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Abstract(s)
Enquadramento Teórico: Está descrito que a Hemorragia Subaracnoideia NãoTraumática por rutura de aneurisma (aHSA) acarta sequelas emocionais, como a incidência de sintomatologia depressiva e ansiosa, e funcionais. Esta dissertação teve como objetivo investigar o impacto da Reserva Cognitiva, medida por proxies como escolaridade, ocupação profissional, envolvimento social e QI premórbido, na sintomatologia depressiva, ansiosa e na funcionalidade em indivíduos que sofreram hemorragia subaracnoideia aneurismática (HSA) não traumática. Metodologia: A amostra de conveniência deste estudo transversal foi composta por 10 participantes, com idades compreendidas entre os 40 e os 85 anos. Após uma entrevista clínica breve, aplicou-se MoCa, TeLPI, SAHOT, EPS, HADS, BDI-II. Realizaram-se testes ao coeficiente de correlação Spearman. Foi efetuada uma análise psicométrica à escala SAHOT. Resultados: Foram encontradas correlações significativas entre a escolaridade e a ansiedade (positiva) e o QI premórbido e a disfuncionalidade (positiva) que não corroboraram a literatura. Além disso, a pequena dimensão da amostra no seu estudo (n=10) pode ter contribuído para a falta de resultados significativos. Com a análise qualitativa observou-se que o QI premórbido e o envolvimento social podem atuar como fatores protetores em pessoas com menor escolaridade e ocupação profissional menos complexa. Adicionalmente, foi observado que, em casos de maior severidade clínica da hemorragia e a ocorrência de complicações como vasoespasmo, o efeito protetor dos proxies pode ser atenuado. Em participantes com maior escolaridade e ocupação de maior complexidade foi notado que o envolvimento social protege contra sintomas depressivos e ansiosos. A versão portuguesa da SAHOT não apresentou efeitos de chão ou teto, validade convergente e apresentou uma consistência interna suficiente para todos os domínios e para a pontuação total. Conclusão: As análises sugerem que a reserva cognitiva desempenha um papel protetor. Contudo, esse efeito pode ser modulado pela severidade da hemorragia e pela presença de complicações, como o vasoespasmo. Os resultados reforçam a necessidade de abordagens personalizadas e de considerar múltiplas variáveis na gestão pós-HSA.
Theoretical Framework: It is documented that Non-Traumatic Subarachnoid Hemorrhage due to aneurysm rupture (aHSA) leads to emotional sequelae, such as the incidence of depressive and anxious symptoms, as well as functional impairments. This dissertation aimed to investigate the impact of Cognitive Reserve (CR), measured through proxies such as education, occupational status, social support, and premorbid IQ, on depressive and anxious symptoms, as well as functionality, in individuals who suffered from non-traumatic aneurysmal subarachnoid hemorrhage (aHSA). Methodology: The convenience sample of this cross-sectional study consisted of 10 participants aged between 40 and 85 years. After a brief clinical interview, the MoCa, TeLPI, SAHOT, EPS, HADS, and BDI-II were administered. Spearman correlation coefficient tests were conducted, and a psychometric analysis of the SAHOT scale was performed. Results: Significant correlations were found between education and anxiety (positive), and between premorbid IQ and dysfunctionality (positive), correlations that did not align with the literature. Additionally, the small sample size in this study (n=10) may have contributed to the lack of significant results. Through qualitative analysis, it was observed that premorbid IQ and social support can act as protective factors in individuals with lower education and less complex professional occupations. Additionally, in cases of greater clinical severity of the hemorrhage and the occurrence of complications such as vasospasm, the protective effect of the proxies may be attenuated. In participants with higher education and more complex occupations, it was noted that social support protects against depressive and anxious symptoms. The Portuguese version of SAHOT showed no floor or ceiling effects, demonstrated convergent validity, and had sufficient internal consistency across all domains and for the total score. Conclusion: The analyses suggest that cognitive reserve plays a protective role, but this effect can be modulated by the severity of the hemorrhage and the presence of complications, such as vasospasm. The results emphasize the need for personalized approaches and the consideration of multiple variables in post-aHSA management.
Theoretical Framework: It is documented that Non-Traumatic Subarachnoid Hemorrhage due to aneurysm rupture (aHSA) leads to emotional sequelae, such as the incidence of depressive and anxious symptoms, as well as functional impairments. This dissertation aimed to investigate the impact of Cognitive Reserve (CR), measured through proxies such as education, occupational status, social support, and premorbid IQ, on depressive and anxious symptoms, as well as functionality, in individuals who suffered from non-traumatic aneurysmal subarachnoid hemorrhage (aHSA). Methodology: The convenience sample of this cross-sectional study consisted of 10 participants aged between 40 and 85 years. After a brief clinical interview, the MoCa, TeLPI, SAHOT, EPS, HADS, and BDI-II were administered. Spearman correlation coefficient tests were conducted, and a psychometric analysis of the SAHOT scale was performed. Results: Significant correlations were found between education and anxiety (positive), and between premorbid IQ and dysfunctionality (positive), correlations that did not align with the literature. Additionally, the small sample size in this study (n=10) may have contributed to the lack of significant results. Through qualitative analysis, it was observed that premorbid IQ and social support can act as protective factors in individuals with lower education and less complex professional occupations. Additionally, in cases of greater clinical severity of the hemorrhage and the occurrence of complications such as vasospasm, the protective effect of the proxies may be attenuated. In participants with higher education and more complex occupations, it was noted that social support protects against depressive and anxious symptoms. The Portuguese version of SAHOT showed no floor or ceiling effects, demonstrated convergent validity, and had sufficient internal consistency across all domains and for the total score. Conclusion: The analyses suggest that cognitive reserve plays a protective role, but this effect can be modulated by the severity of the hemorrhage and the presence of complications, such as vasospasm. The results emphasize the need for personalized approaches and the consideration of multiple variables in post-aHSA management.
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Keywords
Reserva cognitiva Hemorragia subaracnoideia não-traumática Sintomatologia depressiva Sintomatologia ansiosa Funcionalidade Cognitive reserve Non-traumatic subarachnoid hemorrhage Depressive symptoms Anxious symptoms Functionality