION: Almost 50% of this sample failed remission in depression at 12 months. Psychiatric comorbidities and CTEs are factors that should be considered for a poor outcome in depressed Chilean patients. These factors need more recognition and a better approach in PHC.

4.
Memory ; 25(8): 1026-1035, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-27805471

RESUMO

Despite the evidence revealing benefits of chronic cardiovascular exercise on executive functions, little research has been conducted on long-term memory. We aimed to investigate the effect of physical exercise on implicit and explicit memory when attention was modulated at encoding in two groups of active and sedentary participants. With this purpose, attention was manipulated in a similar way in the implicit and explicit memory tasks by presenting picture outlines of two familiar objects, one in blue and the other in green, and participants were asked to pay attention only to one of them. Implicit memory was assessed through conceptual priming and explicit memory through a free recall task followed by recognition. The results did not reveal significant differences between groups in conceptual priming or free recall. However, in recognition, while both groups had similar discrimination for attended stimuli, active participants showed lower discrimination between unattended and new stimuli. These results suggested that exercise may have effects on specific cognitive processes, that is, that active participants may suppress non-relevant information better than sedentary participants, making the discrimination between unattended and new items more difficult.


Assuntos
Atenção , Exercício Físico/psicologia , Memória de Longo Prazo , Adulto , Discriminação Psicológica , Humanos , Rememoração Mental , Estimulação Luminosa , Reconhecimento Psicológico , Priming de Repetição , Adulto Jovem
5.
J Trauma Dissociation ; 18(2): 189-205, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-27782795

RESUMO

Childhood trauma is associated with different psychiatric disorders during adulthood. These disorders are often presented in comorbidity with depression. OBJECTIVE: To establish the relationship between psychiatric comorbidities and childhood traumatic events in patients with depression in Chile. METHODS: Three hundred and ninety-four patients with major depression were assessed using the MINI International Neuropsychiatric Interview and a screening for childhood trauma. RESULTS: Social anxiety disorder was associated with having witnessed domestic violence during childhood (OR = 2.2, CI 1.2 - 3.8), childhood physical abuse (OR = 2.7, CI 1.6 - 4.4), physical injury associated with physical abuse (OR = 2.3, CI 1.3 - 4.7) and sexual abuse by a non-relative (OR = 2.7, CI 1.3 - 4.2). Posttraumatic stress disorder was associated with physical injury associated with physical abuse (OR = 1.9, CI 1.1 - 3.6), sexual abuse by a relative (OR = 3.2, IC 1.8 - 5.9) and sexual abuse by a non-relative (OR = 2.2, CI 1.2 - 4.1). Antisocial personality disorder was associated with traumatic separation from a caregiver (OR = 3.2, CI 1.2 - 8.5), alcohol abuse by a family member (OR = 3.1, CI 1.1 - 8.1), physical abuse (OR = 2.8, CI 1.1 - 6.9) and sexual abuse by a non-relative (OR = 4.8, CI 1.2 - 11.5). Panic disorder was associated with sexual abuse by a relative (OR = 1.9, CI 1.1 - 3.1). Generalized anxiety disorder was associated with sexual abuse by a non-relative (OR = 1.9, CI 1.1- 3.3). CONCLUSIONS: Further clinical recognition is required in patients seeking help for depression in primary care. This recognition must take into account the patient's current psychiatric comorbidities and adverse childhood experiences.


Assuntos
Transtorno Depressivo Maior/epidemiologia , Transtorno Depressivo Maior/psicologia , Atenção Primária à Saúde , Adulto , Sobreviventes Adultos de Maus-Tratos Infantis/psicologia , Transtorno da Personalidade Antissocial/epidemiologia , Transtorno da Personalidade Antissocial/psicologia , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/psicologia , Chile/epidemiologia , Comorbidade , Violência Doméstica/psicologia , Feminino , Humanos , Entrevista Psicológica , Masculino , Pessoa de Meia-Idade , Transtorno de Pânico/epidemiologia , Transtorno de Pânico/psicologia , Fatores de Risco , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/psicologia
6.
Rev Med Chil ; 145(9): 1145-1153, 2017 Sep.
Artigo em Espanhol | MEDLINE | ID: mdl-29424401

