在参加初级保健的巴西老年人中,抑郁症状和认知功能的一年变化
Fernanda Maria Silva Rivoli1, Antonio Pedro Gabriel Monteiro Galhardo1, Giancarlo Lucchetti2
1Faculty of Medicine of Itajubá, Itajubá 37502-138, MG, Brazil.
Healthcare (Basel, Switzerland)
|April 12, 2025
概括
巴西的老年人经历了一年多的抑郁症状增加和认知能力下降. 基线心理健康和认知预测了未来的变化,强调了监测和干预的必要性.
科学领域:
- 老年学与公共卫生
- 神经科学和心理健康
背景情况:
- 全球人口老龄化在认知功能和心理健康方面面临重大挑战.
- 这些与年龄相关的变化给公共卫生系统带来了巨大的负担,并降低了老年人的生活质量.
研究的目的:
- 研究巴西老年人抑郁症状和认知功能的纵向变化.
- 分析基线心理健康,认知状态及其在12个月的变化之间的关系.
主要方法:
- 一项长度观察性研究,涉及巴西圣保罗的368名老年人 (≥60岁).
- 数据采用社会人口统计问卷,老年抑郁症尺度-15 (GDS-15) 和迷你精神状态检查 (MMSE) 来收集.
- 使用线性回归模型来分析变化和预测因素.
主要成果:
- 在12个月内,GDS-15平均得分显著增加 (5.97至7.48),表明抑郁症状恶化 (科恩-d = 0.542).
- 平均MMSE得分略有下降 (19.11到18.88),这表明认知功能略有下降 (科恩-d = 0.216).
- 基线抑郁症状和认知功能独立地预测了它们随着时间的推移各自的恶化.
结论:
- 抑郁症状和认知能力下降在老龄化社会中是一个重大的公共卫生问题.
- 持续监测和及时干预对于减轻这些情况对老年人福祉的影响至关重要.
- 早期发现和管理可以提高老龄化人口的生活质量.
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