Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Relationship between Naming Abilities, Hearing Handicap, and Depression in Community-Dwelling Elderly

지역사회 노인의 연령에 따른 이름대기 능력, 청력장애, 우울 수준의 관계

  • Lee, Hyun Jung (Department of Speech-Language Pathology, Honam University)
  • 이현정 (호남대학교 언어치료학과)
  • Received : 2021.07.07
  • Accepted : 2021.10.20
  • Published : 2021.10.28
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Abstract

The purpose of the study was to investigate whether there are differences in confrontation naming ability, generative naming ability, hearing handicap, and depression in community-dwelling elderly by age group, and whether there is any correlation among them, and to find out what factors explain the two naming abilities (confront and generative) of the elderly. Sixty-five community-dwelling elderly people participated: 65~74 years were classified into young-old; 75~84 years into old-old; and 85 years and over into oldest-old. K-BNT-15 for the confrontation naming ability, animal naming test for the generative naming ability, K-HHIE for the subjective hearing handicap, and GDS for the subjective depression were administered. First, there was a statistically significant difference in confrontation naming and depression levels according to age groups. Second, there was a positive correlation between chronological age and subjective depression level and between subjective hearing handicap level and subjective depression level, and a negative correlation between education level and subjective depression level. Third, the confrontation naming score was explained by age, and the generative naming score was explained by subjective depression level. The results show that naming abilities, subjective hearing handicap, and subjective depression level are not simply the result of normal aging and that a convergence approach is needed in various fields to solve the issue.

본 연구에서는 연령집단별로 지역사회 노인의 대면이름대기 능력, 생성이름대기 능력, 청력장애 수준, 우울 수준에 차이가 있는지, 그리고 이들 간에 어떠한 상관관계가 있는지, 마지막으로 지역사회 노인의 두 가지 이름대기 능력(대면이름대기와 생성이름대기)을 설명하는 요인은 무엇인지 알아보고자 하였다. 노인 65명을 65~74세 연소 노인, 75~84세 고령 노인, 85세 이상 초고령 노인으로 구분하였고, 이들을 대상으로 대면이름대기 검사로는 K-BNT-15를, 생성이름대기 검사로는 동물 이름대기 검사를, 주관적 청력장애의 측정은 K-HHIE를, 주관적 우울 정도 측정은 GDS를 사용하였다. 첫째, 연령 집단에 따라 대면이름대기 능력과 우울 수준에서 통계적으로 유의한 차이가 있었다. 둘째, 연령과 우울 수준, 청력장애 수준과 우울 수준 간에 정적 상관을, 교육 수준과 우울 수준 간에는 부적 상관을 보였다. 셋째, 대면이름대기 점수는 연령이, 생성이름대기 점수는 우울 수준이 설명하는 것으로 나타났다. 본 연구의 결과는 노년층의 이름대기 능력, 청력장애 정도, 우울 수준을 연령대별로 세분화하여 살펴보고, 이들이 단순히 노화의 결과가 아니라는 것과, 이를 해결하기 위해서는 다양한 분야에서 보다 융합적인 접근이 필요함을 보여주었다.

Keywords

Acknowledgement

This work was supported by the Honam University research fund (2020).

