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  • 발행기관: 대한노인정신의학회
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노인정신의학(Journal of Korean Geriatirc Psychiatry)

  • 발행기관 : 대한노인정신의학회(Korean Association For Geriatric Psychiatry)
  • 출처구분 : 학회
  • 간행물유형 : 학술저널
  • 발행주기 : 연 2회간 (발행월:4,10)
  • Print ISSN : 1226-6329
  • 등재정보 : KCI 등재
노인정신의학
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경도인지장애에서 알츠하이머병으로의 이환 예측
경도인지장애에서 알츠하이머병으로의 이환 예측
우수경(Soo Kyung Woo);배성호(Seongho Bae);김지혜(Ji Hae Kim);김도관(Doh Kwan Kim)
대한노인정신의학회 / 노인정신의학 제25권 제1호 / 2021 / 1-7 (7 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective: This study aimed to investigate the association with the functioning of instrumental-activities of daily living (I-ADL) and future development of Alzheimer’s disease (AD) in persons with mild cognitive impairment (MCI). Methods: A total of 116 patients with MCI, aged 65 years to 91 years (male: 88, female: 91 at first visit), from a large hospital center in Korea, were identified. Those who developed at least two consecutive 1-year follow up were diagnosed according to the DSM-5 criteria. Results: When the same level of Mini Mental State Examination (MMSE) scores was given, it could be seen that the probability of AD transfer was predicted differently due to complex changes in I-ADL scores. Specifically, it was observed that with an MMSE score of approximately 23.9 points, as the I-ADL points increase, the odds of transfer also increase approximately 6.1% (I-ADL low: 8.5 points) to 23.5% (I-ADL high: 31.4), therefore odds of transfer are 17.4% higher than I-ADL low condition. Conclusion: The study suggested that even though cognitive problems were not observed due to high MMSE scores, severe damage to I-ADL could lead to AD. Applications may be limited, but such cases may require careful monitoring at the site.
시각 즉각 회상 검사를 이용한 지역사회 경도인지장애 조기발견
시각 즉각 회상 검사를 이용한 지역사회 경도인지장애 조기발견
추일한(IL Han Choo)
대한노인정신의학회 / 노인정신의학 제25권 제1호 / 2021 / 8-13 (6 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective: Mild cognitive impairment (MCI) is transitional state between cognitively normal and dementia. It is not easy to detect MCI patient early in the community. This study aimed to detect MCI early performing learning memory tests of neuropsychological test domains in the community sample. Methods: Overall 7,307 individuals were already registered with Korean version of Mini-Mental Status Examination for Dementia Screening (MMSE-DS) evaluation. It was conducted across all 5 districts of Gwangju, Republic of Korea from April 1, 2020 to September 30, 2020. As first step, we screened them applying inclusion criteria of age, sex, education adjusted norm based MMSE Z score between -1.5 and 0, and MMSE delayed recall score less than 2. And second assessments of neuropsychological tests and clinical diagnosis with visit were performed. We examined whether verbal and constructional learning memory tests can improve the detection of MCI by receiver operating curve (ROC) analysis. Results: Clinical diagnosis finally defined 100 amnestic MCI, 8 non-amnestic MCI and 6 cognitively normal (CN). Visual immediate and delayed recall test had the highest ROC overall accuracy of 79.2% (95% confidence interval 67.8-90.6%) differentiating MCI from CN. Conclusion: Our study suggests that visual immediate recall test might be time saving and cost-effective in addition to accuracy to early detect MCI in the community.
신경퇴행성 질환이 암 발병에 미치는 영향
신경퇴행성 질환이 암 발병에 미치는 영향
이소연(So Yeon Lee);김지헌(Ji Hun Kim);김정범(Jung Bum Kim);김양태(Yang Tae Kim);이호준(Ho Jun Lee);김희철(Hee-Cheol Kim)
대한노인정신의학회 / 노인정신의학 제25권 제1호 / 2021 / 14-22 (9 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective: We evaluated the association between cancer and various neurodegenerative diseases (NDs), including Alzheimer’s disease (AD), Parkinson’s disease (PD), and circumscribed brain atrophy (CBA) and to evaluate the impact of ND on the development of cancer. Methods: A population-based longitudinal study was conducted using the National Health Information Database for 2002-2015. A total of 9,365 ND patients (3,157 AD, 5,866 PD, 342 CBA) were included in the study, as were 46,818 matched controls. Results: Various NDs were newly developed in control and ND groups during the 10-year follow-up periods. Newly developed ND cases were as follows: 33.0% in control, 35.3% in AD, 19.9% in PD, and 45.3% in CBA. Cancer developed in 22.6% of ND groups (20.5% AD, 23.6% PD, 24.3% CBA) and in 18.5% of control group. Cancer development was significantly higher in AD patients with new ND cases (especially PD cases), compared to patients without new ND cases (22.8% vs. 19.3%, p=0.019). There were no differences in the frequencies of cancer development between patients with and without new ND cases in PD, CBA, and control groups. The adjusted hazard ratios for cancer in AD, PD, and CBA groups were 1.43, 1.55, and 1.58, respectively. Conclusion: This study showed that various NDs are positively associated with development of cancer and suggests that newly developed PD in AD group during the follow-up period may influence the development of cancer that follows.
