Browse > Article
http://dx.doi.org/10.5762/KAIS.2019.20.4.311

Effects of a Computerized Cognitive Training on Cognitive, Depression, Life Satisfaction and Activity of Daily Living in Older Adults with Mild Dementia  

Kim, Se-Yun (Department of Physical Therapy, Woosuk University)
Choi, Yoo Im (Department of Occupational Therapy/Institute of Health Improvement, Wonkwang University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.20, no.4, 2019 , pp. 311-319 More about this Journal
Abstract
The purpose of this study was to evaluate the effects of a computerized cognitive training(CCT) on cognitive, depression, life satisfaction and activity of daily living in older adults with mild dementia. The participants were 32 older adults diagnosed with mild dementia who reside in nursing hospital and were randomly divided into an 16 for an experimental group and 16 for a control group. A CCT was performed for a day/week for 8 weeks in an experimental group. The CoTras-G was used for CCT. The MMSE-K, SGDS-K, ELS and BI were administered to the experimental group and the control group in the same way in order to examine the effects of CCT. The difference of the effects between before and after a CCT conduction were identified by paired t-test. Moreover, the Mann-Whitney U-test was conducted to identify differences in variances between groups. Only participants in the experimental group reported significant improvements in cognitive function, depression, life satisfaction and activity of daily living when compared to those in the control group after CCT. There was a significant difference in cognitive function, depression, life satisfaction and activity of daily living between the experimental group and the control group after CCT. These findings suggest that the CCT can be used as effective cognitive training program to improve cognitive function, depression, life satisfaction and activity of daily living in older adults with mild dementia.
Keywords
Activity of Daily Living; Cognition; Depression; Life Satisfaction; Mild Dementia;
Citations & Related Records
연도 인용수 순위
  • Reference
1 B. L. Neugarten, R. J. Havighurst, S. S. Tobin, "The measurement of life satisfaction", Journal of Gerontology, Vol. 16, pp. 134-143, 1961. DOI: https://doi.org/10.1093/geronj/16.2.134   DOI
2 J. S. Wang, "The effects of hand movement exercise program on the improvement of recognition ability in the dementia old adults", Journal of Physical Therapy Science, Vol. 16, No. 1, 2009.
3 P. D. Harvey, S. R. McGurk, H. Mahncke, T. Wykes,"Controversies in computerized cognitive training", Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, Vol. 3, pp. 907-915. 2018. DOI: https://doi.org/10.1016/j.bpsc.2018.06.008   DOI
4 M. J. Valenzuela, M. Breakspear, P. Sachdev, "Complex mental activity and the aging brain: molecular, cellular and cortical network mechanisms", Brain Research Reviews, Vol. 56, pp. 198-213, 2007. DOI: https://doi.org/10.1016/j.brainresrev.2007.07.007   DOI
5 S. B. Chapman, S. Aslan, J. S. Spence, J. J. Jr. Hart, E. K. Bartz, N. Didehbani et al., "Neural mechanisms of brain plasticity with complex cognitive training in healthy seniors", Cerebral Cortex, Vol. 25, no. 2, pp. 396-405, 2015. DOI: https://doi.org/10.1093/cercor/bht234   DOI
6 A. Bahar-Fuchs, A. Kudlicka, L. Clare, "Cognitive rehabilitation for people with dementia: What is it and does it work?", Australian Journal of Dementia Care, Vol. 5, pp. 37-40, 2016.
7 Max Planck Institute for Human Development and Stanford Center on Longevity (2014): A consensus on the brain training industry from the scientific community (full statement). Available at: http://longevity.stanford.edu/a-consensus-on-the-brain-training-industry-from-the-scientific-community-2. Accessed Dec 5, 2018.
8 A. Bahar-Fuchs, L. Clare, B. Woods, "Cognitive training and cognitive rehabilitation for mild to moderate Alzheimer's disease and vascular dementia", Cochrane Library, Vol. 6, pp. 1-103, 2013.