References

  1. United Nations. (2013). World population ageing 2013. Department of Economic and Social Affairs, Population Division.
  2. E. L. Glisky (2007). Changes in cognitive function in human aging. Brain aging: Models, methods, and mechanisms. 3-20. DOI : 10.1201/9781420005523-1
  3. S. Kemper, & K. Kemtes. (2000). Aging and message production and comprehension. In: D. Park, N. Schwarz, editors. Cognitive Aging: A Primer. Psychology Press; Philadelphia, PA. p. 197. DOI : 10.4324/9780203345115-19
  4. A. Wingfield. (2000). Speech perception and the comprehension of spoken language in adult aging. In: D. Park, N. Schwarz, editors. Cognitive Aging: A Primer. Psychology Press; Philadelphia, PA. p. 175. DOI : 10.4324/9780203727027-18
  5. R. Swainson, J. Hodges, C. Galton, J. Semple, A. Micheal, B. Dunn, J. Iddon, T. Robbins, & B. Sahakian (2001). Early detection and differential diagnosis of Alzheimer's disease and depression with neuropsychological tasks. Dementia and Geriatric Cognitive Disorders, 12, 265-280. DOI : 10.1159/000051269
  6. E. Vliet, J. Manly, M. Tang, K. Marder, K. Bell, & Y. Stem (2003). The neuropsychological profiles of mild Alzheimer's disease and questionable dementia as compared to age-related cognitive decline. Journal of the International Neuropsychological Society, 9, 720-732. DOI : 10.1017/S1355617703950053
  7. A. Rodriguez-Lorenzana, L. Benito-Sanchez, L. Adana-Diaz, C. P. Paz, T. Yacelga Ponce, D. Rivera & J. C. Arango-Lasprilla (2020). Normative data for test of verbal fluency and naming on Ecuadorian adult population. Frontiers in Psychology, 11, 830. DOI : 10.3389/fpsyg.2020.00830
  8. R. M. S. ELbedewy, & M. ELokl (2020). Diagnostic performance and cutoff value for the clock drawing test, semantic verbal fluency, and the short Boston Naming Test in community-dwelling educated older adults with neurocognitive disorders. Middle East Current Psychiatry, 27(1), 1-6. DOI : 10.1186/s43045-019-0014-7
  9. Z. Shao, E. Janse, K. Visser, & A. S. Meyer (2014). What do verbal fluency tasks measure? Predictors of verbal fluency performance in older adults. Frontiers in Psychology, 5, 772. DOI : 10.3389/fpsyg.2014.00772
  10. M. L. Ettenhofer, D. Z. Hambrick & N. Abeles (2006). Reliability and stability of executive functioning in older adults. Neuropsychology 20, 607-613. DOI : 10.1037/0894-4105.20.5.607
  11. J. Obermeyer, J. Schlesinger, & N. Martin (2020). Evaluating the contribution of executive functions to language tasks in cognitively demanding contexts. American Journal of Speech-Language Pathology, 29(1S), 463-473. DOI : 10.1044/2019_AJSLP-CAC48-18-0216
  12. K. S. Kim. (2016). The comparison of objective evaluation and subjective assessment for hearing and vision in the elderly. Audiology and Speech Research, 12(1), 36-44. DOI : 10.21848/asr.2016.12.1.36
  13. Ministry of Health and Welfare. (2015). Report on the Status of the Elder Abuse. http;//www.mohw.go.kr.
  14. H. J. Lee, S. K. Kahng & J. Y. Lee (2008). The effects of socioeconomic position and health behavior on geriatric depressive symptom. Journal of the Korean Gerontological Society, 28(4), 1129-1145.
  15. Y. Lee, S. Park & S. J. Lee (2020). Factors associated with depressive symptoms in the elderly with hearing impairment. Audiology and Speech Research, 16(2), 157-166. DOI : 10.21848/asr.190107
  16. B. J. Lawrence, D. M. Jayakody, R. J. Bennett, R. H. Eikelboom, N. Gasson, & P. L. Friedland (2020). Hearing loss and depression in older adults: A systematic review and meta-analysis. The Gerontologist, 60(3), e137-e154. DOI : 10.1093/geront/gnz009
