Gislaine Gil - Academia.edu (original) (raw)
Papers by Gislaine Gil
Pontifícia Universidade Católica de São Paulo, Apr 24, 2014
Introducao: No tratamento de pacientes psicogeriatricos aspectos da personalidade demandam auxili... more Introducao: No tratamento de pacientes psicogeriatricos aspectos da personalidade demandam auxilio de outras especialidades para o diagnostico diferencial para Transtorno de Personalidade (eixo II). E, nesta fase, que a avaliacao neuropsicologica (A.N) torna- se fundamental. O caso descrito, diagnosticado inicialmente como demencia frontal, ilustra a ideia de que toda a A.N tem de se adaptar as particularidades individuais do examinado, as suas competencias e limitacoes. Apresentacao do caso: RSJ, 67anos, foi encaminhado para investigar o funcionamento cognitivo no auxilio do diagnostico de demencia frontal. Discussao: Os resultados nao demonstraram alteracoes cognitivas. Encontrou-se quociente intelectual na faixa de superdotado, acentuando que os recursos cognitivos nao foram usados no âmbito afetivo. Foi diagnosticado Transtorno Misto de Personalidade. Portanto, se as questoes do encaminhamento envolvem mencoes as dificuldades cognitivas envolvidas em quadros de Transtornos Clini...
Este estudo tem por objetivo adaptar o Questionario de Crencas dos Transtornos de Personalidade p... more Este estudo tem por objetivo adaptar o Questionario de Crencas dos Transtornos de Personalidade para o Portugues. Este inventario foi aplicado a 21 sujeitos bilingues nas duas versoes. Os indices de concordância entre as 2 versoes foram avaliados para cada transtorno, por sujeito. Os resultados indicaram ser a traducao confiavel ao inventario original com relacao a compreensao das questoes, indicando uma boa qualidade e confiabilidade da versao em portugues. Tendo em vista que a aplicacao deste instrumento e realizada de uma forma rapida, essa versao em portugues pode ser de auxilio diagnostico do EixoII. Descritores: Transtornos da personalidade, Inventario de personalidade, Questionarios, Validade dos testes, Traducao (Processos)
Arquivos de Neuro-Psiquiatria, 2019
The Word Accentuation Test (WAT) has been used to predict premorbid intelligence and cognitive pe... more The Word Accentuation Test (WAT) has been used to predict premorbid intelligence and cognitive performance in Spanish-speaking populations. It requires participants to read a list of words without the accent marks that indicate the stressed syllable. Objective: As Portuguese pronunciation is also strongly based on accent marks, our aim was to develop a Brazilian version of the WAT. Methods: An initial pool of 60 items was constructed and a final version of 40 items (named WAT-Br) was derived by item response theory. A sample of 206 older adults underwent the WAT-Br and a standardized neuropsychological battery. Independent ratings were performed by two observers in 58 random participants. Results: The items showed moderate to high discrimination (α between 0.93 and 25.04) and spanned a wide range of difficulty (β between −2.07 and 1.40). The WAT-Br was shown to have an excellent internal consistency (Kuder-Richardson Formula 20 = 0.95) and inter-rater reliability (intraclass correla...
Dementia & Neuropsychologia, 2009
Physical activity has been indicated as a strategy to promote health in the elderly, as well as t... more Physical activity has been indicated as a strategy to promote health in the elderly, as well as to encourage the maintenance of functional capacity, and acts in the prevention and control of various diseases. In recent years, there has been great interest in studying the benefits of physical activity in the preservation or even improvement of cognitive performance in both the elderly without cognitive impairment and in elderly patients with some degree of cognitive impairment or dementia. The majority of epidemiological studies and clinical trials have evaluated aerobic exercises while few have assessed resistance exercise programs. The objective of this review was to examine the effects of different types of physical activity on cognitive function of elderly individuals with or without prior impairment.
