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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)
  • ISSN : 1226 - 6329
노인정신의학
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한국 노인에서 사회적 관계, 일상생활 수행능력 및인지기능과 우울 증상과의 관련성 : 2014년 노인실태조사
한국 노인에서 사회적 관계, 일상생활 수행능력 및인지기능과 우울 증상과의 관련성 : 2014년 노인실태조사
신환호(Hwan-Ho Shin);한미아(Mi Ah Han);박 종(Jong Park);류소연(So Yeon Ryu);최성우(Seong Woo Choi);김해란(Hae-Ran Kim)
대한노인정신의학회 / 노인정신의학 제21권 제2호 / 2017 / 47-54 (8 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:This study investigated the association between social relations, activities of daily living, cognitive functions and depressive symptoms among the Korean elderly. Methods:Study subjects were 10,260 elderly participated in 2014 Korean National Survey on Older Adults. General characteristics, social relations, activities of daily living, cognitive functions and depressive symptoms were collected by face-to-face interview. Descriptive analyses, chi-square tests and multiple logistic regression analysis were performed using SAS 9.4 statistical program. Results:Total 33.0% of elderly had depressive symptoms. The odds ratios (OR) for depressive symptoms were significantly higher in elderly without housemate [OR=1.30, 95% confidence interval (CI)=1.11-1.53], without contact of living children (OR=1.76, 95% CI=1.03-2.99), lower social activity (OR=2.00, 95% CI=1.71-2.35) and without contact of friends (OR=1.47, 95% CI=1.30-1.67). And impaired activity of daily living (ADL) (ADL : OR=1.61, 95% CI=1.18-2.20, instrumental activities of daily living : OR=1.68, 95% CI=1.36-2.06) and cognitive impairment (OR=1.21, 95% CI=1.07-1.38) were also associated the risk of depressive symptoms. Conclusion:Social support for elderly who lack social relationships and services to improve the daily life of elderly with impaired activities are helpful to decrease depressive symptoms. And it is necessary to investigate and manage the depressive symptoms of elderly with impaired cognitive function.
알츠하이머병에서 우울 증상과 고혈압의 관계
알츠하이머병에서 우울 증상과 고혈압의 관계
김규동(Kyu-Dong Kim);이승엽(Seung-Yup Lee);이해국(Hae-Kook Lee);이경욱(Kyoung-Uk Lee);권용실( Yong-Sil Kweon);이정태(Chung-Tai Lee)
대한노인정신의학회 / 노인정신의학 제21권 제2호 / 2017 / 55-58 (4 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:To explore the effect of vascular risk factors to the depressive symptom in Alzheimer’s disease (AD). Methods:Retrospective chart reviews were performed for the patients, who underwent comprehensive neuropsychiatric assessment in the geriatric psychiatric clinic in the period between May of 2015 and January of 2017. Patients with moderate to severe stage of AD, neurological comorbidities and major psychiatric disorders were excluded to minimize the confounding factors. Sixty five newly diagnosed early AD patients were included and bisected by the cutoff point of 5 in the short version of the Geriatric Depression Scale. Comparisons were done between two groups for vascular risk factors and other relevant clinic-demographic variables. Binary logistic regression analysis was additionally performed to estimate the effect of hypertension to the depressive symptoms. Results:Among the investigated vascular risk factors, hypertension was associated with depressive symptom in the early AD patients. In the logistic regression, odd ratio of hypertension for depression was 4.34 (95% confidence interval 1.47-12.79). Conclusion:Depressive symptoms in the AD patients were associated with hypertension. Therefore, managing this vascular factor in the middle age may not only decrease the risk for neurovascular disorders, but also provide additional benefits in curtailing depression in AD.
