RESUMEN
Introduction Subjective memory complaints (SMCs) in elderly adults could express cognitive decline in the future. A consensus has been reached about how these SMC relate to mood variables, but further research is required to determine which socio-demographic, cognitive, functional and occupational factors will act as predictors in elderly adults. Objetivo To analyze, through a descriptive observational study, the relationship between anxiety/depression and sex, age and occupation, with cognitive/functional performance in 367 older adults with SMC, but without objective cognitive impairment in a primary healthcare center. Methods The cognitive variables were measured by applying the Spanish version of Mini-Mental State Examination (MEC-35) and Set-test for verbal fluency. To measure functional level, the Barthel index and Lawton and Brody scales were employed. Physical occupational status and mental occupational status were measured based on three levels, low, medium and high, according to the American Occupational Therapy Association. Results Low educational and occupational physical and mental levels were related to anxiety and depression. In addition, differences by sex were found on anxiety and depression related to different factors. In men, anxiety was related to higher cognitive level, and in women to higher functional performance in IADLs. On the contrary, depression in men was related to lower cognitive level and higher performance in ADLs. Conclusions It is important to maintain a sex-gender perspective on the study of anxiety and depression in elderly, taking into account social roles and the traints of the work environment, in order to avoid cognitive and functional impairment (AU)
Introducción Las quejas subjetivas de memoria (SMC) en adultos mayores podrían expresar un daño cognitivo en el futuro. Existe consenso sobre la relación de estas SMC con variables del estado de ánimo pero se necesita más investigación para determinar qué factores sociodemográficos, cognitivos, funcionales y ocupacionales serían los predictores en los adultos mayores. Objetivo Analizar la relación entre ansiedad y depresión con el sexo, edad y ocupación, así como con el desempeño cognitivo y funcional en 367 adultos mayores con SMC en un centro de atención primaria. Métodos Las variables cognitivas se midieron mediante la version Española del Mini-Mental State Examination (MEC-35) y Set-Test para la fluidez verbal. Para medir el nivel funcional se utilizaron el índice de Barthel y la escala de Lawton y Brody. El estado ocupacional físico y mental fueron medidos en base a tres niveles (bajo, medio y alto) según la American Occupational Therapy Association. Resultados Los niveles educativos y ocupacionales físicos y mentales bajos se relacionaron con ansiedad y depresión. Además, se encuentran diferencias por sexo en los factores relacionados con la ansiedad y depresión. En los hombres, la ansiedad se relacionó con un mayor nivel cognitivo y en las mujeres con mayor desempeño funcional en las actividades instrumentales de la vida diaria (AIVD). Por el contrario, la depresión en los hombres se relacionó con menor nivel cognitivo y un mayor desempeño en las actividades básicas de la vida diaria (ABVD). Conclusiones Es importante mantener la perspectiva sexo-género en el análisis de la ansiedad y depresión en personas mayores, teniendo presentes los roles sociales y características del entorno laboral, para evitar el deterioro cognitivo y funcional (AU)
Asunto(s)
Humanos , Masculino , Femenino , Anciano , Factores Sexuales , Depresión/psicología , Ansiedad/psicología , Disfunción Cognitiva/psicología , Estudios Transversales , Factores SocioeconómicosRESUMEN
INTRODUCTION: Subjective memory complaints (SMCs) in elderly adults could express cognitive decline in the future. A consensus has been reached about how these SMC relate to mood variables, but further research is required to determine which socio-demographic, cognitive, functional and occupational factors will act as predictors in elderly adults. OBJETIVE: To analyze, through a descriptive observational study, the relationship between anxiety/depression and sex, age and occupation, with cognitive/functional performance in 367 older adults with SMC, but without objective cognitive impairment in a primary healthcare center. METHODS: The cognitive variables were measured by applying the Spanish version of Mini-Mental State Examination (MEC-35) and Set-test for verbal fluency. To measure functional level, the Barthel index and Lawton and Brody scales were employed. Physical occupational status and mental occupational status were measured based on three levels, low, medium and high, according to the American Occupational Therapy Association. RESULTS: Low educational and occupational physical and mental levels were related to anxiety and depression. In addition, differences by sex were found on anxiety and depression related to different factors. In men, anxiety was related to higher cognitive level, and in women to higher functional performance in IADLs. On the contrary, depression in men was related to lower cognitive level and higher performance in ADLs. CONCLUSIONS: It is important to maintain a sex-gender perspective on the study of anxiety and depression in elderly, taking into account social roles and the traints of the work environment, in order to avoid cognitive and functional impairment.
Asunto(s)
Disfunción Cognitiva , Depresión , Humanos , Masculino , Femenino , Anciano , Depresión/epidemiología , Caracteres Sexuales , Disfunción Cognitiva/diagnóstico , Disfunción Cognitiva/epidemiología , Disfunción Cognitiva/etiología , Ansiedad/epidemiología , Trastornos de AnsiedadRESUMEN
No disponible
Asunto(s)
Humanos , Modalidades de Fisioterapia/instrumentación , Especialidad de Fisioterapia/organización & administración , Sociedades Médicas , Especialidad de Fisioterapia/métodos , Envejecimiento/fisiología , Salud Pública , Dolor Crónico/rehabilitación , Planes y Programas de SaludRESUMEN
No disponible
Asunto(s)
Modalidades de Fisioterapia/educación , Congresos como Asunto , Terapia por Ejercicio , Modalidades de Fisioterapia , DeportesRESUMEN
No disponible
