Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

A Study on Analysis of Depression, Cognition, Communication, and Quantitative Electroencephalogram in Hearing Impaired Elderly

난청 고령자의 우울정도, 인지기능, 의사소통능력 및 정량뇌파 분석 연구

  • Kim, Hyoung Jae (Starkey Bundang-Yongin Hearing Care Center) ;
  • Weon, Hee Wook (Division of Brain & Cognitive Science, Seoul University of Buddhism)
  • 김형재 (스타키보청기 분당-용인난청센터) ;
  • 원희욱 (서울불교대학원 뇌인지과학)
  • Received : 2021.01.20
  • Accepted : 2021.04.02
  • Published : 2021.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to analyze the degree of depression, cognitive function, communication ability, and the quantitative electroencephalogram (EEG) in elderly individuals with hearing loss and to investigate their inter-relationship. Hearing-impaired elderly participants, aged 60 years or older (37 men and 26 women) who visited the S Hearing Rehabilitation Center in Y City from June 20, 2020, to September 3, 2020, participated voluntarily after a recruitment announcement.The participants' overall characteristics, depression, and cognitive functions were evaluated with a structured questionnaire. The Word Recognition Score (WRS) was evaluated with an audiometer using the Korean Standard Monosyllabic Word Lists for Adults (KS-MWL-A). The quantitative EEG was measured with dry electrodes using a 2-channel EEG on the frontal lobes Fp1 and Fp2. The results are summarized as follows: Communication ability showed a positive correlation with the left-right symmetry of the frontal lobes (**p<.01) and a negative correlation with right-brain mental distraction and stress (*p<.05). In the difference WRS test for each group, the left-right symmetry of the frontal lobes (**p<.01) showed the greatest correlation with communication ability. Our results suggest that the left-right symmetry of the frontal lobes can be a biomarker indicative of the communication ability of older people with hearing impairments.

본 연구는 난청 고령자의 우울정도, 인지기능, 의사소통능력 및 정량뇌파를 분석하고, 관련성을 규명할 목적으로 시도하였다. Y 시 소재의 S 청능재활 센터를 내원한 60세 이상의 난청 고령자 중 모집공고문을 통해 남성 37명, 여성 26명이 2020년 6월 20일부터 2020년 9월 3일까지 자발적으로 참여했다. 구조화된 설문지를 통해 대상자의 전반적인 특성, 우울정도, 인지기능을 평가하였다. 의사소통능력의 척도인 단어인지도는 한국표준 단음절어를 사용하여 진단용 청력검사기로 평가하였다. 정량뇌파는 전전두엽 Fp1과 Fp2에 건식 전극을 사용하여 2채널 뇌파 측정기로 측정하였다. 수집된 자료는 SPSS/WIN 25.0 프로그램으로 인구 사회학적 특성 파악을 위한 빈도분석, 변수간 Pearson's correlation분석, 3분할 집단 간 One-way ANOVA분석을 하였다. 결과를 요약하면 다음과 같다. 의사소통능력은 전전두엽 좌우 대칭성(**p<.01)과 정(+)적 상관관계를 보였고, 우뇌 정신적 산만 및 스트레스(*p<.05)와 부(-)적 상관관계를 보였다. 그러나 우울정도와 인지기능과는 유의한 상관관계는 없었다. 의사소통능력에 따른 3분할 집단별 차이 검정에서도 전전두엽 좌우 대칭성(**p<.01)이 우울정도와 인지능력보다 높은 수준의 상관관계를 보였다. 이상의 결과는 정량뇌파에서 측정된 전전두엽 좌우 대칭성이 난청 고령자의 의사소통능력의 강력한 생체적 지표 가능성을 시사 하였다.