RESUMO

BACKGROUND: Traumatic experiences during childhood may influence the development of mental disorders during adulthood. AIM: To determine clinical and psychosocial variables that are associated with a higher frequency of adverse childhood experiences (ACE) in patients who consult for depression in Primary Health Care clinics in Chile. MATERIAL AND METHODS: A socio-demographic interview, the mini international neuropsychiatric interview (MINI), a screening for ACE, a questionnaire for partner violence (PV), the Life Experiences Survey (LES) and the Hamilton Rating Scale for Depression (HRDS) were applied to 394 patients with major depression (87% women). RESULTS: Eighty two percent of patients had experienced at least one ACE and 43% of them reported three or more. Positive correlations were observed between the number of ACE and severity of depressive symptoms (r = 0.19; p < 0.01), psychiatric comorbidities (r = 0.23; p < 0.01), partner violence events (r = 0.31; p < 0.01), vital stressful events (r = 0.12; p < 0.01), number of depressive episodes (r = 0.16; p < 0.01), duration of the longer depressive episode (r = 0.12; p < 0.05) and suicidal tendency according to HDRS (r = 0.16; p < 0.01). An inverse correlation was observed between frequency of ACE and age at the first depressive episode (r = -0.12; p < 0.05). CONCLUSIONS: These data are consistent with the hypothesis that early trauma is associated with more severe and complex depressive episodes during adulthood.


Assuntos
Adultos Sobreviventes de Eventos Adversos na Infância/psicologia , Transtorno Depressivo/etiologia , Transtorno Depressivo/psicologia , Acontecimentos que Mudam a Vida , Atenção Primária à Saúde/estatística & dados numéricos , Adulto , Adultos Sobreviventes de Eventos Adversos na Infância/estatística & dados numéricos , Criança , Chile , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Índice de Gravidade de Doença , Distribuição por Sexo , Fatores Socioeconômicos , Ideação Suicida , Inquéritos e Questionários
7.
Exp Brain Res ; 233(11): 3163-74, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26253308

RESUMO

The present study investigated (a) whether the pattern of performance on implicit and explicit memory of patients with type 2 diabetes mellitus (DM2) is more similar to those of patients with Alzheimer's disease (AD) or to cognitively normal older adults and (b) whether glycosylated hemoglobin levels (a measure of glucose regulation) are related to performance on the two memory tasks, implicit word-stem completion and "old-new" recognition. The procedures of both memory tasks included encoding and memory test phases separated by a short delay. Three groups of participants (healthy older adults, DM2 patients and AD patients) completed medical and psychological assessments and performed both memory tasks on a computer. The results of the word-stem completion task showed similar implicit memory in the three groups. By contrast, explicit recognition of the three groups differed. Implicit memory was not affected by either normal or pathological aging, but explicit memory deteriorated in the two groups of patients, especially in AD patients, showing a severe impairment compared to the cognitively healthy older adults. Importantly, glycosylated hemoglobin levels were not related to performance on either implicit or explicit memory tasks. These findings revealed a clear dissociation between explicit and implicit memory tasks in normal and pathological aging. Neuropsychologists and clinicians working with TM2 patients should be aware that the decline of voluntary, long-term explicit memory could have a negative impact on their treatment management. By contrast, the intact implicit memory of the two clinical groups could be used in rehabilitation.


Assuntos
Doença de Alzheimer/complicações , Diabetes Mellitus Tipo 2/complicações , Transtornos da Memória/etiologia , Reconhecimento Psicológico/fisiologia , Priming de Repetição/fisiologia , Aprendizagem Verbal/fisiologia , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Feminino , Humanos , Masculino , Entrevista Psiquiátrica Padronizada , Testes Neuropsicológicos , Vocabulário
8.
Syst Rev ; 13(1): 98, 2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-38561810

RESUMO

BACKGROUND: Executive functions (EFs) and episodic memory are fundamental components of cognition that deteriorate with age and are crucial for independent living. While numerous reviews have explored the effect of exercise on these components in old age, these reviews screened and analyzed selected older adult populations, or specific exercise modes, thus providing only limited answers to the fundamental question on the effect of exercise on cognition in old age. This article describes the protocol for a systematic review and multilevel meta-analytic study aiming at evaluating the effectiveness of different types of chronic exercise in improving and/or maintaining EFs and long-term episodic memory in older adults. METHODS AND ANALYSIS: The study protocol was written in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Several databases will be searched. Randomized controlled trials (RCTs) conducted in older adults aged ≥ 60 years providing any kind of planned, structured, and repetitive exercise interventions, and EFs and/or episodic memory measures as outcomes, published in English in peer-reviewed journals and doctoral dissertations will be included. Two independent reviewers will screen the selected articles, while a third reviewer will resolve possible conflicts. The Cochrane risk-of-bias tool will be used to assess the quality of the studies. Finally, data will be extracted from the selected articles, and the formal method of combining individual data from the selected studies will be applied using a random effect multilevel meta-analysis. The data analysis will be conducted with the metafor package in R. DISCUSSION AND CONCLUSION: This review will synthesize the existing evidence and pinpoint gaps existing in the literature on the effects of exercise on EFs and episodic memory in healthy and unhealthy older adults. Findings from this meta-analysis will help to design effective exercise interventions for older adults to improve and/or maintain EFs and episodic memory. Its results will be useful for many researchers and professionals working with older adults and their families. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42022367111.


