• Title/Summary/Keyword: 인지검사

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Relationship between Sleep Disturbances and Cognitive Impairments in Older Adults with Depression (노인성 우울증 환자에서 수면 장애와 인지기능 저하의 관련성)

  • Lee, Hyuk Joo;Lee, Jung Suk;Kim, Tae;Yoon, In-Young
    • Sleep Medicine and Psychophysiology
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    • v.21 no.1
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    • pp.5-13
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    • 2014
  • Objectives: Depression, sleep complaints and cognitive impairments are commonly observed in the elderly. Elderly subjects with depressive symptoms have been found to show both poor cognitive performances and sleep disturbances. However, the relationship between sleep complaints and cognitive dysfunction in elderly depression is not clear. The aim of this study is to identify the association between sleep disturbances and cognitive decline in late-life depression. Methods: A total of 282 elderly people who underwent nocturnal polysomnography in a sleep laboratory were enrolled in the study. The Korean version of the Neuropsychological Assessment Battery developed by the Consortium to Establish a Registry for Alzheimer's Disease (CERAD-K) was applied to evaluate cognitive function. Depressive symptoms were assessed with the geriatric depression scale (GDS) and subjective sleep quality was measured using the Pittsburg sleep quality index (PSQI). Results: The control group ($GDS{\leq}9$) when compared with mild ($10{\leq}GDS{\leq}16$) and severe ($17{\leq}GDS$) depression groups, had significantly different scores in the Trail making test part B (TMT-B), Benton visual retention test part A (BVRT-A), and Stroop color and word test (SCWT)(all tests p<0.05). The PSQI score, REM sleep duration, apnea-hypopnea index and oxygen desaturation index were significantly different across the three groups (all indices, p<0.05). A stepwise multiple regression model showed that educational level, age and GDS score were predictive for both TMT-B time (adjusted $R^2$=35.6%, p<0.001) and BVRT-A score (adjusted $R^2$=28.3%, p<0.001). SCWT score was predicted by educational level, age, apnea-hypopnea index (AHI) and GDS score (adjusted $R^2$=20.6%, p<0.001). Poor sleep quality and sleep structure alterations observed in depression did not have any significant effects on cognitive deterioration. Conclusion: Older adults with depressive symptoms showed mild sleep alterations and poor cognitive performances. However, we found no association between sleep disturbances (except sleep apnea) and cognitive difficulties in elderly subjects with depressive symptoms. It is possible that the impact of sleep disruptions on cognitive abilities was hindered by the confounding effect of age, education and depressive symptoms.

Effects of the Integrative Cognitive Training Program on Elderly Cognitive Function (통합적 인지훈련프로그램의 노인 인지기능에 미치는 효과)

  • Kong, Eun Suk;Kim, Eun-Ju
    • The Journal of the Korea Contents Association
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    • v.14 no.9
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    • pp.332-342
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    • 2014
  • The purpose of this study is to investigate the Effects of the Integrative Cognitive Training Program on Cognitive Function of the community elderly. Nonequivalent control group pretest-posttest design was used. 28 subjects were assigned to each of the group. 24 sessions of the integrative Cognitive Training Program were applied to the experimental group from September to December. The program was provided twice per week for 12weeks, total 24 sessons to the experimental group. Cognition scale for older adults(CSOA) was used to measure cognitive function of the groups before and after the Intervention. The score of Cognition Scale for Older Adults was significantly increased in experimental group than in control group(p< .05). The results of the study that Integrative Cognitive Training Program can be vey useful to improve the cognitive ability for the community elderly.

Electronic Pen-based Cognitive Dysfunction Assessment System (전자펜을 활용한 인지기능장애 환자 검사 시스템)

  • Shin, Sangho;Jee, Haemi;Park, Jaehyun
    • KIISE Transactions on Computing Practices
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    • v.24 no.1
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    • pp.17-23
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    • 2018
  • The assessment and rehabilitation of patients with cognitive dysfunction is a field that currently requires assistive technology. While the paper-and-pencil test, such as the line tracing test (LTT), is one of the most commonly used assessment methods for cognitive dysfunction, it has become time-consuming due to its manual characteristic. The aim of this study was therefore to establish a computer-based real-time assessment system for patients without compromising the usefulness of the conventional paper-and-pencil based user tools. A digital pen-based assessment and rehabilitation system, the ePen System, could eliminate the time required for manual assessment while maintaining the measurement accuracy. The proposed system may assist rehabilitation specialists to assess and diagnose patients with unilateral visual neglect. This system can be applied to a range of assessment and rehabilitation modalities based on pen and paper. It can also be used for various patients such as those with Parkinson's disease, stroke, or different forms of brain lesions.