Dementia & Neuropsychologia, 2008
Memory clinics were established in the USA and European countries as services to attend patients ... more Memory clinics were established in the USA and European countries as services to attend patients who complain of cognitive deficits, referred by primary care doctors, specialists and other hospitals. Objective: We aimed to describe the clinical and cognitive profile of consecutively evaluated subjects during the initial three years of service of a memory clinic from a university hospital. Methods: Subjects were submitted to a clinical work-up for dementia, which included laboratory exams, cranial computerized tomography, cognitive tests, and a comprehensive neuropsychological battery. Diagnosis was made according to ICD-10 criteria. Results: We evaluated 104 subjects (67.3% females and 32.7% males), with mean age of 59.1 years, 88.8% aged 50 years or above. Mean schooling was 9.9 years. Patients were classified into 10 different primary diagnostic categories, namely Depression (26.9%), Alzheimer's disease (17.3%), Memory complaints without objective impairment (17.3%), Mild Cognitive Disorder-MCD (14.4%), and Anxiety (12.5%) the most frequent diagnosis. Comparing patients with dementia, MCD, Depression or Anxiety and Memory complainers, by age (below and above 60 years), dementia was more commonly diagnosed in older subjects, while a higher frequency of memory complainers was found in the younger group. Conclusions: This preliminary report from an outpatient group of referred patients with cognitive complaints showed a higher frequency of psychiatric disorders in this sample. The memory clinic approach should be considered as a model of service which can evaluate subjects with cognitive complaints effectively and improve the quality of care delivered to this patient group.
The Journal of ECT, 2006
Objective: To evaluate efficacy and tolerability of unilateral (RUL) and bilateral (BL) electroco... more Objective: To evaluate efficacy and tolerability of unilateral (RUL) and bilateral (BL) electroconvulsive therapy (ECT) in the elderly with depression. Methods: Thirty-nine elderly inpatients with major depression referred to ECT were randomized into RUL or BL ECT, using high, fixed electrical doses. Cognition and depression severity were assessed before, during, and 1 month after treatment. Adverse effects were assessed after each session. Results: Remission rates for RUL ECT (88.2%) and BL ECT (68.2%) were similar (P = 0.25). Reduction rates of depressive symptoms were also similar. There were no serious adverse events. There were more adverse effects in the BL ECT group (P = 0.05). BL ECT showed more short-term cognitive impairment, whereas improvements in neuropsychological scores were seen in both groups. Conclusion: In elderly depressive subjects, high-dose RUL ECT is as effective as BL ECT yet produces less adverse effects and less cognitive impairment.
Neurobiology of Aging, 2004
cuidardevoce.com.br
... Nosso estudo encontrou diferenças estatistica-mente significativas5 na pontuação dos testes: ... more ... Nosso estudo encontrou diferenças estatistica-mente significativas5 na pontuação dos testes: Testes das Trilhas item A, Memória Lógica da escala Wechsler de memória revisada nos itens de recuperação imedi-ata e tardia, e no teste de recordação de Selective nos itens ...
Alzheimer's & Dementia, 2006
Alzheimer's & Dementia, 2006
Gil G. Development and validation of the word accentuation test as a tool for the evaluation of p... more Gil G. Development and validation of the word accentuation test as a tool for the evaluation of pre-morbid intelligence [thesis].
Revista Brasileira de Geriatria e Gerontologia, 2015
The Journal of ECT, 2006
To evaluate efficacy and tolerability of unilateral (RUL) and bilateral (BL) electroconvulsive th... more To evaluate efficacy and tolerability of unilateral (RUL) and bilateral (BL) electroconvulsive therapy (ECT) in the elderly with depression. Thirty-nine elderly inpatients with major depression referred to ECT were randomized into RUL or BL ECT, using high, fixed electrical doses. Cognition and depression severity were assessed before, during, and 1 month after treatment. Adverse effects were assessed after each session. Remission rates for RUL ECT (88.2%) and BL ECT (68.2%) were similar (P = 0.25). Reduction rates of depressive symptoms were also similar. There were no serious adverse events. There were more adverse effects in the BL ECT group (P = 0.05). BL ECT showed more short-term cognitive impairment, whereas improvements in neuropsychological scores were seen in both groups. In elderly depressive subjects, high-dose RUL ECT is as effective as BL ECT yet produces less adverse effects and less cognitive impairment.
