RESUMO
OBJECTIVE: Differences in residential status may contribute to the diversity of findings observed in community-based samples of patients with schizophrenia. We compared older out-patients living independently with those in assisted-care facilities. METHOD: Two hundred and fifty-one out-patients with schizophrenia or schizoaffective disorder, aged 40-97 years, who had been referred to our Intervention Research Center were examined. RESULTS: Assisted living status was associated with an earlier age at onset of illness, longer illness duration, lower probability of having ever been married, more severe negative symptoms, worse cognitive impairment, and a poorer health-related quality of wellbeing. Independent living and assisted-care patients had similar levels of positive and depressive symptoms, and were on comparable doses of neuroleptic medication. Significant 'predictors' of residential status were marital status, cognitive impairment and quality of wellbeing. CONCLUSION: Among schizophrenia out-patients, one needs to consider residential status in evaluating heterogeneity in cognitive performance or quality of wellbeing.
Assuntos
Tratamento Domiciliar , Esquizofrenia , Adulto , Idoso , Idoso de 80 Anos ou mais , Escalas de Graduação Psiquiátrica Breve , Transtornos Cognitivos/diagnóstico , Feminino , Nível de Saúde , Humanos , Masculino , Testes Neuropsicológicos , Qualidade de Vida , Características de Residência , Esquizofrenia/diagnóstico , Esquizofrenia/terapia , Psicologia do EsquizofrênicoRESUMO
In the first experiment, patients with Alzheimer's disease (AD) and normal control (NC) participants read each of two passages three times and then again after either a 1-min or 10-min delay interval. Reading time decreased with practice for both groups, and this facilitation was text-specific. Although both groups retained the facilitation in reading speed after 1 min, it was reduced only in the AD group after 10 min. In the second experiment, the same task was repeated with new passages that encouraged the use of either conceptual or perceptual processing during reading. Patients with AD acquired the facilitation in reading speed normally in both conditions, but were impaired in retaining it over a 10-min delay interval only in the conceptually-weighted condition