Keywords

References

  1. H. J. Baek, H. Y. Shim, J. S. Kim, "An Analysis of Characteristics for Word Recognition Scores in Geriatric Hearing Loss", Audiology 9(1): 49-59, 2013. DOI: http://doi.org/10.21848/audiol.2013.9.1.49
  2. Statistics Korea, 2020 Aging Statistics. Statistics Korea, 2020. http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=385322 (accessed Dec. 20, 2020)
  3. National Health Insurance Service, Press release (April 19, 2018). National Health Insurance Service, 2018. http://www.nhis.or.kr/bbs7/attachments/47067 (accessed May 15, 2020)
  4. Jack E. James. "Behavioral Self-control of Stuttering using Time-out from Speaking", Journal of Applied Behavior Analysis. p25-37, spring 1981. DOI: https://doi.org/10.1901/jaba.1981.14-25
  5. L. Humes, L. Nelson, D. Pisoni, "Recognition of synthetic speech by hearing-impaired elderly listeners", Journal of Speech, Language, and Hearing Research, 34(5), 1180-1184, 1991. DOI: https://doi.org/10.1044/jshr.3405.1180
  6. T. J. Park, "Cognitive Neural Mechanisms of Aging", The Korean Journal of Cognitive and Biological Psychology 16(3), 9, 317-336, 2004.
  7. J C van Rooij, R Plomp, "Auditive and cognitive factors in speech perception by elderly listeners. III. Additional data and final discussion", J Acoust Soc Am. 91(2) : 1028-1033, 1992. DOI: https://doi.org/10.1121/1.402628
  8. American Speech-Language-Hearing Association. "Central auditory processing: Current status of research and implications for clinical practice". Am J Audiol. 5:41-54, 1996. https://pubs.asha.org/doi/abs/10.1044/1059-0889.0502.41
  9. AAA, Clinical practice guidelines-diagnosis, treatment and management of children and adults with central auditory processing, 2010.
  10. Salthouse, T. A., & Babcock, R. "Decomposing adult age differences in working memory", Developmental Psychology, 27(5), 763-776, 1991. DOI: https://doi.org/10.1037/0012-1649.27.5.763
  11. Kemper, T. L. "Neuroanatomical and neuropathological changes during aging and dementia. In M. L. Albert &J. E. Knoefel (Eds.)", Clinical neurology of aging (p. 3-67). Oxford University Press, 1994. https://psycnet.apa.org/record/1994-98143-001
  12. P. C. Petrantonakis, L. J. Hadjileontiadis, "Emotion recognition from EEG using higher order crossings", IEEE Trans Inf Technol Biomed, vol. 14, no. 2, pp.186-1972, Mar. 2010. DOI: https://doi.org/10.1109/TITB.2009.2034649
  13. E. Harmon-Jones, JJB. Allen, "Anger and prefrontal brain activity: EEG asymmetry consistent with approach motivation despite negative affective valence", Journal of Personality and Social Psychology, vol. l74, pp. 1310 -1316, 1998. DOI: https://doi.org/10.1037//0022-3514.74.5.1310
  14. Carlo Cipolli, M. Neri, E. Andermarcher, M. Pinelli, & M. Lalla. "Self-rating and objective memory testing of normal and depressed elderly". Aging Clinical and Experimental Research 2, 39-48, 1990 https://link.springer.com/article/10.1007/BF03323893
  15. CD Mulrow, C Guilar, JE Endicott, "Quality of life changes and hearing impairment : A randomized trial." Ann Intern Med. 113 : 188-19, 1990. DOI: https://doi.org/10.7326/0003-4819-113-3-188
  16. S B Mahapatra, "Deafness and mental health : Psychiatric and psychosomatic illness in the deaf", Acta Psychiair Scand. 50 : 596-611, 1974. DOI: https://doi.org/10.1111/j.1600-0447.1974.tb07523.x
  17. P. B. Davis, D. Ives, N. Traven, "Hearing impairment among rural elders :characteristics and comorbidities", J Am Geriatr Soc. 39 : a27, 1991.
  18. K.G. Herbst, C. Humphrey, "Hearing impairment and mental state in the elderly living at home". Br Med J. 1; 281 : 803-905, 1980.
  19. U Lindenberger, PB Baltes, "Intellectual functioning in old and very old age: cross-sectional results from the Berlin Aging Study", Psychol Aging; 12(3):410-432, 1997. https://doi.org/10.1037/0882-7974.12.3.410
  20. M. B. Garahan, J. A. Waller, "Hearing loss prevalence and management in nursing home residents", Journal of the American Geriatric Society, 40, 130-134, 1992. https://doi.org/10.1111/j.1532-5415.1992.tb01932.x
  21. Y. M. Joo, H. S. Jang, "Effects of Frequency Range and Degree of Hearing Loss on Word Recognition in Elderly Listeners", Audiology 5(1): 36-41, 2009. DOI: http://doi.org/10.21848/audiol.2009.5.1.36
  22. H. S. Jang, A. R. Jeon, J. H. Yoo, Y. K. Kim, "Development and Standardization of Korean Dichotic Digit test", The Journal of Special Education: Theory and Practice 2014, vol.15, no.4, pp. 489-506, 2014. https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001942887 (accessed Dec. 20, 2020)
  23. H. J. Eun, "Basics of Electroencephalography for Neuropsychiatrist", J Korean Neuropsychiatr Assoc, Vol. 58, No. 2, pp.76-104, 2019. DOI: https://doi.org/10.4306/jknpa.2019.58.2.76
