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Title: Avaluació i intervenció neuropsicològica en un cas fictici de trastorn cognitiu per depressió major geriàtrica
Author: Elizalde Palou, Guillem
Tutor: Llorente Vizcaino, Ana Isabel
Keywords: cognitive impairment
cognitive remediation
late-life depression
major depression
Issue Date: 25-Jan-2021
Publisher: Universitat Oberta de Catalunya (UOC)
Abstract: This paper deals with a fictitious case of cognitive disorder due to geriatric major depression. Major depression is a mood disorder characterized by significant feelings of sadness and apathy, which are often accompanied by cognitive, emotional, somatic, psychomotor and behavioral problems. The patient referred in the paper is a 72-year-old man with a long history of depressive episodes during adulthood. Currently, he presents a new relapse, which has been rapidly followed by a reduction in functionality and cognitive abilities. From psychiatry, an OAT is requested, as well as a neuropsychological evaluation for diagnostic guidance and possible intervention. The first diagnostic hypothesis is a cognitive disorder due to geriatric major depression, while the differential diagnosis is an incipient neurodegenerative disease with comorbid depression. Evaluation results show low functionality, as well as cognitive deficits in alternating attention, processing speed, episodic memory and executive functions. This, together with the TACO within normality, supports the first diagnostic hypothesis. A neuropsychological intervention is then developed with the aim of improving the patient's deficits, recovering his autonomy and providing him with protective behaviors against dysphoria and cognitive impairment. The intervention includes specific cognitive training with NeuronUP, non-specific training with board games, training in the use of external aids, psychoeducation for the patient and family members, and behavior modification techniques to counteract apathy.
Language: Catalan
Appears in Collections:Bachelor thesis, research projects, etc.

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