지역사회 노인의 정신건강 기초조사를 위한 예비연구
지역사회 노인의 정신건강 기초조사를 위한 예비연구
주현빈(Hyun Bin Ju);정도운(Do-Un Jung);김성진(Sung Jin Kim);김현정(Hyun Jung Kim);박재홍(Jae Hong Park);서영수(Young Soo Seo);문정준(Jung Joon Moon);전동욱(Dong Wook Jeon);김유나(You Na Kim)
대한노인정신의학회 / 노인정신의학 제21권 제2호 / 2017 / 59-66 (8 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:With the burgeoning elderly population, mental health among the elderly has surfaced as an important medical, social, and economic issue. This study was a pilot study testing the assessment module that was developed to survey mental health among the elderly living in the city of Busan. Methods:Basic demographic data and mental health problems were investigated using the General Health Questionnaire-12 (GHQ-12), suicide risk screening tool, subjective memory deterioration scale, sleep disorder and sleep pattern scale, health-related quality of life scale (EuroQoL-5 dimension), and alcohol abuse screening tool (Cut down, Annoyed, Guilty, Eye-opener Questionnaire). Results:Four-hundred adults aged 65 years or older living in either of two districts in the Busan metropolitan city participated in the study, of whom 219 (54.8%) were female. About 26.8% of the participants were obese, while 2.3% were underweight. One hundred and twenty-five (31.3%) participants were in need of attention to or improvement of nutrition management, and 19.1% perceived themselves to be in poor health. In the GHQ-12, 68.8% were in psychological distress (≥2). About 49.8% of the participants had insomnia, 61.8% had subjective memory disturbance, and 6% were at risk of suicide. The GHQ-12 score, proportion of participants with sleep disturbance, and subjective memory deterioration was significantly higher among women than in men, while health-related quality of life was higher in men. Conclusion:A considerable number of older adults living in the Busan region were suffering from psychological stress, were in need of nutrition management, had low quality of life, and had poor mental health, and women were particularly more vulnerable
알츠하이머병 환자에서 정신증적 증상과 연관된 좌측 판개부 및좌측 외측 후두회의 피질 두께 변화
알츠하이머병 환자에서 정신증적 증상과 연관된 좌측 판개부 및좌측 외측 후두회의 피질 두께 변화
이두형(Doo Hyoung Lee);김경미(Gyung Mee Kim);박선철(Seon-Cheol Park);김태형(Tae Hyung Kim);최승은(Seung Eun Cho);정태영(Tae-Yeong Jeong);이봉주(Bong Ju Lee);문치웅(Chi Woong Mun);이정구 (Jung Goo Lee);김영훈(Young Hoon Kim)
대한노인정신의학회 / 노인정신의학 제21권 제2호 / 2017 / 67-74 (8 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:The aims of this study was to present an association between the presence of psychotic symptoms and cortical thicknesses/subcortical volumes in patients with Alzheimer’s disease (AD). Methods:Fourteen AD patients with psychotic symptoms and 41 without psychotic symptoms underwent 3T MRI scanning. After adjusting the effects of confounding variables, the cortical thicknesses were compared between the AD patients with and without psychotic symptoms in multiple regions, across the continuous cortical surface. In addition, the subcortical volumes were compared with a structure-by-structure manner. Results:AD patients with psychotic symptoms were characterized by significant smaller cortical thickness of left pars opercularis (F=4.67, p=0.02) and left lateral occipital gyrus (F=6.05, p=0.04) rather than those without psychotic symptoms, after adjusting the effects of age and scores on the Stroop test, non-psychotic items of Neuropsychiatry Inventory and Clinical Dementia Rating, triglyceride level and total intracranial volume. However, there were no significant differences in the subcortical volume between the two groups. Conclusion:These results suggest that AD psychosis may reflect more severe deterioration of neuropathologic change in specific brain region.
한국의 일 도시 노인들의 대사증후군 발생에 사회적 지지가 미치는 영향
한국의 일 도시 노인들의 대사증후군 발생에 사회적 지지가 미치는 영향
유혜영(Hye-Young Yu);박철수( hul-Soo Park):김봉조(Bong-Jo Kim);이철순(Cheol-Soon Lee);차보석(Boseok Cha);이소진(So-Jin Lee);서지영(Ji-Yeong Seo);안인영(In-Young Ahn);최재원(Jae-Won Choi);이동윤(Dongyun Lee)
대한노인정신의학회 / 노인정신의학 제21권 제2호 / 2017 / 75-80 (6 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:This study examined the effect of social support on metabolic syndrome (MetS) among elderly population in a city in Korea. Methods:A total of 352 people all over 60 years of age were analyzed from the data of the Korean Longitudinal Study on Cognitive Aging and Dementia. This study was started in 2010 and is in progress till date. We compared the documented diagnoses of MetS and Medical Outcome Study Social Support Survey at the baseline of the study and two years later. Results:315 were normal, 37 were developed after two years among subjects without MetS at baseline. When the level of social support was compared at baseline and then at the time of the reassessment two years later, the level had increased in the normal group and the level had not significantly changed for the MetS group. The findings documented at the two year mark indicate that the higher and stronger the level of social support, the lower the risk of developing MetS (odds ratio=0.053, p=0.040). Conclusion:The elderly with good social support are noted to be at lower risk in developing MetS as opposed to those with poor social support. It is apparent that adequate social support shows reduced prevalence of MetS among the elderly. Methods to identify strategies in improving social support networks are needed to expand public health resources and to better accommodate the community-based care of the elderly.
