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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
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노인정신의학 연구윤리규정
편집부
대한노인정신의학회 / 노인정신의학 제22권 제1호 / 2018 / 1-4 (4 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
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노인정신의학 제22권 제1호 목차
편집부
대한노인정신의학회 / 노인정신의학 제22권 제1호 / 2018 / 1-2 (2 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
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신체 구성비와 인지기능과의 연관성 :
노지현(Jihyun Roh);김현(Hyun Kim);이강준(Kang Joon Lee)
대한노인정신의학회 / 노인정신의학 제22권 제1호 / 2018 / 1-6 (6 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:Body composition is measured using bioelectrical impedance analysis (BIA), and correlation between the result of BIA and cognitive function is analyzed. Methods:A total of 118 elderly (46 male, 72 female) were recruited. They were divided into three groups; normal (n=33), mild cognitive impairment (n=42), and Alzheimer’s dementia (n=43) according to the diagnostic criteria. Skeletal muscle mass, body fat mass, and fat-free mass were measured using a BIA device, and were converted to the ratio of body weight. All participants underwent Korean version of Mini-Mental State Examination (MMSE-K). Results:In pearson correlation analysis, skeletal muscle percentage (SMP) and fat-free mass percentage (FFMP) were positively correlated with MMSE-K score (r=0.309, p=0.001; r=0.245, p=0.008), and body fat percentage was negatively correlated (r=-0.258, p=0.005). In multiple regression analysis, SMP (β=2.012, t=4.457, p<0.001) and FFMP (β=-1.733, t=-3.838, p<0.001) were selected as the best predictors of changes in MMSE-K score (R2=0.198). Conclusion:Reduced skeletal muscle and increased body fat correlate with decreased cognitive function, suggesting the need for prevention of frailty and early diagnosis of cognitive impairment.
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노인정신의학 투고규정
편집부
대한노인정신의학회 / 노인정신의학 제22권 제1호 / 2018 / 1-6 (6 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
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지역사회 노인에서 코골이가 낙상의 위험에 미치는 영향
박주호(Juho Park);김우정(Woo Jung Kim);염유식(Yoosik Youm);김현창(Hyeon Chang Kim);박영란(Yeong-Ran Park);추상희(Sang Hui Chu);남궁기(Kee Namkoong);이은(Eun Lee)
대한노인정신의학회 / 노인정신의학 제22권 제1호 / 2018 / 7-12 (6 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:Fall is one of major causes of morbidity and mortality in the elderly. It is known that sleep is associated with quality of life in the elderly. Snoring is one of the factors affecting sleep quality. The aim of the study was to examine whether snoring affect fall in the community elderly. Methods:This survey was performed as a part of the Korean Social Life, Health, and Aging Project, which studied the elderly living in Ganghwa-gun. Fall was defined as any history of fall in the last year through face-to-face interview. We examined the following variables: age, sex, snoring, insomnia, hypertension, diabetes, stroke, bone disease, vision problems, depression, alcohol intake, mini-mental state examination, and body mass index. The data was analyzed by multiple logistic regression to determine the association of fall with the risk factors. Results:In the multivariate analysis of 516 participants, the adjusted odd ratios (95% confidence interval) of simple snoring affecting fall was 1.70 (1.10-2.63). In addition, sex (female), age, and diabetes were significantly predicted the fall. Conclusion:Our result suggested that snoring could be a risk factor of fall. A more comprehensive study of the relationship between snoring and fall is needed to improve the quality of life of the community elderly.
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농촌형 치매 안심마을 사업이 지역주민의 치매 인식도, 인지기능, 우울감에 미치는 영향 :
한명일(Myeong-Il Han);김경민(Gyung-Min Kim);오지영(Ji-Young Oh);박미경(Mi-kyeong Park);강남인(Nam-In Kang);김재원(Jae-Won Kim)
대한노인정신의학회 / 노인정신의학 제22권 제1호 / 2018 / 13-18 (6 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:According to the 3rd Korean National Dementia Plan, the dementia-friendly community initiative was launched. The aim of this study was to evaluate the effects of a rural dementia-friendly village project on the participants. Methods:Jeollabukdo Provincial Dementia Center designated Sosu-maeul, located in Buan-gun Jeollabuk-do, as a rural dementia-friendly village. We conducted dementia partnership education, youth-elder matching activity, and cognitive enhancing program. The efficacy of this project was evaluated by the changes in dementia awareness, cognitive function, and depressive symptoms. We used dementia awareness questionnaire, Mini-Mental Status Examination for Dementia Screening (MMSE-DS), and Korean version of Short form of Geriatric Depression Scale (SGDS-K). Results:This study was carried out with 24 residents in this community. There was no significant change in dementia awareness score between pre- and post-intervention (p=0.25). MMSE-DS score was significantly increased from 24.5 to 25.5 (p<0.001) and SGDS-K score was statistically improved from 3.5 to 2.5 (p=0.04) after interventions. Conclusion:We Jeollabukdo Provincial Dementia Center carried out a pilot study of a rural dementia-friendly village project. This project led to improvements on cognitive functions and depressive symptoms in the participants. But the improvement of dementia awareness was not achieved. More direct and experiencing interventions for people with dementia are necessary to improve dementia awareness.