Assuntos
Função Executiva , Memória Episódica , Humanos , Idoso , Revisões Sistemáticas como Assunto , Metanálise como Assunto , Exercício Físico , Literatura de Revisão como Assunto
9.
Am J Psychol ; 126(1): 67-80, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23505960

RESUMO

The present study compared the strength of the horizontal-vertical illusion in blindfolded sighted people with raised-line curves and three-dimensional (3-D) objects. Although the horizontal-vertical curvature illusion has been reported with raised-line stimuli in both vision and touch, it was not known whether similar haptic distortion would be found with 3-D objects. Similar overestimation of verticals was found with both types of stimuli in Experiment 1. Experiment 2 used bimanual unrestricted exploration at the body midline and stimuli horizontal on the table surface or in the frontal plane. In Experiment 2, illusion strength was substantially stronger when the stimuli were frontal and diminished overall for the horizontal group. The horizontal-vertical illusion was strong with optimal methods of presentation (free bimanual exploration) in Experiment 2, even where radial-tangential scanning could not be a causal factor in the frontal group. The results suggest that illusory distortion in haptics is not the result of the use of raised lines, and these patterns can be effective surrogates for 3-D objects.


Assuntos
Percepção de Profundidade , Percepção de Forma , Ilusões , Orientação , Estereognose , Cegueira/psicologia , Feminino , Lateralidade Funcional , Humanos , Masculino , Privação Sensorial , Percepção de Tamanho , Adulto Jovem
10.
Sci Rep ; 13(1): 19005, 2023 11 03.
Artigo em Inglês | MEDLINE | ID: mdl-37923837

RESUMO

The COVID-19 pandemic has had a significant psychological impact worldwide. The COVID-19 Peritraumatic Distress Index (CPDI) is widely used to assess psychological stress during the COVID-19 pandemic. Although CPDI has been validated in Peru and Spain, no cross-cultural validation studies have been conducted. As an exploratory aim, differences in CPDI factorial scores between the most prevalent medical conditions in the two samples (arterial hypertension, respiratory diseases and anxious-depressive disorders) from a general population of Peru and Spain were investigated. We conducted secondary data analysis with data from Peru and Spain to validate the CPDI in a cross-cultural context. Exploratory factor analysis (EFA) and multigroup confirmatory factor analysis (MGCFA) were performed to evaluate the factor structure and measurement invariance of the CPDI across cultural contexts. Concerning the exploratory analysis, we performed a U-Mann-Whitney test to evaluate differences in the factorial scores in the two samples. This study revealed a two-factor solution (stress and rumination/information) for the CPDI that included 21 of the 24 original items, and consistent with previous studies. The MGCFA demonstrated measurement invariance across cultural contexts (scalar invariance), indicating that the CPDI construct has the same meaning across both groups, regardless of cultural context and language variations of Spanish. Patients with anxious-depressive disorders showed higher CPDI factorial scores for both factors, whereas patients with respiratory diseases were only associated with the stress factor. This study provides evidence for the cross-cultural validity of the CPDI, highlighting its utility as a reliable instrument for assessing psychological stress in the context of COVID-19 across different cultures. These findings have important implications for developing and validating measures to assess psychological distress in different cultural contexts.


Assuntos
COVID-19 , Humanos , COVID-19/diagnóstico , COVID-19/epidemiologia , Psicometria , Peru/epidemiologia , Comparação Transcultural , Pandemias
11.
Neuroimage ; 60(1): 7-20, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22155374

RESUMO

This study reports neural repetition effects in young and older adults while performing a haptic repetition priming task consisting in the detection of the bilateral symmetry of familiar objects. To examine changes in event-related potentials (ERPs) and induced brain oscillations of object repetition priming with aging, we recorded EEGs of healthy groups of young (n=14; mean age=29.93 years) and older adults (n=15; mean age=66.4). Both groups exhibited similar behavioral haptic priming across repetitions, although young adults responded faster than the older group. Young and older adults showed ERP repetition enhancement at the 500-900 ms time window. In contrast, only the young participants showed ERP repetition suppression at the 1200-1500 ms segment. The results from the induced oscillations showed more positive amplitudes in young than in older adults at theta, alpha and beta frequencies (4-30 Hz). In addition, we found amplitude modulation related to stimulus repetition in the upper alpha and low beta sub-bands only in young adults (1250-1750 ms).The results suggest that although behavioral priming is spared with age, normal aging affects ERPs and oscillatory responses when performing an incidental priming symmetry detection task with haptically explored objects.