Neurobiology of Aging, 2004
Alzheimer's & Dementia, 2006
Pontifícia Universidade Católica de São Paulo, Apr 24, 2014
Introducao: No tratamento de pacientes psicogeriatricos aspectos da personalidade demandam auxili... more Introducao: No tratamento de pacientes psicogeriatricos aspectos da personalidade demandam auxilio de outras especialidades para o diagnostico diferencial para Transtorno de Personalidade (eixo II). E, nesta fase, que a avaliacao neuropsicologica (A.N) torna- se fundamental. O caso descrito, diagnosticado inicialmente como demencia frontal, ilustra a ideia de que toda a A.N tem de se adaptar as particularidades individuais do examinado, as suas competencias e limitacoes. Apresentacao do caso: RSJ, 67anos, foi encaminhado para investigar o funcionamento cognitivo no auxilio do diagnostico de demencia frontal. Discussao: Os resultados nao demonstraram alteracoes cognitivas. Encontrou-se quociente intelectual na faixa de superdotado, acentuando que os recursos cognitivos nao foram usados no âmbito afetivo. Foi diagnosticado Transtorno Misto de Personalidade. Portanto, se as questoes do encaminhamento envolvem mencoes as dificuldades cognitivas envolvidas em quadros de Transtornos Clini...
Este estudo tem por objetivo adaptar o Questionario de Crencas dos Transtornos de Personalidade p... more Este estudo tem por objetivo adaptar o Questionario de Crencas dos Transtornos de Personalidade para o Portugues. Este inventario foi aplicado a 21 sujeitos bilingues nas duas versoes. Os indices de concordância entre as 2 versoes foram avaliados para cada transtorno, por sujeito. Os resultados indicaram ser a traducao confiavel ao inventario original com relacao a compreensao das questoes, indicando uma boa qualidade e confiabilidade da versao em portugues. Tendo em vista que a aplicacao deste instrumento e realizada de uma forma rapida, essa versao em portugues pode ser de auxilio diagnostico do EixoII. Descritores: Transtornos da personalidade, Inventario de personalidade, Questionarios, Validade dos testes, Traducao (Processos)
Arquivos de Neuro-Psiquiatria, 2019
The Word Accentuation Test (WAT) has been used to predict premorbid intelligence and cognitive pe... more The Word Accentuation Test (WAT) has been used to predict premorbid intelligence and cognitive performance in Spanish-speaking populations. It requires participants to read a list of words without the accent marks that indicate the stressed syllable. Objective: As Portuguese pronunciation is also strongly based on accent marks, our aim was to develop a Brazilian version of the WAT. Methods: An initial pool of 60 items was constructed and a final version of 40 items (named WAT-Br) was derived by item response theory. A sample of 206 older adults underwent the WAT-Br and a standardized neuropsychological battery. Independent ratings were performed by two observers in 58 random participants. Results: The items showed moderate to high discrimination (α between 0.93 and 25.04) and spanned a wide range of difficulty (β between −2.07 and 1.40). The WAT-Br was shown to have an excellent internal consistency (Kuder-Richardson Formula 20 = 0.95) and inter-rater reliability (intraclass correla...
Dementia & Neuropsychologia, 2009
Physical activity has been indicated as a strategy to promote health in the elderly, as well as t... more Physical activity has been indicated as a strategy to promote health in the elderly, as well as to encourage the maintenance of functional capacity, and acts in the prevention and control of various diseases. In recent years, there has been great interest in studying the benefits of physical activity in the preservation or even improvement of cognitive performance in both the elderly without cognitive impairment and in elderly patients with some degree of cognitive impairment or dementia. The majority of epidemiological studies and clinical trials have evaluated aerobic exercises while few have assessed resistance exercise programs. The objective of this review was to examine the effects of different types of physical activity on cognitive function of elderly individuals with or without prior impairment.