9 N. J. Gates, P. S. Sachdev, M. A. Fiatarone Singh, M. Valenzuela, "Cognitive and memory training in adults at risk of dementia: a systematic review", BMC Geriatrics, Vol. 11, pp. 55, 2011. DOI: https://doi.org/10.1186/1471-2318-11-55   DOI
10 N. T. M. Hill, L. Mowszowski, S. L. Naismith, V. L. Chadwick, M. Valenzuela, A. Lampit, "Computerized cognitive training in older adults with mild cognitive Impairment or Dementia: a systematic review and meta-analysis", American Journal of Psychiatry, Vol. 174, no. 4, pp.329-340, 2017. DOI: https://doi.org/10.1176/appi.ajp.2016.16030360   DOI
11 Y. G. Kim, "The Effects of Korean Computer-based Cognitive Rehabilitation Program(CoTras) for the Cognition and ADL in Stroke", Journal of Korean Society of Occupational Therapy, Vol. 19, no. 3, pp. 75-87, 2011.
12 B. H. Oh, Y. K. Kim, J. H. Kim, Y. S. Shin, "The effects of cognitive rehabilitation training on cognitive function of elderly dementia patients", The Korean Neuropsychiatric Association, Vol. 42, no. 4, pp. 514-519, 2003.
13 W. M. Jeong, Y. J. Hwang, J. C. Youn, "Effects of a computer-based cognitive rehabilitation therapy on mild dementia patients in a community", Journal of the Korean Gerontological Society, Vol. 30, no. 1, pp. 127-140, 2010.
14 M. F. Folstein, S. E. Folstein, P. R. Mchugh, "Mini-Mental State", A practical method for grading the cognitive state of patients for the clinician, Journal of Psychiatric Research, Vol. 12, No. 3, pp. 189-198, 1975.   DOI
15 J. H. Hwang, S. K. Kim, "The effects of computer-assisted cognitive rehabilitation program on memory in the dementia: case report", The Journal of Korean Society of Assistive Technology, Vol. 3, no. 1, pp. 53-63, 2011.
16 H. J. Kim, S. J. Lee, K. Y. Kam, "A review of computer-assisted cognitive rehabilitation (CACR)", Society of Occupational Therapy for the Aged and Dementia, Vol. 2, no. 2, pp. 35-46, 2008.
17 Y. C, Kwon, J. H. Park, "Standardization of Korean of the Mini-Mental State Examination (MMSE-K) for use in the elderly", Journal of Korean Neuropsychiatric Association, Vol. 28, no. 1, pp. 125-135, 1989.
18 J. A. Yesavage, T. Brink, T. L. O. Lum, V. Huang, M. Adey, V. O. Leirer, "Development and validation of a geriatric depression screening scale: a preliminary report", Journal of Psychiatric Research, Vol. 17, pp. 37-49, 1983.   DOI
19 B. S. Kee, "A preliminary study for the standardization of Geriatric Depression Scale short form-Korea version", Journal of Korean Neuropsychiatric Association, Vol. 35. no. 2, pp. 298-307, 1996.
20 J. Yoon, "A Study on the Elderly Life Satisfaction Scale, "Korean Psychological Association Learning Presentation Competition Abstract", Korean Psychological Association, pp. 26-30, 1982.
21 C. Collin, D. T. Wade, S. Davies, V. Horne, " The Bathel ADL index: a reliability study", International Disability Study, Vol. 10, no. 2, pp. 61-63, 1988.   DOI
22 J. S. Kang, I. H. Jeong, J. H. Yang, "effects on senior fitness, cognitive function and daily living activity of female elderly with light dementia by continuous and intermittent exercises", Journal of the Korean academy Industrial Cooperation Society, Vol. 11. no. 11, pp. 4234-4243, 2010. DOI: https://doi.org/10.5762/KAIS.2010.11.11.4234   DOI
23 C. V. Granger, G. L. Albercht, B. B. Hamilton, "Outcome of comprehensive medical rehabilitation: Measurement by PULSES profile and the Barthel Index", Archives of Physical Medicine and Rehabilitation, Vol. 60, No. 4, pp. 145-154, 1979.