노인정신질환과 범죄행위의 연관성 및 특징에 관한 연구
노인정신질환과 범죄행위의 연관성 및 특징에 관한 연구
차승민(Seungmin Cha);임경옥(Kyung-Ok Lim);조성남(Sung-Nam Cho);장소영(Soyeong Jang);한송이(Songyi Han)
대한노인정신의학회 / 노인정신의학 제25권 제1호 / 2021 / 23-29 (7 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective: As the population of the elderly increases, the prevalence of dementia and other mental diseases of the elderly is also increasing. Dementia is a typical elderly mental illness. Some people with dementia may cause a crime due to symptoms of mental behavior. The purpose of this study is to examine the characteristics of criminal behavior of various elderly mental patients. Methods: From January 1, 2010 to December 31, 2019, the court selected 65 years of age or older from among the criminal psychiatric appraisal cases commissioned by the court. A total of 205 medical records and mental assessments were reviewed retrospectively. All records were prepared through psychiatric interviews, clinical psychological examinations, and other examinations, and the information compiled was viewed in several aspects, including demographic factors, crime characteristics, and psychiatric opinions, at the level of technical analysis. Results: There was a statistically significant difference in the judgment of criminal liability according to the degree of cognitive impairment (p<0.001) in the elderly mentally ill, and a significant difference in criminal behavior depending on the type of mental illness (p<0.001). Conclusion: Not only dementia but also other elderly mental illnesses are related to violent crime. In particular, paranoid symptoms and alcohol abuse in older adults’ mental illness are related to the type of criminal behavior. In an aging society, appropriate therapeutic intervention is needed to prevent criminal behavior of the elderly mentally ill.
구조화된 음악 치료 프로그램이 치매 노인의 정서 기능에 미치는 영향에 대한 후향적 분석
구조화된 음악 치료 프로그램이 치매 노인의 정서 기능에 미치는 영향에 대한 후향적 분석
전소정(So Jeong Jeon);강원섭(Won Sub Kang);이성애(Seong Ae Lee);이미애(Mee Ae Lee);박동화(Dong Hwa Park);김종우(Jong Woo Kim)
대한노인정신의학회 / 노인정신의학 제25권 제1호 / 2021 / 30-35 (6 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective: The effectiveness of music therapy programs for the elderly with dementia has been verified through several studies, but there is a limitation in that most of them are compared with a single group, no treatment group or waiting group. In this study, to overcome this problem, the two groups that performed similar interventions were selected and compared retrospectively. Methods: For 37 people who participated in the treatment programs for the elderly with dementia at Dongdaemun Center for Dementia and its branch center, we retrospectively analyzed the changes in Korean version of Geriatric Depression Scale and Geriatric Quality of Life Scale-Dementia scores measured before and after treatment. Results: Prior to treatment, there is no significant difference between the groups in the demographic variables and the depression and quality of life scores. The difference between pre- and post-scores was not significant in the group at the branch center without a music therapy, but depression was significantly reduced and quality of life had improved in the group at Dongdaemun center with the music therapy program. Conclusion: It was confirmed that participation in the structured music therapy program had a positive effect on the improvement of depression and quality of life in the elderly with dementia compared to other similar interventions.
