• Title/Summary/Keyword: Cognitive Depression

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The Effect of the Integrated Cognitive Rehabilitation Program on the Cognitive Function and Depression of Elderly with Mild Dementia (경증치매노인에서 통합적 인지재활 프로그램의 인지기능 및 우울정도 개선효과 연구)

  • Oh, Ji Yeon;Lee, Seon Heui
    • Journal of muscle and joint health
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    • v.27 no.2
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    • pp.94-102
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    • 2020
  • Purpose: This study aimed to investigate the effect of the integrated cognitive rehabilitation program in elderly patients with mild dementia. Methods: A total of 20 elderly patients with mild dementia participated in the integrated cognitive rehabilitation program. The program was conducted three times per week for a total of 4 periods (10 wks per period) from February 6, 2018 to December 13, 2018. Each session lasted for 1 hour, and the cognitive function and depression of the subjects were measured before and after they participated in the program. Results: After the program, there was a significant increase and decreases in participants' cognitive function and depression respectively. There was a statistically significant difference in cognitive function score over time and period, except for the 2nd period. The difference in the degree of depression over time and period was statistically significant. Conclusion: The results suggest that an integrated cognitive rehabilitation program could help improve cognitive function and the degree of depression in elderly patients with mild dementia.

Cognitive Functions, Instrumental Activities of Daily Living, Depression and Quality of Life in the Elderly with Mild Cognitive Impairment (경도인지장애 노인의 인지기능, 도구적 일상생활수행능력, 우울 및 삶의 질 관계)

  • Kim, Yeon Ok;Shim, Moon Sook
    • Journal of Korean Public Health Nursing
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    • v.29 no.2
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    • pp.219-230
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    • 2015
  • Purpose: This research study not only examine the relationship between cognitive function, IADL, depression and quality of life, but also clarifies factors impacting quality of life for the elderly. The purpose of this study is to administer health promotion programs and to improve quality of life for the elderly. Methods: Data were collected from May 20, to June 10, 2014. The participants were 157 elderly persons with mild cognitive injury (MCI), who had under 23 points on MoCa-K from three different senior welfare centers in Daejeon. The questionnaires were conducted by four university students after receiving instruction from the researcher and consisted of general characteristics, cognitive function, depression and quality of life. SPSS WIN 19.0 program was used for data analysis. Results: Cognitive function showed positive correlation with quality of life (r=175, p=.028). IADL did not show correlation with quality of life (r=-.005, p=.947). However cognitive function(r=-.344, p<.001) and depression (r=-.623, p<.001) showed negative correlation with quality of life. In addition, the factors impacting quality of life were cognitive function (${\beta}=.14$, p=.29) and depression (${\beta}=-.61$, p<.001) which accounted for 39% of quality of life. Conclusion: These findings showed that the participants had depression and their cognitive function was low. As a result, the more participants' cognitive function decreased, the more their quality of life decreased. In addition, the more their depression decreased, the more their quality of life improved.

Degree of Cognitive function, Self-esteem and Depression of the Elderly by Aging (노인의 인지기능, 자아존중감과 우울정도)

  • 성기월
    • Journal of Korean Academy of Nursing
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    • v.27 no.1
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    • pp.36-48
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    • 1997
  • This survey was performed to evaluate and compare cognitive function, self-esteem and depression in the elderly related to aging. The data were collected from 200 elders in eight homes for the elderly in Taegu. Data collection was done from June 1 to 31, 1996. The scale used to measure cognitive function was the MMSE-K(Mini-Mental State Examination-Korea), Self-esteem was measmed using Rosenberg's self-esteem scale and depression using SDS(Self-rating Depression Scale). A comparison of cognitive function, self-esteem and depression by aging were summarised as follows : 1. There were significant differences on the cognitive function score in the elderly according to age group(F=24.81, P<.01). 2. There were significant differences on the self-esteem score in the elderly according to age group(F=3.84, P<.5). 3. There were significant differences on the depression score in the elderly according to age group (F=5.90, P<.1). 4. The general characteristics which affected the cognitive function scores of the elders were sex (F=8.45, P<.5), educational level(F=8.86, P<.5), spousing(F=34.59. P<.01), and the perception of health(F=4.63, P<.5). 5. The general characteristic which affected the self-esteem scores of the elders was the perception of health(F=3.81. P<.5). 6. The general characteristic which affected the depression scores was the educational level(F=3.96, P<.5).