치매환자 보호자 부양 부담의 요인구조 : 보호자 부담 조사의 탐색적 요인분석과 확인적 요인분석
치매환자 보호자 부양 부담의 요인구조 : 보호자 부담 조사의 탐색적 요인분석과 확인적 요인분석
강효신(Hyo Shin Kang);이수지(Soo Ji Lee);김지혜(Ji Hae Kim);권정혜(Jung Hye Kwon);김도관(Doh Kwan Kim)
대한노인정신의학회 / 노인정신의학 제21권 제2호 / 2017 / 81-86 (6 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:Zarit Burden Interview (ZBI) was the most commonly used measure of caregiver burden for demented older adults. The aim of this study was to investigate dimensions of caregiver burden through factor analysis of ZBI. Methods:The participants were 706 outpatients with dementia and their caregivers in Korea. We assessed the caregiver burden using the Korean version of ZBI. The participants were randomly divided into two groups, for the purpose of identifying the most optimal factor structure through exploratory factor analysis in group 1 (n=368) and confirmatory factor analysis in group 2 (n=338). Results:The results of exploratory factor analysis in group 1 suggested 3-factor structure, which was labeled ‘personal strain,’ ‘patient dependency,’ and ‘self-criticism.’ The confirmatory factor analysis results indicated the 3-factor structure which was discovered through exploratory factor analysis was the best-fitting model for explaining the caregiver burden in group 2. Conclusion:The current study has significant implications for advancing our understanding of ZBI as multidimensional burden scale. Furthermore, differentiating the dimensions may allow researchers to assess the effects of interventions more precisely.
알츠하이머병 환자에서 정신병과 측두엽 위축과의 연관성
알츠하이머병 환자에서 정신병과 측두엽 위축과의 연관성
손제현(Je Hyun Sohn);이영민(Young Min Lee);박제민(Je Min Park);이병대(Byung Dae Lee);문은수(Eun Soo Moon);정희정(Hee Jeong Jeong);김수연(Soo Yeon Kim);이강윤(Kang Yoon Lee);김지훈(Ji-Hoon Kim);정영인(Young-In Chung)
대한노인정신의학회 / 노인정신의학 제21권 제2호 / 2017 / 87-91 (5 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:The purpose of this study is to investigate the difference on regional volume in temporal lobe between Alzheimer’s disease patients with psychosis (AD+P) and Alzheimer’s disease patients without psychosis (AD-P). Methods:Altogether, 24 AD+P and 25 AD-P matched age, gender, and clinical dementia rating sum of box (CDR-SOB) were include from a Memory impairment clinics of Pusan National University Hospital in Korea. AD+P were diagnosed according to Jeste and Finkel’s proposed diagnostic criteria for psychosis of Alzheimer’s disease. Grey matter volume of temporal lobe was measured with 3-tesla magnetic resonance imaging and freesufer analysis. Analysis of variance was used to investigate the association between temporal lobe and AD+P after controlling age, gender, education years, CDR-SOB and total intracranial volume. Results:We found an association between AD+P and reduced grey matter volume in total temporal lobe as well as in specific temporal regions such as left middle temporal lobe, left inferior temporal lobe, both hippocampus and both fusiform. Conclusion:Our findings suggest that AD+P are associated with reduced grey matter volume of temporal lobe.
일 도시 지역사회 노인들의 자살사고 유병률과 관련요인
일 도시 지역사회 노인들의 자살사고 유병률과 관련요인
노가혜(Gahye Noh);김정란(Jeong Lan Kim);지익성(Ik-Seung Chee):이선우(Sun Woo Lee);이미지(Miji Lee);김현진(Hyun-Jin Kim);안소현(So Hyun Ahn)
대한노인정신의학회 / 노인정신의학 제21권 제2호 / 2017 / 92-98 (7 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:This study aimed to evaluate the relationship between suicidal ideation and its associated clinical factors among community-dwelling elderly in Korea. Methods:A cross-sectional survey was conducted using the data obtained from the face to face interviews of 1,500 (mean age : 74.41±6.44, male : 41.0%) elderly people aged 65 or above living in the community. The questionnaire used in this study was composed of detailed questions about the clinical characteristics including sociodemographic, life style, physical status, and psychiatric factors. In order to assess the suicidal ideation, the subjects were asked questions about the suicidal idea in the past year. Results:A total of 156 (10.4%) elderly reported the suicidal ideation over the last year. Multiple logistic regression analysis revealed significant correlation with dissatisfaction with life [odds ratio (OR) 4.41, 95% confidence interval (CI) 1.55-12.60], depression (OR 2.87, 95% CI 1.62-5.07), cognitive decline (OR 2.38, 95% CI 1.38-4.10), poor perception of health (OR 2.34, 95% CI 1.04-5.24), and insomnia (OR 2.24, 95% CI 1.31-3.84). Conclusion:These results showed the several clinical factors associated with suicidal ideation among community-dwelling elderly living in Korea. The present study suggested the necessity for the various aspects of approach.
