Jornal brasileiro de psiquiatria

Publisher: Universidade do Brasil. Instituto de Psiquiatria (Rio de Janeiro)


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    Jornal Brasileiro de Psiquiatria website
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    Series, Periodical
  • Document type
    Journal / Magazine / Newspaper

Publications in this journal

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    ABSTRACT: Objectives: Depression is common in institutionalized elderly and often associated with loneliness, anxiety, and affectivity. This study aims to describe the evolution of depressive symptoms over two years and identify which factors are associated with the development of depression. Methods: In this prospective cohort study, that encompassed two evaluation moments (2011 and 2013), 83 institutionalized elders were inquired, with age at baseline between 50 and 100 years, 79.5% women, 86.7% single and 72.3% with some type of education. The instruments included the Geriatric Depression Scale (GDS), Loneliness Scale (UCLA-L), Geriatric Anxiety Inventory (GAI) List of Positive and Negative Affects (PANAS). Results: Fifty-nine percent of the subjects maintained depression, and 10.8% developed depression. Elderly patients with depression had significantly worse outcomes in the UCLA, GAI and PANAS, and those who were not depressed had a higher positive affect. Regarding the evolution of depression, elderly that maintained depression had high scores on the GDS, GAI, UCLA, and negative PANAS subscale, and low scores on the PANAS positive subscale at baseline. These elderly showed an increase in the feelings of loneliness, anxiety symptoms, and negative affect over the two years. Those who developed depression had higher scores on the UCLA-L at baseline. Conclusions: We conclude that depression symptoms with or without loneliness at baseline, the worsening of loneliness, anxiety, and of the positive and negative affects may all be risk factors for the maintenance of depressive symptoms. Loneliness may also be a risk factor for the development of depression. Introdução/Objetivos: A depressão é comum em idosos institucionalizados e frequentemente associa-se à solidão, ansiedade e afetividade. Pretendemos descrever a evolução dos sintomas depressivos durante dois anos e verificar que fatores se associam à evolução da depressão. Metodologia: Num estudo de coorte prospetivo com dois momentos (2011 e 2013), avaliámos 83 idosos institucionalizados, com idade no primeiro momento compreendida entre os 50 e os 100 anos, 79,5% mulheres, 86,7% sem companheiro(a), e 72,3% com algum tipo de escolaridade. Usámos a Escala Geriátrica da Depressão/GDS, a Escala de Solidão/UCLA-L, o Inventário Geriátrico de Ansiedade/GAI e a Lista de Afetos Positivos e Negativos/PANAS. Resultados: Verificámos que 59,0% manteve depressão e 10,8% desenvolveu depressão. Os idosos com depressão tiveram significativamente piores resultados na UCLA, GAI e PANAS, e os que não tiveram depressão tiveram afetos positivos mais altos. Quanto à evolução da depressão, os idosos que mantiveram depressão tiveram inicialmente pontuações elevadas no GDS, GAI, UCLA e na subescala PANAS negativo e pontuações baixas na subescala PANAS positivo. Estes idosos apresentaram associadamente um agravamento dos sentimentos de solidão, dos sintomas ansiosos e do afeto negativo ao longo dos dois anos. Os que desenvolveram depressão tiveram pontuações elevadas na UCLA no primeiro momento. Conclusão: Concluímos que os sintomas de depressão com ou sem solidão no momento inicial, o agravamento da solidão, da ansiedade, do afeto negativo e baixo afeto positivo poderão ser fatores de risco para a manutenção dos sintomas depressivos. A solidão poderá ainda ser um fator de risco para o desenvolvimento de depressão.
    Jornal brasileiro de psiquiatria 01/2014;
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    Jornal brasileiro de psiquiatria 06/2013; 62(2):174-175.
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    Jornal brasileiro de psiquiatria 06/2013; 62(2):151-159.
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    Jornal brasileiro de psiquiatria 06/2013; 62(2):171-173.
  • Jornal brasileiro de psiquiatria 02/2013; 62(2):144-52.
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    Jornal brasileiro de psiquiatria 12/2012; 62(1):89-90.
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    ABSTRACT: INTRODUCTION: There is a high prevalence of Anomalous Experiences (AEs), as psychotic experiences, in the general population. There is little information about characteristics of people with non-pathological AEs seeking religious institutions. OBJECTIVES: To investigate personality profiles, quality of life (QoL) and religiosity in people with EAs. METHODS: One hundred and fifteen subjects who sought Spiritist Centers in Juiz de Fora/MG, Brazil, and who had AEs were interviewed: sociodemographic data; ITC-R (140) – (Temperament and Character Inventory, revised), Durel-P (Duke Religious Index, Portuguese version), and WHOQOL-BREF (Assessment of Quality of Life of the World Health Organization-Brazilian abbreviated version). RESULTS: Cooperativity was the personality dimension with the highest mean (77.0 ± 11.2). High non-organizational religiousness was reported by 77% of the sample; 58.9% were affiliated to Spiritism; psychological dimension of QoL had the lowest mean (61.1 ± 19.4) and physical domain the highest (67.1 ± 18.2). CONCLUSIONS: Individuals with AEs who seek help seem to be a population at risk for mental or emotional problems in general, being necessary to develop appropriate approaches and more studies about the topic.
    Jornal brasileiro de psiquiatria 12/2012; 62(4):268-274.

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