  17. J. S. Golub, K. K. Brewster, A. M. Brickman, A. J. Ciarleglio, A. H. Kim, J. A. Luchsinger & B. R. Rutherford (2020). Subclinical hearing loss is associated with depressive symptoms. The American Journal of Geriatric Psychiatry, 28(5), 545-556. DOI : 10.1016/j.jagp.2019.12.008
  18. J. W. Kim & H. H. Kim (2009). Communicative ability in normal aging: A review. Communication Sciences and Disorders, 14, 495-513.
  19. H. Kim & D. Na. (1997). Boston Naming Test. Seoul: Hakjisa.
  20. H. Kim & S. R. Kim. (2013). Development of short form of the Korean version-the Boston Naming Test (K-BNT-15) based on item response theory. The Journal of the Korea Contents Association, 13(12), 321-327. DOI : 10.5392/jkca.2013.13.12.321
  21. G. Kave & S. Sapir-Yogev. (2020). Associations between memory and verbal fluency tasks. Journal of Communication Disorders, 83, 105968. DOI : 10.1016/j.jcomdis.2019.105968
  22. S. N. Park, G. C. Han, Y. S. Cho, J. Y. Byun, J. E. Shin, H. S. Chu, B. C. Cheon, J. W. Chung, S. W. Chae & J. Y. Choi (2011). Standardization for a Korean version of hearing handicap inventory for the elderly. Korean Journal of Otorhinolaryngol-Head and Neck Surgery, 54(12), 828-34. DOI : 10.3342/kjorl-hns.2011.54.12.828
  23. J. A. Yesavage. (1988). Geriatric depression scale. Psychopharmacol Bull, 24(4), 709-711. DOI : 10.1007/springerreference_184613
  24. M. Cho, J. Bae, K. Seo, B. Ham, J. Kim, D. Lee & M. Kang. (1999). Validation of Geriatric Depression Scale Korean version(GDS) in the assessment of DSM-III-R Major Depression. Journal of the Korean Neuropsychiatric Association, 38(1), 48-63.
  25. L. T. Connor, A. Spiro III, L. K. Obler & M. L. Albert (2004). Change in object naming ability during adulthood. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 59(5), P203-P209. DOI : 10.1093/geronb/59.5.P203
  26. N. Haugrud, S. Lanting, & M. Crossley (2010). The effects of age, sex and Alzheimer's disease on strategy use during verbal fluency tasks. Aging, Neuropsychology, and Cognition, 17(2), 220-239. DOI : 10.1080/13825580903042700
  27. W. Zhang, Z. Sjoerds & B. Hommel (2020). Metacontrol of human creativity: The neurocognitive mechanisms of convergent and divergent thinking. NeuroImage, 210, 116572. DOI : 10.1016/j.neuroimage.2020.116572
  28. F. I. Craik & E. Bialystok (2006). Cognition through the lifespan: Mechanisms of change. Trends in Cognitive Sciences, 10(3), 131-138. DOI : 10.1016/j.tics.2006.01.007
  29. National Health Insurance Service. (2017). Regional Gender Transitions in Later Life (66 years old) Physical functioning and activities of daily living of 1st health screening in older adults. [Internet]. Daejeon: Statistics Korea. 2019 [cited 2020 April 13] Available from: http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35007_N031&conn_path=I2
  30. T. Fritze, S. Teipel, A. Ovari, I. Kilimann, G. Witt & G. Doblhammer. (2016). Hearing impairment affects dementia incidence. An analysis based on longitudinal health claims data in Germany. Plos one, 11(7), e0156876. DOI : 10.1371/journal.pone.0156876
  31. S. Y. Kim, H. J. Kim, E. K. Park, J. Joe, S. Sim & H. G. Choi. (2017). Severe hearing impairment and risk of depression: a national cohort study. Plos one, 12(6), e0179973. DOI : 10.1371/journal.pone.0179973
  32. L. Tornstam. (2011). Maturing into gerotranscendence. Journal of Transpersonal Psychology, 43(2), 166-180.
  33. J. J. Wang, Y. H. Lin & L. Y. Hsieh. (2011). Effects of gerotranscendence support group on gerotranscendence perspective, depression, and life satisfaction of institutionalized elders. Aging & Mental Health, 15(5), 580-586. DOI : 10.1080/13607863.2010.543663
  34. H. Jeon, & S. Kahng. (2009). Predictors of depression trajectory among the elderly. Journal of the Korean Gerontological Society, 29(4), 1611-1628.