Sundown syndrome and symptoms of anxiety and depression in hospitalized elderly
| Autor: | Heitor Cabral Frade, Marcello Weynes Barros Silva, Priscilla Alencar Fernandes, Rilva Lopes de Sousa-Muñoz, Andrêssa de Oliveira Magalhães |
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| Jazyk: | angličtina |
| Předmět: |
Pediatrics
medicine.medical_specialty Evening Hospital Anxiety and Depression Scale lcsh:RC321-571 03 medical and health sciences cognitive neuroscience 0302 clinical medicine medicine 030212 general & internal medicine Cognitive decline lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Cognitive deficit Depression (differential diagnoses) Views & Reviews business.industry demência Cognition Sensory Systems biological rhythms Neurology ritmos biológicos Delirium Anxiety Neurology (clinical) Geriatrics and Gerontology medicine.symptom business neurociência cognitiva 030217 neurology & neurosurgery dementia |
| Zdroj: | Dementia & Neuropsychologia, Vol 11, Iss 2, Pp 154-161 Dementia & Neuropsychologia Dementia & Neuropsychologia v.11 n.2 2017 Associação de Neurologia Cognitiva e do Comportamento (ANCC) instacron:ANCC |
| ISSN: | 1980-5764 |
| Popis: | Sundown syndrome is characterized by the sudden appearance of neuropsychiatric symptoms such as agitation, confusion and anxiety in a chronologic fashion, usually during late afternoon or early evening.To evaluate the prevalence of sundown syndrome in university hospital wards and its relationship with anxiety/depression symptoms, cognitive decline, and clinical and demographic variables.We evaluated 70 patients admitted to the Lauro Wanderley University Hospital (HULW), João Pessoa-PB, Brazil. Data collection instruments were the Confusion Assessment Method (CAM), the Mini-Mental State Exam (MMSE) and the Hospital Anxiety and Depression Scale (HADS).Mean patient age was 68.4±6.4 years, 55.7% were male, 67.1% were illiterate or had incomplete primary education. It was observed that 14.3% of patients had delirium, 15.7% had cognitive deficits, while 21.4% and 18.6% had anxious and depressive symptoms, respectively. The age of patients with delirium (71.9±8.7) was significantly higher than those without (67.8±5.8). At 95% confidence, there was a significant difference in the groups with and without delirium for the MMSE and HADS-D scales.We verified the occurrence of delirium compatible with the sundown syndrome and associated with depressive symptoms and cognitive deficit, with no apparent relationship with infectious processes or fever, number of drugs used, hospital stay or anxious symptomatology.A síndrome de Sundown é caracterizada pelo aparecimento súbito de sintomas neuropsiquiátricos como agitação, confusão e ansiedade de forma cronológica, geralmente no final da tarde ou no início da noite.Avaliar a prevalência da síndrome do por do sol em enfermarias de um hospital universitário e sua relação com sintomatologia depressivo-ansiosa, déficit cognitivo e variáveis clínicas e demográficas.Foram avaliados 70 pacientes admitidos nas enfermarias Hospital Universitário Lauro Wanderley (HULW), João Pessoa-PB, Brasil. Os instrumentos de coleta de dados foram a Escala de Avaliação de Quadros Confusionais (A média de idade de 68,4±6,4 anos, 55,7% do sexo masculino, 67,1% não alfabetizados ou com instrução fundamental incompleta. Observou-se que 14,3% dos pacientes tinhamVerificamos a ocorrência de |
| Databáze: | OpenAIRE |
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