  24. M. Teplan, "Fundamentals of EEG measurement. Measurement", Science Review, 2(2): 1-11, 2002. http://www.edumed.org.br/cursos/neurociencia/MethodsEEGMeasurement.pdf (accessed Dec. 20, 2020)
  25. E. J. Lee, J. B. Kim, I. H. Shin, K. H. Lim, "Current use of depression rating scales in mental health setting", Psychiatry Investigation, vol.7, no.3, 170-176, 2010. https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001548478 (accessed Dec. 20, 2020) https://doi.org/10.4306/pi.2010.7.3.170
  26. H. M. Sung, J. B. Kim, Y. N. Park, D. S. Bai, S. H. Lee, "A Study on the Reliability and the Validity of Korean Version of the Beck Depression Inventory-II". J Korean Soc Biol Ther Psychiatry. 14:201-212, 2008. https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001308461 (accessed Dec. 20, 2020)
  27. J. H. Park, Y. C. Kwon, "Standardization of Korean Version of Mini-Men-tal State Examination (MMSE-K) for use in the elderly. Part II. Diagnostic validity", J Korean Neuropsychiatr Assoc 28:508-513, 1989.
  28. DeBonis, David A, "Survey of audiology: Fundamentals for audiologists and health professionals (2nd ed.)". Boston: Pearson/Allyn and Bacon, 538p, 2008.
  29. K. H. Lee, Y. K. Min, B. H. Lee, B. C. Min, "Development and Effectiveness of Interface System for Inducing and Monitoring Brain-wave Activity" Korean Society for Emotion and Sensibility Spring Conference, Korean Society for Emotion and Sensibility, Korea, 91-96, 2000. http://kiss.kstudy.com/thesis/thesis-view.asp?key=3337732 (accessed Dec. 20, 2020)
  30. B. C, Lee, H. W. Weon, "A study on the effects of the phonetics-centered chinese character lecture on quantitative EEG", Journal of the Korea Academic-Industrial cooperation Society, 20 (12), 482-492, 2019. DOI: http://dx.doi.org/10.5762/KAIS.2019.20.12.482
  31. G. Y. Im, H. R. Park, N. S. Choi, P. W. Park, "A Study of Correlation between Big 5 Personality Traits and SRQ of Brain Quotient", Journal of The Korea Academia-Industrial cooperation Society, 16(6), pp. 3760-3768, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.6.3760
  32. H. W. Weon, S. G. Yi,, H. G. Kang, "Effects of a neurofeedback program on brain function and stress in high school students", Journal of Korean Academy of Child Health Nursing, 14(3), pp.315-324, 2008. https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001267974 (accessed Dec. 20, 2020)
  33. H. W. Weon, J. Y. Lim, H. K Son, M. A. Kim, "The Effects of the Neurofeedback training on the General health status, Mental health and problem behavior, and Brain function quotient among High school students", Journal of the Korea Academia-Industrial cooperation Society Vol. 14, No. 12 pp. 6309-6316, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.12.6309
  34. Hermann, B. P., Seidenberg, M., Haltiner, A., Wyler, A. R. "Mood state in unilateral temporal lobe epilepsy". Biol Psychiatry, 30, 1205-121, 1991. DOI: https://doi.org/10.1016/0006-3223(91)90157-H
  35. C. Mulrow, C. Aguilar, J. Endicott, "Association between hearing impairment and the quality of life of elderly individuals", Journal of the American Geriatric Society, 38, 45-50, 1990. https://doi.org/10.1111/j.1532-5415.1990.tb01595.x
  36. R. Uhlmann, E. Larson, T. Rees, T. Koepsell, L. Duckert, "Cognitive functioning and health as determinants of mortality in an older population", American Journal of Epidemiology, 150, 978-986, 1989. https://doi.org/10.1093/oxfordjournals.aje.a010107
  37. Madalena Esteves, Ricardo Magalhaes, Paulo Marques, Teresa C. Castanho, Carlos Portugal-Nunes., "Functional Hemispheric (A)symmetries in the Aged Brain-Relevance for Working Memory Front". Aging Neurosci., 12 March 2018. DOI: https://doi.org/10.3389/fnagi.2018.00058
  38. Cabeza, R. "Hemispheric asymmetry reduction in older adults: the HAROLD model", Psychol. Aging 17, 85-100, 2002. DOI: https://doi.org/10.1037/0882-7974.17.1.85
  39. Marini, A., Gentili, C., Molteni, M., & Fabbro, F., "Differential verbal working memory effects on linguistic production in children with specific language impairment". Research in Developmental Disabilities, 35(12), 3534-3542 2014. DOI: https://doi.org/10.1016/j.ridd.2014.08.031
  40. Pisoni, D. B., & Cleary, M., "Measures of working memory span and verbal rehearsal speed in deaf children after cochlear implantation". Ear and Hearing, 24(1), 106S-120S, 2003. DOI: https://doi.org/10.1097/01.aud.0000051692.05140.8e
  41. Baddeley, A. D., "Working memory and language: An overview". Journal of Communication Disorders, 36(3), 189-20, 2003. DOI: https://doi.org/10.1016/S0021-9924(03)00019-4