24 National Institute of Dementia. Korean dementia observatory 2017 [Internet]. Seongnam: National Institute of Dementia; c2018[cited 2018 Dec 15]. Available from: https://www.nid.or.kr/info/dataroom_view.aspx?bid=172
25 R. Bloom, M. Schnaider-Beeri, R. Ravona-Springer, A. Heymann, H. Dabush, L. Bar, S. Slater, Y. Rassovsky, A. Bahar-Fuchs, "Computerized cognitive training for older diabetic adults at risk of dementia: Study protocol for a randomized controlled trial", Alzheimer's & Dementia: Translational Research & Clinical Interventions, Vol. 3, pp. 636-650, 2017. DOI: https://doi.org/10.1016/j.trci.2017.10.003   DOI
26 World Health Organization, mhGAP Intervention Guide for Mental, Neurological and Substance Use Disorders in Non-specialized Health setting: Mental Health Gap Action Programme (mhGAP). Geneva: World Health Organization; 2010
27 US Department of Health and Human Services. National Plan to Address Alzheimer's Disease: 2016 Update. Washington, D. C.: Assistant Secretary for Planning and Evaluation (ASPE); 2016.
28 National Institute of Dementia. National responsibility system for dementia [Internet]. Seongnam: National Institute of Dementia; c2018 [cited 2018 Dec 15]. Available from: http://치매국가책임제.nid.or.kr/sub/nid00_1.html.
29 M. J. Graff, M. J. Vernooij-Dassen, M. Thijssen., J. Decker. W. H. Hoefnagels, M. G. OldeRikkert, "Effect of community occupational therapy on quality of life, mood, and health status in dementia patients and their caregivers: a randomized controlled trial", Journal of Gerontology, Vol. 62, pp. 1002-1009, 2007. DOI: https://doi.org/10.1093/gerona/62.9.1002   DOI
30 E. Talassi, M. Guerreschi, M. Feriani, V. Fedi, A. Bianchetti, M. Trabucchi, "Effectiveness of a cognitive rehabilitation program in mild dementia and mild cognitive impairment: a case control study", Archives of Gerontology and Geriatrics, Vol. 44, pp. 391-399, 2007. DOI: https://doi.org/10.1016/j.archger.2007.01.055   DOI
31 M. S. Kim, K. C. Lim, "Effects of a computerized cognitive training on cognitive function, depression, self-esteem, and activities of daily living among older adults with mild cognitive impairment", Korean Journal of Adult Nursing, Vol. 28, no. 6, pp. 691-700, 2016. DOI: https://doi.org/10.7475/kjan.2016.28.6.691   DOI
32 H. S. Kim, S. J. You, K. R. Han, "The relation of cognitive function, physical health, self-esteem, social support and depression of elderly women in the community", Journal of Korean Gerontological Nursing, Vol. 4, No. 2, pp. 163-175, 2002.
33 M. J. Moon, "Analysis on the structural model of life satisfaction for elderly home residents", Journal of Korean Gerontology Nursing, Vol. 6, pp. 202-215, 2004.
34 L. W. Lazarus, N. Newton, B. Cohler, J. Lesser, & C. Schweon, "Frequency and presentation of depression symptoms in patients with primary degenerative dementia", American Journal of Psychiatry, Vol. 144, no. 1, pp. 41-45, 1987.   DOI
35 K. H. Ryu, Y. W. Kang, D. L. Na, C. S. Chung, K. H. Lee, "The characteristics of depression in dementia patients", Korean Journal of Clinical Psychology, vol. 19, no. 1, pp. 117-129, 2000.
36 Y. Forsell, A. F. Jorm, B. Winblad, "Outcome of depression in demented and non-demented elderly", International Journal Geriatric Psychiatry, Vol. 9, pp. 5-10, 1994. DOI: https://doi.org/10.1002/gps.930090103   DOI