Abstract
ABSTRACT Objective: to carry out an integrative review of the literature on autobiographical narratives as a discursive activity in the older adult with neurocognitive disorder. Methods: a descriptive study that covered the Scopus, SciELO, PubMed, and Science Direct databases, from 2009 to 2019, using the keywords autobiographical, narrative, dementia, reminiscence, the elderly, and the Boolean operator. A narrative synthesis was adopted considering the characteristics of the clinical, and methodological heterogeneity of the studies. Results: the results included 3 articles published between 2012 and 2018, in the English language, from the United Kingdom, Brazil, and Argentina, which highlighted the autobiographical narratives. Although in a strict sense they did not present the narrative as a specific objective of the autobiographical study, they did provide interesting and related data which justified their inclusion. Conclusion: it is observed that the literature researched presents a limited number of articles, adressing the autobiographical narrative as a discursive activity in the elderly with neurocognitive disorder.
Highlights
Over the years, the human organism goes through a natural physiological decline, which affects cognitive abilities and intervenes in communication skills[1,2]
Among the diversity of pathologies associated with aging, with a global prevalence between 15% to 20%, are neurocognitive disorders (NCD), which are presented as mild neurocognitive disorder and major neurocognitive disorder
A- Evidence of a modest cognitive decline from a previous level of higher performance in one or more of one of the referred cognitive domains: 1- Concern of the individual, an informed third party or the physician regarding a modest decline in cognitive functions. 2- Decline in neuropsychological performance, implying a performance in tests of the range of one to two standard deviations below what is expected in the regulated neuropsychological evaluation or before an equivalent clinical evaluation B- Cognitive deficits are insufficient to interfere with independence, it may be necessary to try harder, use compensatory strategies or make an accommodation to maintain independence
Summary
The human organism goes through a natural physiological decline, which affects cognitive abilities and intervenes in communication skills[1,2]. The symptomatic aspects of its diagnosis are disorders in attention, executive function, learning, memory, language, visuoperceptive and visuoconstructive functions, and social cognition[3]; consequences of the functionality of the user and the degree of intensity of the symptoms characterize the type of major or minor neurocognitive disorder. 2- Decline in neuropsychological performance, implying a performance in tests of the range of one to two standard deviations below what is expected in the regulated neuropsychological evaluation or before an equivalent clinical evaluation B- Cognitive deficits are insufficient to interfere with independence (e.g., instrumental activities of daily life, complex tasks such as managing medication or money), it may be necessary to try harder, use compensatory strategies or make an accommodation to maintain independence. D- Cognitive deficits are not primarily attributable to the presence of other mental disorders (e.g., major depressive disorder, schizophrenia)
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