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The Effects of an Integrated Management Program on Physical Function, Cognitive Function, and Depression in Patients with Subacute stroke (통합관리 프로그램이 아급성 뇌졸중 환자의 운동기능, 인지기능, 우울에 미치는 효과)

  • Yang, Gun Young;Min, Hye Sook
    • Journal of Korean Critical Care Nursing
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    • v.14 no.1
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    • pp.50-62
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    • 2021
  • Purpose : This study examined the effects of an integrated management program on physical function, cognitive function, and depression in patients with subacute stroke. Methods : A nonequivalent control group design was adopted. The participants were assigned to either the experimental group (n=20) or control group (n=23). The experimental group received an 8-week integrated management program and standard rehabilitation service (i.e., physical therapy and occupational therapy), while the control group received the standard rehabilitation service only. Physical function was measured as gait speed and balance ability using the Berg Balance Scale (BBS). Cognitive function was measured with neuro-behavioral cognitive status examination (NCSE), and depression was measured using the Beck Depression Inventory-II (BDI-II). Repeated measure ANOVA was used to determine changes in physical function, cognitive function, and depression over 8-weeks. Results : The interaction between group and time was significant, indicating that the experimental group showed improvement in gait speed, balance ability, cognitive function (linguistic ability, linguistic memory, reasoning), and a decrease in depression compared to the control group. Conclusion : These results indicate that the integrated management program developed herein was beneficial in restoring physical function, cognitive function, and depression in subacute stroke patients.

The Verification of Causality among Accident, Depression, and Cognitive Failure of the Train Drivers (철도기관사의 사고, 우울감, 인지실패 간의 인과관계 검증)

  • Ro, Choon-Ho;Shin, Tack-Hyun
    • Journal of the Korea Society for Simulation
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    • v.25 no.4
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    • pp.109-115
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    • 2016
  • This study intended to testify the causality among three variables such as accident, depression and cognitive failure of the train drivers. For this purpose, two research models were suggested. Model 1 hypothesized the causality among three variables as 'depression ${\rightarrow}$ cognitive failure ${\rightarrow}$ accident'. On the other hand, model 2 hypothesized the causality among three variables as 'accident ${\rightarrow}$ depression ${\rightarrow}$ cognitive failure'. Results based on AMOS using 416 train drivers' questionnaire showed that model 2 is more valid than model 1. The statistical result of model 1 showed that depression has a positive effect on cognitive failure, however no significant relationship between depression and accident as well as between cognitive failure and accident. In model 2, the result showed that the accident has a positive effect on cognitive failure mediated by depression. This result suggests the necessity for establishment of countermeasures to mitigate mistake and cognitive failure caused by train drivers in a wider context, considering the causality between accident and depression.

Relations between Somatic Symptoms, Depression, Anxiety, and Cognitive Function in Patients with Mild Traumatic Brain Injury (경증 외상성 뇌손상 환자에서 신체적 증상, 우울, 불안과 인지기능의 관계)

  • Kim, Myung Hun;Oh, Sang Woo;Rho, Seoung Ho
    • Korean Journal of Biological Psychiatry
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    • v.15 no.3
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    • pp.194-203
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    • 2008
  • Objectives : This study was aimed at evaluating the relationship between somatic symptoms, depression, anxiety and cognitive function in the patients with Mild Traumatic Brain Injury(MTBI). Methods : Thirty seven patients with MTBI were selected from those patients who had visited the Department of Neuropsychiatry of Wonkwang University Hospital from 2003 to 2007. To assess and quantify the somatic symptoms, depression and anxiety, Personality Assessment Inventory(PAI) was used. Assessment of cognitive function was carried out by using Korean Wechsler Adult Intelligence Scale(K-WAIS), Rey-Kim Memory Test, and Kims Executive Function Test. The effects of somatic symptoms, depression, and anxiety on the cognitive function were evaluated by Pearson correlation test. Results : Somatic symptoms, depression, and anxiety, all showed inverse correlation to cognitive function. Specifically, 1) an increase in somatic symptoms was associated with a decrease in attention, verbal short term memory, verbal recall and recognition, and visual memory. 2) An increase in anxiety was associated with a decrease in verbal recall and recognition. 3) An increase in depression was associated with a decrease in cognitive function that requires high attention and verbal memory. Conclusion : The patients with MTBI displayed diverse symptoms ranging from cognitive impairment to somatic symptoms, depression, and anxiety. Somatic and emotional symptoms were correlated with cognitive function(especially executive function). Importantly, this study raises the possibility of treating the cognitive impairment associated with MTBI by treating somatic symptoms, depression, and anxiety.

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Leisure Activities, Cognitive Function and Depression in Female Elderly (여성 노인의 여가활동, 인지기능 및 우울에 관한 연구)

  • Kim, Ok Soo;Yang, Sook Ja;Kim, Jung Hee;Kim, Nam Young;Jeon, Hae Ok
    • Korean Journal of Adult Nursing
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    • v.19 no.3
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    • pp.436-446
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    • 2007
  • Purpose: The purpose of this study was to investigate cognitive function, leisure activities and depression in female elderly, to examine the relationships among those variables and to investigate leisure activities and depression according to cognitive function. Methods: The subjects were 105 female elderly visiting two senior citizen centers in Seoul, Korea. Data were collected from November to December 2006. The participants were assured of anonymity and confidentiality. All information was collected through face-to-face interviews using questionnaires. Results: 26.0% of the participants were cognitive impaired but not demented and 17.3% were demented. The level of depression was severe and 77.9% of the subjects were depressed. The subjects were not actively engaging in leisure activities. There were significant correlations between cognitive function, leisure activities and depression in female elderly. Demented or CIND subjects were more actively engaging in extra family fulfillment type leisure activities than normal subjects, Conclusion: These findings showed the need for a program for female elderly regarding leisure activities. When counseling the elderly, nurses must consider their cognitive function, leisure activities and depression.