지역사회에 거주하는 노인에게 집단 인지훈련이 인지기능, 우울감, 삶의 질에 끼치는 효과
지역사회에 거주하는 노인에게 집단 인지훈련이 인지기능, 우울감, 삶의 질에 끼치는 효과
고요한(Eyohan Ko);한명일(Myeong-Il Han);이건학(Keon-Hak Lee);홍수정(Su-Jeong Hong)
대한노인정신의학회 / 노인정신의학 제25권 제1호 / 2021 / 36-42 (7 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective: There are reports that cognitive training improves cognitive performance in patients with mild cognitive impairment and dementia. However, the research on the effects of cognitive training in the community-dwelling elderly is insufficient. This study aimed to verify the effectiveness of cognitive training in the community-dwelling elderly. Methods: The participants were community-dwelling elderly aged 60 years or over. We collected demographic data and assessed Korean Version of Montreal Cognitive Assessment (MoCA-K), The Short form of the Geriatric Depression Scale-Korean (SGDS-K), and Geriatric Quality of Life-Dementia (GQOL-D). Cognitive training consisted of performing tasks for multi-cognitive domains. It was a paper- and group-based program, conducted 15 sessions each 60 minute. After the intervention, clinical characteristics were reassessed. Paired t-test, pearson correlation, analysis of covariance (ANCOVA) were performed using R version 3.6.1. Results: There were 206 participants. 162 participants completed the intervention, and were eligible for analyses. After the cognitive intervention, MoCA-K was improved 2.10±0.61 which was statistically significant (p<0.001). SGDS-K was decreased 0.57± 0.46 (p=0.003). GQOL-D was increased 1.65±1.64 (p=0.048). ANCOVA showed that the score change in MoCA-K was not influenced by baseline SGDS-K or baseline GQOL-D score. Conclusion: Group-and paper-based cognitive training could improve MoCA-K, SGDS-K, and GQOL-D for the communitydwelling elderly. Baseline SGDS-K and GQOL-D scores were not associated with cognitive training effects in the community-dwelling elderly.
노인에서 COVID-19로 인한 불안감과 관련된 인식
노인에서 COVID-19로 인한 불안감과 관련된 인식
임은지(Eunji Lim);김봉조(Bong-Jo Kim);이철순(Cheol-Soon Lee);차보석(Boseok Cha);이소진(So-Jin Lee);서지영(Jiyeong Seo);최재원(Jae-Won Choi);이영지(Young-Ji Lee);이윤정(Younjung Lee);이동윤(Dongyun Lee)
대한노인정신의학회 / 노인정신의학 제25권 제1호 / 2021 / 43-48 (6 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective: To investigate perceptions of coronavirus disease-19 (COVID-19) associated with anxiety caused by the COVID-19 epidemic in the elderly who are vulnerable to mental health problems. Methods: This study used data of a survey on perceptions of COVID-19 and changes in mental health of 1,000 out of residents in a province of Korea in April 2020. The survey included questions about psychological perceptions for COVID-19. Subjects were dived into two groups (<60 and ≥60). Binary logistic regression analyses were performed for evaluating the association between anxiety and perceptions about COVID-19 in each group. Results: Results of binary logistic regression analyses revealed that only ‘fear of getting infected myself’among perceptions for COVID-19 was associated with anxiety in the elderly aged more than 60 years. However, in adults aged less than 60 years, all perceptions for COVID-19 except impairment of performance were associated with such anxiety. Conclusion: We found that the anxiety for COVID-19 in elderly with age over 60 years was associated with ‘fear of getting infected myself’ rather than ‘fear of family or people around them’, unlike adults aged less than 60 years. These results can be applied in strategies for psychological quarantine against COVID-19 among the elderly.
지역사회 거주 노인의 인지기능과 우울증상 사이의 상관성 분석
지역사회 거주 노인의 인지기능과 우울증상 사이의 상관성 분석
조현;변기환;권성옥;한지원;배종빈;양희원;임은지;김기웅;곽경필;김봉조;김신겸;김정란;문석우;박준혁;윤종철;이동영;이동우;이석범;이정재;정현강;김태희;유승호;주진형
대한노인정신의학회 / 노인정신의학 제25권 제1호 / 2021 / 49-55 (7 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective: The aim of this study was to reveal the association between the depressive symptom and cognitive function of participants with normal cognitive function, mild cognitive impairment (MCI), and dementia in a large-scale community elderly cohort. Methods: A total of 6,338 elderly participants who participated in the Korean Longitudinal Study on Cognitive Aging and Dementia (KLOSCAD) from November 2010 to October 2012 were evaluated through cross-sectional analysis. Cognitive evaluation was conducted with Korean Version of Mini Mental Status Exam for Dementia Screening (MMSE-DS) and Consortium to Establish a Registry for Alzheimer’s Disease Assessment Packet (CERAD) neuropsychological tests, and depressive symptoms were evaluated with Revised Korean Version of the Geriatric Depression Scale (GDS-KR). Results: 4,352 normal cognitive elderly participants, 1,748 MCI and 238 dementia participants were enrolled in the study. Correlation analysis showed a significant negative correlation between MMSE-DS and GDS-KR in the normal elderly group and participants with MCI, but not in dementia participants. This was the same in the correlation between CERAD-TS (total score) and GDSKR score. Conclusion: This study found that worse cognitive function in the community cohort worsened depressive symptoms in groups with normal and MCI, but no significant correlation was observed in patients with dementia.