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지역 사회 노인의 주관적 기억 감퇴와 관련 요인에 관한 연구
이의섭(Ui Sub Lee);제영묘(Young Myo Jae);장세헌(Sae Heon Jang);최진혁(Jin Hyuk Choi);이경환(Kyoung Hwan Lee)
대한노인정신의학회 / 노인정신의학 제22권 제1호 / 2018 / 19-24 (6 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:We examined the factors influencing subjective memory complaints among community dwelling elderly in urban area. Methods:The subjects of this research were 160 community-dwelling elderly people without dementia and major depressive disorder. The questionnaires regarding the socio-demographic characteristics were conducted by each person. They include Korean version of Subjective Memory Complaints Questionnaires (SMCQ), Korean version of Short Geriatric Depression Scale (SGDS-K) and Korean version of Mini-Mental State Examination (K-MMSE). Subjective memory complaints were defined as above 4 points of SMCQ. Results:39.38% of the subjects had subjective memory complaints. There were significant associations between subjective memory complaints and SGDS-K (p<0.001), physical illness (p=0.001), but there was no association with K-MMSE (p=0.383). Conclusion:There is a discrepancy between subjective memory complaints and actual cognitive impairments. This discrepancy suggests that the depressive disorders including minor depressive disorder and subsyndromal depression, might play a role in the subjective memory complaints rather than actual cognitive impairments in community-dwelling elderly people. Therefore, the treatments for the depressive disorders should be considered in dealing with the subjective memory complaints.
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만성 정신병원의 노인환자 변화추이와 수반된 내과 질환
주새한(Sae Han Ju);김신겸(Shin Kyum Kim);변원탄(Won Tan Byun);정봉주(Bong Joo Jung);박영민(Young Min Park);서재원(Jae Won Seo);김세훈(Se Hoon Kim)
대한노인정신의학회 / 노인정신의학 제22권 제1호 / 2018 / 25-32 (8 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:It investigated the tendency of the increase of elderly patients in a psychiatric hospital. In this regard, it examined whether the number of patients with outpatient consultant, discharge, medical diseases, and neurocognitive disorder increased or not. Methods:It retrospectively reviewed inpatient medical records for the years 2008, 2011, 2014, 2017. To investigate the changes of elderly patients admitted to psychiatry, it examined the changes of patients who are older than 50 or 60 years in addition to the people who are older than 65 years. It analyzed diagnosis, discharge, medical diseases, and outpatient consultant of the three groups respectively. Results:It confirmed that the number of elderly patients who are older than 50, 60, and 65 years has increased in mental hospital for 10 years. There was a significant increase in the number of neurocognitive disorder patients, the ratio of consultant outpatient, and the mean number of outpatient consultant. Diabetes increased in all three groups. Especially it has significantly increased for patients who are older than 50 and 60 years. In the case of patients discharged due to transfer, the number of patients increased in all three groups but it was statistically significant for the patients who are older than 50 years. Conclusion:The study shows that the number of elderly patients increased with the trend of aging society. In relation to this, the rate of outpatient consultant and discharge, including diabetic and dementia patients, also increased. Therefore, if the mental health department provides a system to manage the elderly ward or nursing ward to respond to the increase of elderly patients, or to manage the accompanying chronic diseases such as diabetes and its complications, it could solve the inconvenience of patients due to the consultation outside a hospital or discharge.
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경도인지장애 및 알츠하이머병에서의 작업기억 폭 검사 비교
이수연(Soo Yun Lee);윤정혜(Jung Hae Youn);김주혜(Ju Hye Kim);이준영(Jun-Young Lee)
대한노인정신의학회 / 노인정신의학 제22권 제1호 / 2018 / 33-39 (7 pages)
의약학>정신과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 정신과학
초록보기
Objective:The purposes of this study were to compare the working memory span between mild cognitive impairment (MCI) and Alzheimer’s disease (AD) in the Korean elderly population and to evaluate the effectiveness of the working memory span tests. Methods:32 normal controls (NC), 26 patients with MCI and 28 AD patients at a mild stage were participated in this study. We used newly devised working memory span tests (Word span test and Dot matrix) according to the components of working memory ; central executive, phonological loop, and visuospatial sketchpad. And the results were compared with the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease Assessment Packet (CERAD-K). To evaluate the effectiveness of the working memory tests and CERAD-K to screen MCI and AD, receiver operating characteristic curves were plotted. Results:All subsets of the two working memory span tests showed significant decline in verbal and visuospatial working memory in AD. But there was no significant difference between NC and MCI. Compared to CERAD-K, the two working memory tests showed good effectiveness to discriminate AD. Conclusion:This study showed that working memory span tests could be effective diagnosing tools for detecting AD. But for the MCI, the working memory impairment was not prominent than episodic memory impairment. This is supposed to result from the various kinds of working memory components, especially the episodic buffer.