The Effects of Cognitive Training Using Application Games of Smart Device on Cognitive Function in Patients With Mild Traumatic Brain Injury (스마트기기 애플리케이션 게임을 이용한 인지훈련이 경미한 손상이 있는 외상성 뇌손상 환자의 인지기능에 미치는 영향)

  • Kang, Seon-Hwa;Kim, Young-Sil;Kang, So-La;Moon, Jong-Hoon
    • Journal of Korean Society of Neurocognitive Rehabilitation
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    • v.10 no.2
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    • pp.9-18
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    • 2018
  • The research has sought to examine the effect of cognition training using smart device application games on the cognition function of traumatic brain injury patients. The research was conducted to the seventeen traumatic brain injury patients with slight symptoms who were treated with occupational therapy. The patients were divided into the two groups, nine for the experimental group and eight for the control group. The experimental group was assigned to conduct cognition training using smart device application games and traditional cognition training for fifteen minutes each, and the control group has conducted the traditional cognition training for 30 minutes. All arbitrations were conducted for 30 minutes a day, five times a week and for four weeks. To assess the cognitive function, Korean Mini-Mental State Examination (K-MMSE), Lowenstein Occupational Therapy Cognitive Assessment (LOTCA) and visual memory 1 and 2 of Motor-free Visual Perception Test-3 (MVPT-3) were measured before and after the intervention. In the comparison of the change between the two groups, the experimental groups showed a significant improvement in the visual memory of Motor-free Visual Perception Test-3 and remembrance section of the Korean Mini-Mental State Examination (p<.05). The result of this research has confirmed that the cognition training using the smart device application game can make the positive change to the visual memory of the traumatic brain injury patients more than the traditional cognition training.

The Validity and Reliability of 'Computerized Neurocognitive Function Test' in the Elementary School Child (학령기 정상아동에서 '전산화 신경인지기능검사'의 타당도 및 신뢰도 분석)

  • Lee, Jong-Bum;Kim, Jin-Sung;Seo, Wan-Seok;Shin, Hyoun-Jin;Bai, Dai-Seg;Lee, Hye-Lin
    • Korean Journal of Psychosomatic Medicine
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    • v.11 no.2
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    • pp.97-117
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    • 2003
  • Objective: This study is to examine the validity and reliability of Computerized Neurocognitive Function Test among normal children in elementary school. Methods: K-ABC, K-PIC, and Computerized Neurocognitive Function Test were performed to the 120 body of normal children(10 of each male and female) from June, 2002 to January, 2003. Those children had over the average of intelligence and passed the rule out criteria. To verify test-retest reliability for those 30 children who were randomly selected, Computerized Neurocognitive Function Test was carried out again 4 weeks later. Results: As a results of correlation analysis for validity test, four of continues performance tests matched with those on adults. In the memory tests, results presented the same as previous research with a difference between forward test and backward test in short-term memory. In higher cognitive function tests, tests were consist of those with different purpose respectively. After performing factor analysis on 43 variables out of 12 tests, 10 factors were raised and the total percent of variance was 75.5%. The reasons were such as: 'sustained attention, information processing speed, vigilance, verbal learning, allocation of attention and concept formation, flexibility, concept formation, visual learning, short-term memory, and selective attention' in order. In correlation with K-ABC to prepare explanatory criteria, selectively significant correlation(p<.0.5-001) was found in subscale of K-ABC. In the test-retest reliability test, the results reflecting practice effect were found and prominent especially in higher cognitive function tests. However, split-half reliability(r=0.548-0.7726, p<.05) and internal consistency(0.628-0.878, p<.05) of each examined group were significantly high. Conclusion: The performance of Computerized Neurocognitive Function Test in normal children represented differ developmental character than that in adult. And basal information for preparing the explanatory criteria could be acquired by searching for the relation with standardized intelligence test which contains neuropsycological background.

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The Influences of Cognitive Conflict, Situational Interest, and Learning Process Variables on Conceptual Change in Cognitive onflict Strategy with an Alternative Hypothesis (대안가설이 도입된 인지갈등 전략에서 인지갈등 및 상황흥미와 학습 과정 변인이 개념변화에 미치는 영향)

  • Kang, Hun-Sik;Choi, Sook-Yeong;Noh, Tae-Hee
    • Journal of the Korean Chemical Society
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    • v.51 no.3
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    • pp.279-286
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    • 2007
  • In this study, we investigated the influences of cognitive conflict and situational interest induced by a discrepant event and an alternative hypothesis, attention and state learning strategies on conceptual change. A preconception test was administered to 486 seventh graders. They also completed the questionnaires of cognitive response and situational interest to a discrepant event before/after presenting an alternative hypothesis. After learning the concept of density with a CAI program as conceptual change intervention, the tests of attention, state learning strategies, and conceptual understanding were administered as posttests. Analyses of the results for 197 students having misconceptions about density revealed that post-cognitive conflict was significantly higher than pre-cognitive conflict. However, there was no statistically significant difference between the test scores of pre-situational interest and post-situational interest. Pre-cognitive conflict only exerted a direct effect on post-cognitive conflict, while post-cognitive conflict exerted a direct effect and Journal of the Korean Chemical Society an indirect effect via attention on conceptual understanding. Both pre- and post-situational interests were found to influence on conceptual understanding via attention. Attention had influences positively on deep learning strategy and negatively on surface learning strategy. There was a relatively small effect of state learning strategies on conceptual understanding.