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Comparison of Depression and Cognitive Function between Elderly Welfare Recipients and Non-Elderly Welfare Recipients in a Public Health Center (한 보건기관에 내원한 기초생활수급노인과 비 수급노인의 우울 및 인지기능 상태 비교)

  • Park, Jung-Ah;Cho, Young-Chae
    • Journal of agricultural medicine and community health
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    • v.32 no.1
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    • pp.1-12
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    • 2007
  • Objectives: This study was performed to provide the fundamental data available in the field of the elderly health of the low-income bracket by researching and comparing related factors for the assessment of the degree of depression and cognitive function between elderly welfare recipients and non-elderly welfare recipients. Methods: The study subjects, 402 elderly person over 65-year-old in Daejeon were interviewed, during the two-month from May to June 2006, about their general characteristics, depression and cognitive function. Results: elderly welfare recipients was higher than non-elderly welfare recipients in degree of depression on the other hand, in cognitive function is lower. Also, the depression and cognitive function were related with not only socio-demographic characteristics like the age, the degree of education, the presence of spouse or not and the health status but also health behavior characteristics like the sleeping time, the drinking and the exercise. Conclusions: The project of health promotion and programs that can improve the related factors to the depression and cognitive function for elderly welfare recipients should be developed and practiced.

Depression and Cognitive Function of the Elderly Using the Welfare Facilities for the Aged in the Community (노인복지시설 이용노인의 우울 및 인지기능 상태에 대한 연구)

  • Choi, Hye-Jung
    • Journal of Korean Public Health Nursing
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    • v.20 no.2
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    • pp.119-129
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    • 2006
  • Purpose: This study was conducted to investigate the status of depression and the cognitive function among the elderly over 65 years of age who use the welfare facilities for the aged in the community. Methods: For this study the data were collected from March 27, 2006 to April 14, 2006. Subjects were 92 elderly over 65 years old. The level of depression was estimated with the Beck Depression Inventory, and the cognitive function with the modified Mental Status Questionnaire (MSQ). The Data were analyzed using frequencies, t-test, and Pearson's correlation coefficient with the SPSS/PC program. Results: The results of this study are summarized as follows. 1. The mean score was 13.09 for depression and 8.27 for cognitive function. 2. Analysis according to the demographic characteristics confirmed a statistically significant difference on the level of cognitive function between the elderly who live alone and those who live together(f=4.293, p<0.01) 3. The percentage of the severely and mildly impaired in cognitive function was 7.6% and 6.5%, respectively. 4. The variables of age(f=11.17, p<0.01), educational level(f=15.23, p<0.01), martial status(f=4.084, p<0.01), and economic activity(t=4.41, p<0.01) showed a significant effect on cognitive function. 5. There was no relationship between depression and cognitive function. Conclusion: Social support and a variety of programs at welfare facilities in the community were recommended in order to reduce depression and cognitive impairment in the elderly.

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The Effects of Information Communication Technology on Cognitive Function in Old Age: Verification of the Serial Mediation Effects of Social Participation and Depression (후기 노인의 정보통신기술 활용이 인지기능에 미치는 영향: 사회적 참여와 우울의 직렬매개효과)

  • Lee, Hanju
    • Journal of Korean Public Health Nursing
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    • v.36 no.2
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    • pp.240-252
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    • 2022
  • Purpose: The purpose of this study was to draw practical implications applicable to the field by analyzing a double-mediator model of social participation and depression in relation to the utilization of Information Communication Technology (ICT) and cognitive function. Methods: The data from the Fifth Living Profiles of Older People Survey in Korea was used, and the sample included 3,925 people, 75 years of age or older. Descriptive statistics, correlation analysis, and the PROCESS macro test were used for verification of the double mediator model. Results: The results were as follows: First, ICT utilization was rated at an average of 1.4 out of 10, social participation at an average of 1.1 out of 7, depression at an average of 3.72 out of 15, and cognitive function at an average of 22.42 out of 30. Second, ICT utilization has a significant effect on cognitive function. Third, the mediating effects of social participation between ICT utilization and cognitive function were significant. Fourth, the mediating effects of depression between ICT utilization and cognitive function were not significant. Fifth, the serial double mediator effects leading to ICT utilization, social participation, depression, and cognitive function were significant. Conclusion: The study discussed the implications of maintaining and protecting cognitive function in the vulnerable elderly through the utilization of ICT.