Assuntos
Envelhecimento/fisiologia , Encéfalo/fisiologia , Eletroencefalografia , Potenciais Evocados/fisiologia , Priming de Repetição/fisiologia , Percepção do Tato/fisiologia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
12.
Artigo em Inglês | MEDLINE | ID: mdl-36011510

RESUMO

Previous research has shown that physical exercise improves memory. In the present study, we investigated the possible effects of the intensity of physical exercise as a function of the affective valence of words on implicit memory. In the study, 79 young adult volunteers were randomly assigned to perform moderate- (50% VO2max) or high-intensity exercise (80% VO2max) on a stationary bike. Once the required exercise intensity was achieved, participants performed an affective and repetition priming task concurrently with the physical exercise. Both groups showed similar repetition priming. The moderate-intensity exercise group showed affective priming with positive words, while affective priming was not found in the high-intensity exercise group. Facilitation occurred in both groups when a negative target word was preceded by a positive prime word. Our results suggest that the positive effect of physical exercise on memory is modulated by the affective valence of the stimuli. It seems that moderate-intensity exercise is more beneficial for implicit memory than high-intensity exercise.


Assuntos
Afeto , Priming de Repetição , Humanos , Pessoa de Meia-Idade , Tempo de Reação , Adulto Jovem
13.
Front Hum Neurosci ; 16: 838968, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35399365

RESUMO

Research has shown that both physical exercise and cognitive training help to maintain cognition in older adults. The question is whether combined training might produce additive effects when the group comparisons are equated in terms of exercise intensity and modality. We conducted a systematic electronic search in MEDLINE, PsycInfo, and Cochrane Central Register of Controlled Trials (CENTRAL) databases to identify relevant studies published up to February 2021. Seven hundred and eighty-three effect sizes were obtained from 50 published intervention studies, involving 6,164 healthy older adults, and submitted to a three-level meta-analysis. Results showed that combined training produced a small advantage in comparison to single cognitive training on executive functions, whereas both types of training achieved similar effects on attention, memory, language, processing speed, and global cognition. Combined training achieved higher training gains in balance than single physical training, indicating a transfer from cognitive training to balance. Performing cognitive and physical exercise simultaneously, and interactive training (e.g., exergames, square stepping) produced the largest gains in executive functions, speed, and global cognition, as well as the largest improvements in physical functions. Aerobic training was associated with higher effects in attention and fitness, whereas non-aerobic training produced larger effects in global cognition and balance. For all cognitive and physical outcomes, training resulted more advantageous when performed in a social context, even though individual training obtained similar results in balance as group training. Systematic Review Registration: www.crd.york.ac.uk/prospero/, identifier: CRD42020175632.

14.
Neurosci Biobehav Rev ; 121: 259-276, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33278423

RESUMO

BACKGROUND: Dance is a multidomain activity that combines aerobic, coordination and cognitive exercise. This music-associated physical and cognitive exercise is a leisure activity that motivates people, elicits emotions, and avoids boredom, promoting adherence to practice. Continuing physical activity is of paramount importance, since cognitive benefits tend to disappear or even reverse when training ceases. OBJECTIVE: The question we addressed in this systematic review is what influence dance has on the brain and cognition of healthy middle-aged and older adults. LITERATURE SURVEY: We systematically reviewed the effects of dance on brain and cognition in older adults using MEDLINE, Psyc-Info, PubMed and Scopus databases. METHODOLOGY: After screening 1051 studies, thirty-five met the eligibility inclusion criteria. These studies showed that dance improves brain structure and function as well as physical and cognitive functions. CONCLUSIONS: The protective effect of dance training on cognition in older adults, together with the possibility of adapting intensity and style to suit possible physical limitations makes this activity very suitable for older adults.