지역사회의 치매 및 경도인지장애 독거노인에 대한 인지강화프로그램의 효과
지역사회의 치매 및 경도인지장애 독거노인에 대한 인지강화프로그램의 효과
김태우(Tae Woo Kim);이광헌(Kwang-Hun Lee);이 관(Kwan Lee);곽경필(Kyung-Phil Kwak)
대한노인정신의학회 / 노인정신의학 제21권 제2호 / 2017 / 99-105 (7 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:This study aims to investigate the efficacy of 48-sessioned cognitive stimulation programs (CSP) in solitary elderlies with mild cognitive impairment (MCI) and dementia. Methods:Among 194 subjects, 125 were CSP participants and 69 were controls. Korean version of Mini-Mental Status Examination for Dementia Screening (MMSE-DS), Global Deterioration Scale, Seoul-Instrumental Activities of Daily Living (S-IADL) and Korean version of Geriatric Depression Scale-Short Form, Korean Quality of Life-Alzheimer’s Disease (KQoL-AD) were assessed. Outcomes were measured at baseline and after 48th session. we analyzed these collected data. Results:In CSP group, MMSE-DS (p<0.001), KQoL-AD (p=0.021) were significantly improved compared with their baseline. MMSE-DS was significantly improved in CSP group compared with controls, but KQoL-AD was not (p=0.078). Relative risk (RR) of MCI and dementia in CSP group was 0.491 [95% confidential interval (CI)=0.380-0.633] and that of activities of daily living (ADL) impairment (S-IADL>8) was 0.873 (95% CI=0.773-0.985). Conclusion:CSP improved cognition and quality of life in solitary elderly individuals with MCI or dementia. Also, CSP reduced relative risk of MCI and dementia by 50.8% and ADL impairment by 12.7%. Although we expect CSP might be helpful to prevent cognitive problems of them, appropriate public mental health programs are still needed for their emotional wellbeing.
알츠하이머 치매 환자에서 성별에 따라 교육 성취도가 영역별 인지기능에 미치는 영향 : A Clinical Research Center for Dementia of South Korea Study
알츠하이머 치매 환자에서 성별에 따라 교육 성취도가 영역별 인지기능에 미치는 영향 : A Clinical Research Center for Dementia of South Korea Study
이준노(Jun Ro Lee);이춘수(Chunsoo Lee);최준배(Junbae Choi);강효신(Hyo Shin Kang);임신원(Shin Won Lim);나덕렬(Duk L. Na);김성윤(Seong Yoon Kim);이재홍(Jae-Hong Lee);한설희(Seol-Heui Han);최성혜(Seong Hye Choi);김상윤(Sang Yun Kim);김도관(Doh Kwan Kim)
대한노인정신의학회 / 노인정신의학 제21권 제2호 / 2017 / 106-112 (7 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:We aimed to find the sex differences of the way how educational attainment influence on cognitive function in patients with Alzheimer’s disease (AD). Methods:We recruited 424 patients with AD from a large hospital-based multi-center cohort. We evaluated cognitive subdomains using the Seoul Neuropsychological Screening Battery-Dementia version. We employed multiple linear regression analysis to compare the score of cognitive subdomains between the groups with high versus low educational attainment based on the high school graduate. Interaction between educational attainment and sex was also included in the analysis. Results:High and low educational attainment group had 33.0% and 67.0% of patients in the study population. In the multiple regression analysis, score of all cognitive subdomains were significantly higher in the high educational attainment group. The score of attention was also significantly affected by interaction between educational attainment and sex. This result may be helpful to develop cognitive intervention therapy. Conclusion:In the female patients with AD, educational attainment showed higher influence on the attention score.