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Advisor(s)
Abstract(s)
Este estudo tem como objectivo a melhor compreensão da relação entre o défice cognitivo percebido e observado com a consciência interoceptiva em pessoas com depressão ou sintomatologia depressiva. A discrepância entre o défice subjectivo e objectivamente observado poderá ser explicada por uma distorção de percepção do desempenho cognitivo em pacientes com depressão ou sintomatologia depressiva. A mesma discrepância poderá estar igualmente relacionada com um baixo nível de consciência interoceptiva, ou seja, uma pior capacidade de discriminação e análise por parte do indivíduo para com os seus estados internos. A metodologia utilizada passa pela avaliação de 15 participantes com idades compreendidas entre os 51 e os 85 anos. Foram utilizados o questionário de queixas subjectivas de memória (QSM), a escala hospitalar de depressão e ansiedade (HADS), tal como a tarefa de memória de dígitos e pares de palavras pertencentes à escala de memória de Weschler (WMS), o MoCA (Montreal Cognitive Assessment Test), a tarefa do evento Rivermead Behavioral Memory Test, e a escala MAIA-P (Multi Assessment of Interoceptive Awareness). Verificou-se que indivíduos com sintomatologia depressiva mais severa apresentavam maiores dificuldades na auto-regulação de estados internos e desempenho mais baixo ao nível da memória verbal. Não foram encontradas correlações significativas entre défice subjectivo e objectivo, e entre estes e o nível de consciência interoceptiva. Estes resultados sugerem que ainda que depressão e auto regulação de estados internos e desempenho cognitivo possam estar relacionados, a relação com os défices objetivos e subjetivos e a interocepção deve ser melhor explorada em estudos futuros.
This study tries to better understand the relationship between subjective and objective cognitive deficits and how it relates to interoceptive awareness in depressed individuals. The discrepancy between subjective and objective deficits may be explained by a perceptual distortion of cognitive ability in depressed individuals. This same discrepancy can also be explained by a lack of interoceptive awareness or a worse capability of internal state analysis by such individuals. The method used consisted in an evaluation of 15 participants aged 51 through 85 diagnosed with depression. For this the subjective memory complaints questionnaire (QSM), hospital anxiety and depression scale (HADS), along with the digit-span and verbal pair associates tasks belonging to the Weschler’s memory scale (WMS), MoCA (Montreal Cognitive Assessment Test), Rivermead Behavioral Memory Test’s event task, and the Multi-Assessment of Interoceptive Awareness scale (MAIA-P). Individuals with more severe depressive symptomatology showed more difficulty with internal state self-regulation as well as lower performance regarding verbal memory. No significant effects were reported regarding the relationship between variability in subjective/objective deficits and variability in interoceptive awareness. The results of this study did not meet the revised literature, possibly due to sample limitations. Never the less, there were effects observed regarding the relationship between depressive symptomatology and internal state self-regulation as well as regarding the relationship between verbal memory performance tasks and ability to discriminate between different internal states.
This study tries to better understand the relationship between subjective and objective cognitive deficits and how it relates to interoceptive awareness in depressed individuals. The discrepancy between subjective and objective deficits may be explained by a perceptual distortion of cognitive ability in depressed individuals. This same discrepancy can also be explained by a lack of interoceptive awareness or a worse capability of internal state analysis by such individuals. The method used consisted in an evaluation of 15 participants aged 51 through 85 diagnosed with depression. For this the subjective memory complaints questionnaire (QSM), hospital anxiety and depression scale (HADS), along with the digit-span and verbal pair associates tasks belonging to the Weschler’s memory scale (WMS), MoCA (Montreal Cognitive Assessment Test), Rivermead Behavioral Memory Test’s event task, and the Multi-Assessment of Interoceptive Awareness scale (MAIA-P). Individuals with more severe depressive symptomatology showed more difficulty with internal state self-regulation as well as lower performance regarding verbal memory. No significant effects were reported regarding the relationship between variability in subjective/objective deficits and variability in interoceptive awareness. The results of this study did not meet the revised literature, possibly due to sample limitations. Never the less, there were effects observed regarding the relationship between depressive symptomatology and internal state self-regulation as well as regarding the relationship between verbal memory performance tasks and ability to discriminate between different internal states.
Description
Keywords
Consciência interoceptiva Sintomatologia depressiva Queixas subjectivas de memória Défice cognitivo Interoceptive awareness Depressive symptomatology Subjective memory complaints Cognitive deficit