Arquivos de neuro-psiquiatria · 2006
Absence of dementia in late-onset schizophrenia: a one year follow-up of a Brazilian case series.
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Laks Jerson, Fontenelle Leonardo F, Chalita Adriana, Mendlowicz Mauro V
Аннотация
BACKGROUND: Cognitive deficits of late-onset schizophrenia (LOS) patients have been reported as stable, although some prospective studies show that a sub-group develop a significant cognitive decline. Data on LOS from developing countries are scarce.
OBJECTIVE: To evaluate the cognitive performance of Brazilian patients with LOS over the course of one year.
METHOD: Thirteen LOS patients were evaluated at baseline and after one year with the Mini-Mental State Examination (MMSE), the CAMCOG, the Positive and Negative Symptoms Scale, the Pfeffers Activities of Daily Living (ADL), and the Neuropsychiatric Inventory (NPI).
RESULTS: Cognition and activities of daily living remained stable over the course of one year [baseline MMSE= 21.31 (4.87) and CAMCOG=80.31 (16.68); end-point MMSE=20.77 (3.86) and CAMCOG=82.92 (14.42) (Z=-0.831; p=0.40); baseline ADL=4.31 (5.65); end-point ADL= 5.92 (3.86) (Z=-0.831; p=0.40)]; end-point NPI=10.54 (10.69) (Z=-0.737; p=0.46].
CONCLUSION: Like patients from developed countries, Brazilian patients with LOS do not seem to develop dementia, at least over the course of one year.
OBJECTIVE: To evaluate the cognitive performance of Brazilian patients with LOS over the course of one year.
METHOD: Thirteen LOS patients were evaluated at baseline and after one year with the Mini-Mental State Examination (MMSE), the CAMCOG, the Positive and Negative Symptoms Scale, the Pfeffers Activities of Daily Living (ADL), and the Neuropsychiatric Inventory (NPI).
RESULTS: Cognition and activities of daily living remained stable over the course of one year [baseline MMSE= 21.31 (4.87) and CAMCOG=80.31 (16.68); end-point MMSE=20.77 (3.86) and CAMCOG=82.92 (14.42) (Z=-0.831; p=0.40); baseline ADL=4.31 (5.65); end-point ADL= 5.92 (3.86) (Z=-0.831; p=0.40)]; end-point NPI=10.54 (10.69) (Z=-0.737; p=0.46].
CONCLUSION: Like patients from developed countries, Brazilian patients with LOS do not seem to develop dementia, at least over the course of one year.