Assuntos
Cognição , Exercício Físico , Idoso , Encéfalo , Terapia por Exercício , Humanos , Pessoa de Meia-Idade
15.
Artigo em Inglês | MEDLINE | ID: mdl-34069224

RESUMO

The sudden outbreak of the COVID-19 pandemic has profoundly altered the daily lives of the population with dramatic effects caused not only by the health risks of the coronavirus, but also by its psychological and social impact in large sectors of the worldwide population. The present study adapted the COVID-19 Peritraumatic Distress Index (CPDI) to the Spanish population, and 1094 Spanish adults (mean age 52.55 years, 241 males) completed the Spanish version in a cross-sectional online survey. To analyze the factorial structure and reliability of the CPDI, we performed an exploratory factor analysis (EFA) followed by a confirmatory factor analysis (CFA) on the Spanish sample. The effects of gender and age on the degree of distress were analyzed using the factorial scores of the CPDI as the dependent variables. Results showed that, after rotation, the first factor (Stresssymptoms) accounted for 35% of the total variance and the second factor (COVID-19 information) for 15%. Around 25% (n = 279) of the participants experienced mild to moderate distress symptoms, 16% (n = 179) severe distress, and about 58% (n = 636) showed no distress symptoms. Women experienced more distress than men (p<0.01), and distress decreased with age (p<0.01). We conclude that the CPDI seems a promising screening tool for the rapid detection of potential peritraumatic stress caused by the COVID-19 pandemic.


Assuntos
COVID-19 , Angústia Psicológica , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Reprodutibilidade dos Testes , SARS-CoV-2
16.
Depress Res Treat ; 2021: 6629403, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33628499

RESUMO

OBJECTIVE: To establish differentiated depressive subtypes using a latent class analysis (LCA), including clinical and functional indicators in a sample of depressed patients consulted in Chilean Primary Health Care. METHODS: A LCA was performed on a sample of 297 depressed patients consulted in Chilean PHC. The Mini International Neuropsychiatric Interview, the Hamilton Depression Rating Scale, the Outcome Questionnaire -social role, and interpersonal subscales were as instruments. A regression analysis of the different subtypes with sociodemographic and adverse life experiences was performed. RESULTS: In a sample characterized by 87.5% of women, two, three, and four latent class models were obtained. The three-class model likely represents the best clinical implications. In this model, the classes were labeled: "complex depression" (CD) (58% of the sample), "recurrent depression" (RD) (34%), and "single depression episode" (SD) (8%). Members of CD showed a higher probability of history of suicide attempts, interpersonal, and social dysfunction. Psychiatric comorbidities differentiated the RD from SD. According to a multinomial regression model, childhood trauma experiences, recent stressful life experiences, and intimate partner violence events were associated with the CD class (p < 0.01). Limitations. The vast majority of participants were females from Chile and the sample studied was not random. So, the results may not necessarily represent outpatient clinics. CONCLUSIONS: This study can provide additional evidence that depression, specifically in female gender, could be better understood as a complex heterogeneous disorder when clinical and functional indicators are studied. Furthermore, adverse life experiences starting in childhood could lead to a differentiated complex depressive subtype.

17.
Front Hum Neurosci ; 14: 610548, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33390921

RESUMO

Findings suggest a positive impact of bilingualism on cognition, including the later onset of dementia. However, it is not clear to what extent these effects are influenced by variations in attentional control demands in response to specific task requirements. In this study, 20 bilingual and 20 monolingual older adults performed a task-switching task under explicit task-cuing vs. memory-based switching conditions. In the cued condition, task switches occurred in random order and a visual cue signaled the next task to be performed. In the memory-based condition, the task alternated after every second trial in a predictable sequence without presenting a cue. The performance of bilinguals did not vary across experimental conditions, whereas monolinguals experienced a pronounced increase in response latencies and error rates in the cued condition. Both groups produced similar switch costs (difference in performance on switch trials as opposed to repeating trials within the mixed-task block) and mixing costs (difference in performance on repeat trials of a mixed-task block as opposed to trials of a single-task block), but bilinguals produced them with lower response latencies. The cognitive benefits of bilingualism seem not to apply to executive functions per se but to affect specific cognitive processes that involve task-relevant context processing. The present results suggest that lifelong bilingualism could promote in older adults a flexible adjustment to environmental cues, but only with increased task demands. However, due to the small sample size, the results should be interpreted with caution.

