有情绪障碍的老年人认知障碍,功能衰退和虚弱之间的关联:对老年人脆弱性的洞察
Ariane Madruga Monteiro1, Marcela Leão Petersen1, Giovana Fagundes Kaminski2
1Department of Internal Medicine, Post-Graduate Program of Internal Medicine and Health Sciences (PPGMICS), Complexo Do Hospital de Clínicas - Universidade Federal Do Paraná (CHC-UFPR), Curitiba, Brazil.
Clinical gerontologist
|November 28, 2025
概括
这项研究在老年人中发现了情绪障碍,认知衰退,功能障碍和虚弱之间的重要联系. 使用综合工具进行早期识别,可以指导老年精神健康的干预措施.
科学领域:
- 老年医学 老年医学
- 精神病学是一个精神病学.
- 认知科学 认知科学
背景情况:
- 情绪障碍和虚弱显著影响老年人的生活质量和医疗保健利用率.
- 情感症状,认知功能和身体脆弱性下降之间的相互作用尚未完全理解.
研究的目的:
- 研究老年人情感症状,认知障碍,功能衰退和虚弱之间的关系.
- 为了确定心理老年人门诊患者群体中虚弱的预测因素.
主要方法:
- 一项涉及153名60岁及以上的老年精神病诊所患者的横截面研究.
- 使用了包括MMSE,CDT,VFT,Pfeffer问卷,Katz指数,GDS-15和GAI在内的标准化评估.
- 用斯皮尔曼相关性和Poisson回归进行数据分析.
主要成果:
- 在研究参与者中,骨折的发病率为62.1%.
- 在虚弱和抑郁症状 (GDS-15),认知障碍 (VFT,CDT,MMSE) 和功能障碍 (Pfeffer) 之间观察到显著的关联.
- 脆弱的独立预测因素包括多药性,抑郁症状,认知障碍 (VFT) 和功能障碍 (Pfeffer).
结论:
- 研究结果证实了老年人的情绪障碍,认知障碍,功能衰退和虚弱之间存在着强烈的联系.
- 综合评估工具对于识别有风险的个人至关重要.
- 这支持了老年精神卫生保健中需要多学科干预的需求.
相关概念视频
Cognitive Development During Adulthood
749
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
749
Pharmacodynamics in Geriatric Patients: Effects of Age
180
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
180
Alzheimer's Disease: Overview
1.6K
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
1.6K
The Influence of Cognition on Affect
175
Cognition plays a pivotal role in shaping emotional experiences, as demonstrated by Schachter and Singer’s two-factor theory of emotion. According to this model, emotion arises from a combination of physiological arousal and cognitive interpretation. The body’s physiological response to stimuli is ambiguous and only gains emotional significance through cognitive labeling. For instance, an increased heart rate and adrenaline surge while standing near an attractive person may be...
175
Drug Dosing: Geriatric Patients
212
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
212
Negative and Cognitive Symptoms of Schizophrenia
411
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
411


