Along with the burden commonly experienced by informal caregivers (ICs) of people with dementia (PwD), associated with the progressive decline that accompanies dementia, the lockdown due to the public health crisis has had a great negative impact on the emotional wellbeing, physical health, and social relationships of ICs. Support interventions through telemedicine represent an opportunity for ICs to learn the skills required for the care and maintenance of social networks. In this work, a narrative review of the effects of e-health training and social support interventions was carried out. A literature search was conducted using the ProQuest, Ovid, and Scopus databases. Information regarding social support (SS), psychological interventions, and training for the management of medications and behavioral changes was extracted. One hundred and nine studies were included in this review. Forums and training platforms were the main tools for ICs. The most effective platforms to improve SS include the participation of both ICs and health professionals. However, no significant improvements in objective caring skills were identified. Platforms developed specifically for ICs should be based in tools that ICs are familiar with, because many ICs have not yet incorporated Information and Communication Technologies in many activities of their daily lives. Education in the digitalization to ICs of PwD should be one of the priority objectives in telehealth interventions.
This work analyzes the different levels of salivary cortisol in women from the southwest of Spain that were victims of intimate partner violence (IPV) with respect to a control group, assessing for the first time the different concentrations obtained in relation to a worldwide reference standard provided by the CIRCORT meta-global cortisol database. The clinical sample (N = 24) and the control group (N = 25) had an average of 39.12 years (SD = 12.31) and 39.52 years (SD = 11.74), respectively. Cortisol awakening response (CAR) was determined by defining the area under the curve (AUCi). There were no differences between the CAR data of the two populations F (1, 141) = 1.690, p = 0.196, but there was a highly significant difference in the three sampling days, where the clinical sample exceeded the cortisol levels of the CIRCORT database in the evening as compared to the control group (p = 0.004, p = 0.001 and p = 0.000). Salivary cortisol concentration samples taken in the evening were significantly higher than those standardized in the CIRCORT database, from the women victims of IPV as compared to the control group, showing its usefulness as an effective supportive tool for problems such as those triggered by IPV.
RESUMENEl Deterioro Cognitivo Leve (DCL) es un estado transicional entre los cambios cognitivos del envejecimiento normal y un estadio temprano de la demencia. En la actualidad, el constructo deterioro cognitivo leve (DCL) se reconoce como una condición patológica, no como un proceso normal asociado a la edad, y se utiliza específicamente para referirse a un grupo de individuos que presentan cierto grado de déficit cognitivo cuya severidad resulta insuficiente para cumplir criterios de demencia ya que no presentan un compromiso esencial en las actividades de la vida diaria. Como término presenta numerosas controversias, al igual que lo hace la afirmación de sus subtipos, siendo elevado el interés que ha suscitado en las últimas décadas. Su diagnóstico es difícil pese a ser muy importante, realizándose en el momento actual mediante pruebas neuropsicológicas e historia clínica. Es probable que en unos años las pruebas con biomarcadores constituyan un aporte decisivo para este diagnóstico.Palabras clave: Deterioro Cognitivo Leve, valoración, utilidad, cribado, evaluación. ABSTRACTMild Cognitive Impairment (MCI) is a transitional condition between the cognitive changes of the normal aging and an early stadium of the dementia. At present, the concept Mild Cognitive Impairment (MCI) is recognized as a pathological condition, not as a normal process associated with the age, and it is in use for recounting to a group of individuals who present certain degree of cognitive deficit which severity turns out to be insufficient to fulfill criteria of dementia since they do not present an essential commitment in the activities of the daily life. Since term presents numerous controversies as it is done by the affirmation of his subtypes, inside this entity us obstante there is raised the interest that it has provoked in the last decades. Nevertheless his diagnosis is difficult in spite of being very important, in the current moment it is realized by means of tests neurology-psychological and tells the history clinical. It is probable that in a few years you prove with biomarkers constitute a decisive contribution for this diagnosis.Key Words: Mild Cognitive Impairment, assessment, usefulness, screening, evaluation. INTRODUCCIÓNLa presente comunicación tiene como objetivo realizar una revisión teórica-conceptual y clínica del constructo Deterioro Cognitivo Leve (DCL en adelante), adentrándonos en el inestable mundo de este concepto, dada la dificultad que presenta su diagnóstico y su posterior tratamiento. Y su interés versa en el incremento actual de la esperanza de vida y el progresivo envejecimiento ligado a numerosas alteraciones de tipo físico, social y psicológico (Freire & Gutierrez-Rubí, 2010).Por otro lado cabe señalar que en muchos casos se habla del DCL como un estado transitorio a la enfermedad de Alzheimer (EA) y en otros se toma como un deterioro independiente. Si bien numerosos estudios demuestras que el DCL con afectación aislada solo de la memoria se da en la mínima parte de
INTRODUCCIÓN La necesidad de acometer los retos del envejecimiento poblacional es una tarea que requiere la puesta en marcha de innovaciones y adaptaciones para las poblaciones específicas en los contextos en los que viven los mayores. En este trabajo se intenta dar respuesta a las necesidades particulares de mayores del medio rural en ámbitos residenciales. OBJETIVO Probar la eficiencia de un programa de estimulación que favorezca el recuerdo autobiográfico positivo y el bienestar emocional en adultos mayores del medio rural. MÉTODO Los participantes fueron 15 adultos mayores pertenecientes a 2 residencias rurales, el diseño fue cuasi-experimental, con medidas pre y post intervención, sin grupo de control. RESULTADOS. Se encontró que el programa mejora el estado emocional, provoca un aumento de la felicidad y cognición efectiva. DISCUSIÓN Y CONCLUSIONES Las conclusiones derivadas permiten ser optimistas respecto a la eficacia de este tipo de intervenciones y se discuten limitaciones y alternativas para futuros estudios.
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