RASTREAMENTO DA COGNIÇÃO EM PACIENTES PORTADORES DE ANSIEDADE E/OU DEPRESSÃO NA ATENÇÃO PRIMÁRIA À SAÚDE: avaliação clínica, neuropsicológica e funcional / TRACKING COGNITION IN PATIENTS WITH ANXIETY AND / OR DEPRESSION IN PRIMARY HEALTH CARE: clinical, neuropsychological and functional evaluation

Rafael Pereira Amorim, Marcos Leandro Pereira

Abstract


As demências configuram um problema de saúde pública de grande vulto, não só pelo grande contingente de pessoas afetadas, mas também pelo custo envolvido na assistência a esses pacientes. Os estudos apontam que distúrbios de caráter emocional como ansiedade e depressão estão direta e proporcionalmente relacionados ao comprometimento cognitivo, contribuindo significativamente para o surgimento de potenciais quadros demenciais e sua pior evolução. Este é um estudo quantitativo, observacional e transversal, no qual foram incluídos pacientes com idade igual ou maior de 50 anos, de ambos os sexos e que apresentam quadro prévio de ansiedade e/ou depressão diagnosticado. Foram excluídos desse estudo pacientes que já tinham o diagnóstico de demência e pacientes que possuíam comorbidades associadas ou faziam uso outros medicamentos de uso contínuo. Com base nos resultados apresentados foi possível identificar que 50% dos pacientes portadores de ansiedade e/ou depressão em tratamento obtiveram rastreamento positivo para algum grau de comprometimento cognitivo.

Desses, 16,67 % apresentaram demência e 33,33% CCL. Conclui-se que existe uma alta frequência da percepção subjetiva de declínio cognitivo, além de uma alta correlação com alterações cognitivas comprováveis pelo teste neuropsicológico. Assim, é ratificado que distúrbios afetivos estão relacionados à pior avaliação do paciente e, dessa forma, são relevantes preditores do desenvolvimento de quadros de demência.


Keywords


Depressão; Ansiedade; Cognição; Atenção Primária à Saúde.

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DOI: https://doi.org/10.34119/bjhrv3n6-075

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