C. Silberman et al., COGNITIVE DEFICIT AND DEPRESSIVE SYMPTOMS IN A COMMUNITY GROUP OF ELDERLY PEOPLE - A PRELIMINARY-STUDY, Revista de Saude Publica, 29(6), 1995, pp. 444-450
Since the number and proportion of old people increases worldwide, hea
lth professionals and systems should be made aware and prepared to dea
l with their problems. Cognitive deficit and symptoms of depression ar
e commom among the elderly, and may occur in relation to various risk
factors such as health conditions and psychosocial variables. In order
to study cognitive deficit and the presence of signs and symptoms of
depression, 62 elderly community subjects enrolled at a Community Heal
th Unit in Porto Alegre, southern Brazil, were interviewed. They were
evaluated by means of the Mini Mental State Exam, the Montgomery-Asber
g Depression rating scale, and a questionnaire on health conditions, l
iving arrangements and social variables. Higher levels of symptoms of
depression were observed among subjects exposed to major risk factors
for cerebrovascular diseases (diabetes and coronary disease), while im
paired cognitive performance was seen among individuals who could not
count on the presence of a confidant (social network variable). The re
sults suggest that the early identification of major risk groups among
old people can help to prevent institutionalization and keep individu
als in the community.