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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2021; 79(03): 201-208
DOI: 10.1590/0004-282X-ANP-2019-0459
ARTICLE

Cognition and chronic pain: an analysis on community-dwelling elderly caregivers and non-caregivers

Cognição e dor crônica: uma análise em idosos cuidadores e não cuidadores residentes na comunidade
Marielli TERASSI 
1   Universidade Federal de São Carlos, Departamento de Enfermagem, São Carlos SP, Brazil.
,
Ana Carolina OTTAVIANI 
1   Universidade Federal de São Carlos, Departamento de Enfermagem, São Carlos SP, Brazil.
,
Érica Nestor de SOUZA 
1   Universidade Federal de São Carlos, Departamento de Enfermagem, São Carlos SP, Brazil.
,
Francisco José FRAGA 
2   Universidade Federal do ABC, Centro de Engenharia, Modelagem e Ciências Sociais Aplicadas, Santo André SP, Brazil.
,
Pedro MONTOYA 
3   University of Balearic Islands, Research Institute of Health Sciences, Palma, Spain.
,
Sofia Cristina Iost PAVARINI 
4   Universidade Federal de São Carlos, Departmento de Gerontologia, São Carlos SP, Brazil.
,
Priscilla HORTENSE 
1   Universidade Federal de São Carlos, Departamento de Enfermagem, São Carlos SP, Brazil.
› InstitutsangabenSupport: This work was supported by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq -304067/2015-16) and Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP -2017/04129-9).
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ABSTRACT

Background: In recent years there has been an increasing number of elderly people who care for another elderly person in the same household. These elderly people are more susceptible to overload and the presence of chronic pain, while pain can negatively influence cognitive variables. Objective: To compare the performance and cognitive processing of elderly caregivers and non-caregivers with and without chronic pain. Methods: This was a cross-sectional study carried out among 149 elderly people divided into four groups that were matched according to sex, age and schooling. The tests used were a numerical pain assessment scale, the Brief Cognitive Screening Battery (BCSB), Addenbrooke’s Cognitive Examination (ACER-R) and cognitive processing through event-related potentials (P300). Results: Statistically significant differences between participants with and without chronic pain were found with regard to attention/orientation (p=0.045) and visual-spatial skills (p=0.017), and in the total score (p=0.033). In the pain-free group, the caregivers showed better results than the non-caregivers. There were no effects between subjects or interactions (caregiving and pain factors) either on P300 amplitude or on P300 latency. Conclusion: In general, it was observed that pain-free individuals presented better performance. No relationship was observed between the factors care and pain regarding cognitive performance.

RESUMO

Introdução: Nos últimos anos, observou-se crescente número de idosos que realizam o cuidado a outro idoso no mesmo domicílio. Esses idosos estão mais susceptíveis à sobrecarga e à presença de dor crônica, sendo que a dor pode influenciar negativamente as variáveis cognitivas. Objetivo: Comparar o desempenho e o processamento cognitivo de cuidadores idosos e não cuidadores com e sem dor crônica. Métodos: Estudo transversal realizado com 149 idosos, divididos em 4 grupos, pareados por sexo, idade e escolaridade. Os testes utilizados foram: escala numérica de avaliação da dor, Bateria Breve de Rastreio Cognitivo (BBRC), Addenbrooke’s Cognitive Examination (ACER-R) e processamento cognitivo por meio de Potenciais Relacionados a Eventos (P300). Resultados: Foram encontradas diferenças estatisticamente significantes entre os participantes com e sem dor crônica nos domínios cognitivos atenção/orientação (p=0,045) e habilidades visual-espacial (p=0,017), bem como no escore total do instrumento ACE-R (p=0,033). No grupo sem dor foram encontradas diferenças estatísticas entre cuidadores e não cuidadores, com melhores resultados no grupo cuidador. Não houve efeitos entre os sujeitos ou interações (fatores de Cuidado e Dor) na amplitude do P300 ou na latência do P300. Conclusão: De maneira geral, observou-se que indivíduos sem dor apresentaram melhor desempenho. Não foi observada relação entre os fatores cuidado e dor no desempenho cognitivo.

Keywords:

Chronic Pain - Cognition - Caregivers - Elderly

Palavras-chave:

Dor Crônica - Cognição - Cuidadores - Idosos

Authors’ contributions:

MT contributed to the investigation, collected data, performed statistical analysis and wrote the manuscript; ACO and ENS contributed to the investigation, data collection, writing of the original project; FJF and PM contributed to the investigation, methodology, carried out statistical analysis and supervision; SCIP and PH contributed to the conceptualization, investigation, methodology, supervision and writing of the original project.


Support:

This work was supported by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq -304067/2015-16) and Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP -2017/04129-9).




Publikationsverlauf

Eingereicht: 06. Februar 2020

Angenommen: 01. Juni 2020

Artikel online veröffentlicht:
07. Juni 2023

© 2021. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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