18.
Artigo em Inglês | MEDLINE | ID: mdl-32824975

RESUMO

Population aging is the 21st century's predominant demographic event. The old-age dependency ratio is projected to rise sharply in the next decades. Variables of health-related quality of life can be useful in designing interventions for promoting active aging to prevent dependency and save governments' budgets. This study aims to find a model capable of explaining how psychosocial variables are related to improved quality of life during active aging, and if this relationship varies with age. Structural equation modelling (SEM) was used to examine the relationships among the availability of social resources, memory, depression, and perception of quality of life from three community senior centers in Madrid (Spain) in a sample of 128 older adult volunteers. The results suggest a psychosocial model where the availability of social support improves quality of life and explicit memory, reduces depression in active older adults, and where there are two main elements for understanding quality of life: perception of health and satisfaction. Importantly, age does not modify the interactions between variables, suggesting that their behavior is constant across aging. We concluded that the availability of social resources, understood not only as the people we interact with daily but also other family members, close friends, or institutions that could help in case of an emergency, allows people to avoid isolation and loneliness, increasing satisfaction and well-being in older adults. Professionals and policymakers should promote well-being by incorporating psychosocial variables related to personal satisfaction in the existential project, not only health, functional activity, or a friendly environment. Older adults need to feel that they are not alone, and in this sense, the availability of social resources is key.


Assuntos
Envelhecimento , Envelhecimento Saudável , Qualidade de Vida , Apoio Social , Idoso , Depressão , Humanos , Solidão , Memória , Satisfação Pessoal , Espanha
19.
Trials ; 21(1): 404, 2020 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-32410715

RESUMO

BACKGROUND: Previous research suggests that both cognitive training and physical exercise help to maintain brain health and cognitive functions that decline with age. Some studies indicate that combined interventions may produce larger effects than each intervention alone. The aim of this study is to investigate the effects of combined cognitive and physical training compared to cognitive training and physical training alone on executive control and memory functions in healthy older adults. OBJECTIVES: The main objectives of this four-arm randomized controlled trial (RCT) are: to investigate the synergetic effects of a simultaneous, group-based multidomain training program that combines cognitive video-game training with physical exercise, in comparison to those produced by cognitive training combined with physical control activity, physical training combined with cognitive control activity, or a combination of both control activities; to investigate whether event-related potential latencies of the P2 component are shorter and N2 and P3b components assessed in a memory-based task switching task are enhanced after training; and to find out whether possible enhancements persist after a 3-month period without training. METHODS: In this randomized, single-blind, controlled trial, 144 participants will be randomly assigned to one of the four combinations of cognitive training and physical exercise. The cognitive component will be either video-game training (cognitive intervention, CI) or video games not specifically designed to train cognition (cognitive control, CC). The physical exercise component will either emphasize endurance, strength, and music-movement coordination (exercise intervention, EI) or stretching, toning, and relaxation (exercise control, EC). DISCUSSION: This RCT will investigate the short and long-term effects of multidomain training, compared to cognitive training and physical training alone, on executive control and memory functions in healthy older adults, in comparison with the performance of an active control group. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03823183. Registered on 21 January 2019.


Assuntos
Envelhecimento , Terapia Cognitivo-Comportamental/métodos , Disfunção Cognitiva/terapia , Função Executiva , Terapia por Exercício/métodos , Memória , Idoso , Atenção , Cognição , Terapia Combinada , Exercício Físico , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Ensaios Clínicos Controlados Aleatórios como Assunto , Método Simples-Cego , Resultado do Tratamento , Jogos de Vídeo
20.
Neuropsychologia ; 129: 21-36, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30879999

RESUMO

In two experiments we investigated the behavioral and brain correlates of the interactions between spatial-proximity and texture-similarity grouping principles in touch. We designed two adaptations of the repetition discrimination task (RDT) previously used in vision. This task provides an indirect measure of grouping that does not require explicit attention to the grouping process. In Experiment 1, participants were presented with a row of elements alternating in texture except for one pair in which the same texture was repeated. The participants had to decide whether the repeated texture stimuli (similarity grouping) were smooth or rough, while the spatial proximity between targets and distractors was varied either to facilitate or hinder the response. In Experiment 2, participants indicated which cohort (proximity grouping) contained more elements, while texture-similarity within and between cohorts was modified. The results indicated additive effects of grouping cues in which proximity dominated the perceptual grouping process when the two principles acted together. In addition, the independent component analysis (ICA) performed on electrophysiological data revealed the implication of a widespread network of sensorimotor, prefrontal, parietal and occipital brain areas in both experiments.


Assuntos
Córtex Cerebral/fisiologia , Formação de Conceito/fisiologia , Percepção do Tato/fisiologia , Adulto , Sinais (Psicologia) , Eletroencefalografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
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