변칙 사례의 특성이 인지 갈등과 개념 변화에 미치는 영향

  • Gang, Seok Jin;Kim, Sun Ju;No, Tae Hui
    • Journal of the Korean Chemical Society
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    • v.45 no.6
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    • pp.589-594
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    • 2001
  • In this study, the effects of the number and the presentational type of anomalous data on students'cognitive conflict and conceptual change in studying 'conservation of mass before and after combustion'were investigated. The subjects were 128 eighth graders in a co-ed middle school. A preconception test, a test of response to anomalous data, and a conception test were administered. Four types of anomalous data varying the number (one/two) and the presentational type (text/text+figure) were presented. The results indicated that students with two anomalous data showed more cognitive conflicts than those with one. However, no significant differences in the degree of cognitive conflict were found by the presentational types of anomalous data. The ANOVA results indicated that there were no significant differences by the characteristics of anomalous data in the conception test scores.

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Analysis of Cognitive Acceleration Effects in Implementing the Thinking Science Program to Secondary School Students by Delayed Test (Thinking Science 프로그램의 적용에서 지연검사에 의한 중학생들의 인지발달 가속 효과의 분석)

  • Lee, Sang-Kwon;Choi, Byung-Soon;Shin, Ae-Kyung;Ree, Jong-Baik;Paek, Myeong-Hwa
    • Journal of the Korean Chemical Society
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    • v.51 no.6
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    • pp.549-559
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    • 2007
  • The purpose of this study was to investigate cognitive acceleration effect of the experimental group over three years compared with the control group through the ‘Thinking Science' program in the middle school students. The ‘Thinking Science' program was implemented to 168 students in 7th grade over a period of two years. After implementation of the ‘Thinking Science' program, the improvement of formal thinking ability of the students was almost twice examined with SRT VII as the post-test and the delayed test. It was shown that by the end of the implementation period the experimental group had achieved a significantly greater gain score in levels of cognitive development than had the control group. In the subsequent year during which there was no further implementation, the experimental group continued to develop at the same rate as the control group. However, it is clear that much more experimental students in mature concrete operational stage shifted to formal operational stage in delayed test. The results were also analyzed by gender, and cognitive levels of the students. In the post-test, the ratio of girls that shifted to formal operation stage in the experimental group increased as compared with the ratio of boys, while, in the delayed test cognitive level of boys was more effective than that of girls.

An analysis of experimental variables on hypermnesia: Effects of presentation types and test instructions (기억상승작용에 대한 실험 변인 연구: 자극제시 유형과 지시문 효과)

  • 박희경
    • Korean Journal of Cognitive Science
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    • v.11 no.3_4
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    • pp.95-105
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    • 2000
  • 본 논문은 재학습 없이도 검사를 반복함에 따라 기억수행이 증가하는 기억상승(hypermnesia) 현상에 작용하는 실험적 변인을 조사하였다. 그림목록이 시각적으로 제시된 실험 1과 단어목록이 청각적으로 제시된 실험 2 모두에서 기억상승의 중요한 요소인 기억회복(reminiscence)이 얻어졌다. 또한 반복검사를 실시할 때 주어지는 검사 지시문이 기억증가에 대한 장려를 할 때 얻어진 기억상승의 효과는 그렇지 않은 지시문이 주어진 통제 조건에 비하여 유의하게 컸다. 그러나 회상량의 차이가 기억회복량의 차이와 상관을 보이지는 않았다. 또한 기억회복은 발달적 차이와는 관계가 없는 것으로 나타났다.

Improving of the Correction Methods for a Korean Spell/Grammar Checker (한국어 철자 검사기의 교정기법 개선)

  • 김광영;남현숙;박수호;박진희;권혁철
    • Proceedings of the Korean Society for Cognitive Science Conference
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    • 2000.06a
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    • pp.89-94
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    • 2000
  • 본 논문은 부산대 철자 검사/교정기의 기존 성능을 보완하고 기능을 추가하는데 중점을 두었다. 웹 문서, 신문 등을 통해서 사용자들이 자주 틀리는 오류 단어에 대해서 오류 유형을 분류했다. 이 결과를 철자 검사 및 교정 시스템에 적용하여 교정기법 개선을 통하여 띄어쓰기 교정 기능을 향상 시켰다. 이렇게 새로 구현한 시스템과 이전 시스템의 성능을 실험을 통해 비교 분석하였다. 본 연구를 진행하면서 발견한 문제점과 한계를 이후 더 발전 해야할 과제로 고찰하고 결론을 맺는다.

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