Dementia & Neuropsychologia, 2008
Memory clinics were established in the USA and European countries as services to attend patients ... more Memory clinics were established in the USA and European countries as services to attend patients who complain of cognitive deficits, referred by primary care doctors, specialists and other hospitals. Objective: We aimed to describe the clinical and cognitive profile of consecutively evaluated subjects during the initial three years of service of a memory clinic from a university hospital. Methods: Subjects were submitted to a clinical work-up for dementia, which included laboratory exams, cranial computerized tomography, cognitive tests, and a comprehensive neuropsychological battery. Diagnosis was made according to ICD-10 criteria. Results: We evaluated 104 subjects (67.3% females and 32.7% males), with mean age of 59.1 years, 88.8% aged 50 years or above. Mean schooling was 9.9 years. Patients were classified into 10 different primary diagnostic categories, namely Depression (26.9%), Alzheimer's disease (17.3%), Memory complaints without objective impairment (17.3%), Mild Cognitive Disorder-MCD (14.4%), and Anxiety (12.5%) the most frequent diagnosis. Comparing patients with dementia, MCD, Depression or Anxiety and Memory complainers, by age (below and above 60 years), dementia was more commonly diagnosed in older subjects, while a higher frequency of memory complainers was found in the younger group. Conclusions: This preliminary report from an outpatient group of referred patients with cognitive complaints showed a higher frequency of psychiatric disorders in this sample. The memory clinic approach should be considered as a model of service which can evaluate subjects with cognitive complaints effectively and improve the quality of care delivered to this patient group.
The Journal of ECT, 2006
Objective: To evaluate efficacy and tolerability of unilateral (RUL) and bilateral (BL) electroco... more Objective: To evaluate efficacy and tolerability of unilateral (RUL) and bilateral (BL) electroconvulsive therapy (ECT) in the elderly with depression. Methods: Thirty-nine elderly inpatients with major depression referred to ECT were randomized into RUL or BL ECT, using high, fixed electrical doses. Cognition and depression severity were assessed before, during, and 1 month after treatment. Adverse effects were assessed after each session. Results: Remission rates for RUL ECT (88.2%) and BL ECT (68.2%) were similar (P = 0.25). Reduction rates of depressive symptoms were also similar. There were no serious adverse events. There were more adverse effects in the BL ECT group (P = 0.05). BL ECT showed more short-term cognitive impairment, whereas improvements in neuropsychological scores were seen in both groups. Conclusion: In elderly depressive subjects, high-dose RUL ECT is as effective as BL ECT yet produces less adverse effects and less cognitive impairment.
Neurobiology of Aging, 2004
cuidardevoce.com.br
... Nosso estudo encontrou diferenças estatistica-mente significativas5 na pontuação dos testes: ... more ... Nosso estudo encontrou diferenças estatistica-mente significativas5 na pontuação dos testes: Testes das Trilhas item A, Memória Lógica da escala Wechsler de memória revisada nos itens de recuperação imedi-ata e tardia, e no teste de recordação de Selective nos itens ...
Alzheimer's & Dementia, 2006
Alzheimer's & Dementia, 2006
Gil G. Development and validation of the word accentuation test as a tool for the evaluation of p... more Gil G. Development and validation of the word accentuation test as a tool for the evaluation of pre-morbid intelligence [thesis].
Revista Brasileira de Geriatria e Gerontologia, 2015
The Journal of ECT, 2006
To evaluate efficacy and tolerability of unilateral (RUL) and bilateral (BL) electroconvulsive th... more To evaluate efficacy and tolerability of unilateral (RUL) and bilateral (BL) electroconvulsive therapy (ECT) in the elderly with depression. Thirty-nine elderly inpatients with major depression referred to ECT were randomized into RUL or BL ECT, using high, fixed electrical doses. Cognition and depression severity were assessed before, during, and 1 month after treatment. Adverse effects were assessed after each session. Remission rates for RUL ECT (88.2%) and BL ECT (68.2%) were similar (P = 0.25). Reduction rates of depressive symptoms were also similar. There were no serious adverse events. There were more adverse effects in the BL ECT group (P = 0.05). BL ECT showed more short-term cognitive impairment, whereas improvements in neuropsychological scores were seen in both groups. In elderly depressive subjects, high-dose RUL ECT is as effective as BL ECT yet produces less adverse effects and less cognitive impairment.
Neurobiology of Aging, 2004
Alzheimer's & Dementia, 2006