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Demencia y depresión: co-distribución y factores de riesgo en una muestra de pacientes geriátricos internos y externos

Published online by Cambridge University Press:  12 May 2020

C. Morawetz ,
A. Stevens  and
H. Wormstall
C. Morawetz
Affiliation:
Departamento de Psiquiatría, Universidad de Tubinga, Tubinga, Alemania
A. Stevens
Affiliation:
Departamento de Psiquiatría, Universidad de Tubinga, Tubinga, Alemania
H. Wormstall
Affiliation:
Departamento de Psiquiatría, Universidad de Tubinga, Tubinga, Alemania
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Resumen

Se presentan los resultados de un estudio transversal sobre 212 pacientes ancianos internos y externos, incluyendo datos sociodemográficos, resultados físicos, exploración de TAC y EEG, así como tests psicológicos para el rendimiento cognitivo y síntomas afectivos. Cuarenta y uno por ciento de los pacientes mostraron déficit cognitivo leve y 13%, grave. Se diagnosticó depresión en el 23% de los pacientes con deterioro cognitivo grave y en el 16% de los pacientes con deterioro leve o sin deterioro. El análisis estadístico reveló que el aumento de la edad, el sexo femenino y el bajo nivel intelectual premórbido estaban significativamente asociados con la pérdida de función cognitiva. La demencia y la depresión no estaban asociadas significativamente entre sí. El único factor de riesgo para la depresión era una historia de enfermedad afectiva, pero no los déficit cognitivos o la situación social. La exploración de TAC y el EEG fueron anómalos en el 50% de los pacientes; sin embargo, esto no se correlacionaba con el deterioro cognitivo o la presencia de depresión. A partir de este estudio, se concluye que la depresión y la demencia coinciden con frecuencia en los pacientes ancianos, pero que están asociadas con factores de riesgo diferentes. Se propone que la demencia y la depresión se traten como dos entidades patológicas distintas.

Keywords

pacientes geriátricosdemenciadepresiónexamen psicológicoexploración de TACEEG
Type
Artículo Original
Information
European Psychiatry (Ed. Española) , Volume 4 , Issue 4 , May 1997 , pp. 251 - 259
Copyright
Copyright © European Psychiatric Association 1997

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Footnotes

Morawetz C, Stevens A, Wormstall H, Dementia and depression: co-distribution and risk factors in a geriatric in-and outpatient sample. Eur Psychiatry 1996; 11: 369-375

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